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"Crisis intervention (Mental health services)"
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Crisis Resolution and Home Treatment in Mental Health
Crisis resolution and home treatment teams respond rapidly to people experiencing mental health crises and offer an alternative to hospital admission. They are an increasingly important component of mental health care and are adopted by many health care systems around the world. This practical and pioneering book describes the evidence for the effectiveness of such teams, the principles underpinning them, how to set up and organise them, how patients should be assessed and what types of care the teams should offer. Other topics covered include integration of crisis teams with in-patient, community residential and day care services, the service users' experiences of crisis teams, and responding to diversity in home treatment. This book is essential reading for all policy makers, service managers and mental health workers interested in establishing or operating crisis resolution and home treatment services, as well as for researchers and students seeking to understand this model.
eBook
Adapting the Crisis Intervention Team (CIT) model of police-mental health collaboration in a low-income, post-conflict country: curriculum development in Liberia, West Africa
We sought to develop a curriculum and collaboration model for law enforcement and mental health services in Liberia, West Africa.
In 2013 we conducted key informant interviews with law enforcement officers, mental health clinicians, and mental health service users in Liberia, and facilitated a 3-day curriculum workshop.
Mental health service users reported prior violent interactions with officers. Officers and clinicians identified incarceration and lack of treatment of mental health service users as key problems, and they jointly drafted a curriculum based upon the Crisis Intervention Team (CIT) model adapted for Liberia. Officers' mental health knowledge improved from 64% to 82% on workshop assessments (t=5.52; P<.01). Clinicians' attitudes improved (t=2.42; P=.03). Six months after the workshop, 69% of clinicians reported improved engagement with law enforcement. Since the Ebola outbreak, law enforcement and clinicians have collaboratively addressed diverse public health needs.
Collaborations between law enforcement and mental health clinicians can benefit multiple areas of public health, as demonstrated by partnerships to improve responses during the Ebola epidemic. Future research should evaluate training implementation and outcomes including stigma reduction, referrals, and use of force.
Journal Article
Supporting others in a mental health crisis
Supporting Others When someone is facing a mental health crisis, knowing how to respond can make all the difference. In this concise and practical video, clinical psychologist Pratishtha offers clear, compassionate guidance on recognizing signs of distress, initiating supportive conversations, and connecting individuals to the help they need. Whether you're a concerned friend, family member, colleague, or community responder, How to Support Someone in a Mental Health Crisis provides simple and effective strategies to offer timely, meaningful support. This video serves as an essential introduction to crisis care, helping reduce stigma while fostering greater mental health awareness in everyday life.
Streaming Video
Randomised controlled trial of acute mental health care by a crisis resolution team: the north Islington crisis study
Abstract Objective To evaluate the effectiveness of a crisis resolution team. Design Randomised controlled trial. Participants 260 residents of the inner London Borough of Islington who were experiencing crises severe enough for hospital admission to be considered. Interventions Acute care including a 24 hour crisis resolution team (experimental group), compared with standard care from inpatient services and community mental health teams (control group). Main outcome measures Hospital admission and patients' satisfaction. Results Patients in the experimental group were less likely to be admitted to hospital in the eight weeks after the crisis (odds ratio 0.19, 95% confidence interval 0.11 to 0.32), though compulsory admission was not significantly reduced. A difference of 1.6 points in the mean score on the client satisfaction questionnaire (CSQ-8) was not quite significant (P = 0.07), although it became so after adjustment for baseline characteristics (P = 0.002). Conclusion Crisis resolution teams can reduce hospital admissions in mental health crises. They may also increase satisfaction in patients, but this was an equivocal finding.
Journal Article
Adolescent mental health in sub-Saharan Africa: crisis? What crisis? Solution? What solution?
Addressing adolescent mental health care across sub-Saharan Africa faces numerous challenges, including underfunded public health systems, a shortage of mental health professionals, barriers to access, and pervasive stigma. Untreated adolescents often experience worsening symptoms, academic and social difficulties, physical health risks, and engage in risky behaviours. Early detection and appropriate treatment of common mental health conditions can support adolescents in developing robust social and emotional foundations and enhancing their mental well-being. Ensuring adolescents receive the mental health care required for healthy development depends on collaborative, evidence-based solutions that consider the contextual challenges of sub-Saharan Africa. Innovative community-based solutions to mental health services may significantly improve accessibility and support adolescents close to their homes and schools. For example, co-creation and peer-delivered interventions with professional supervision may enhance uptake and reduce stigma. This short article adds to the current debate arguing for working with communities and implementing community mental health services for common mental health conditions. Sensitivity to community-specific challenges and building referral networks are crucial for effective care. Investing in these strategies, alongside increasing mental health literacy, could lead to affordable and significant interventions to address adolescent mental health.
Journal Article