A5000831704- Psychiatric care and mental health services
- Mental Health Treatment and Access
- Healthcare Decision-Making and Restraints
- Family Caregiving in Mental Illness
- Schizophrenia research and treatment
- Emergency and Acute Care Studies
- Health, psychology, and well-being
- Mental Health and Patient Involvement
- Impact of Technology on Adolescents
- Social Media in Health Education
- Interprofessional Education and Collaboration
- Health disparities and outcomes
- Digital Mental Health Interventions
- Health Literacy and Information Accessibility
University College London
2015-2024
Goodmayes Hospital
2018
Crisis resolution teams (CRTs) can provide effective home-based treatment for acute mental health crises, although critical ingredients of the model have not been clearly identified, and implementation has inconsistent. In order to inform development a more highly specified CRT that meets service users' needs, this study used qualitative methods investigate stakeholders' experiences views CRTs, what is important in good quality crisis care. Semi-structured interviews focus groups were...
The Internet and mobile technology are changing the way people learn about manage their illnesses. Little is known online mental health information seeking behaviour by with psychosis. This paper explores nature, extent consequences of psychosis investigates acceptability a application (app).Semi-structured interviews were carried out (n = 22). Participants purposively recruited through secondary care settings in London. main topics discussed participants' current historical use technology....
Crisis Resolution Teams (CRTs) provide short-term intensive home treatment to people experiencing mental health crisis. Trial evidence suggests CRTs can be effective at reducing hospital admissions and increasing satisfaction with acute care. When scaled up national level however, CRT implementation outcomes have been variable. We aimed develop test a fidelity scale assess adherence model of best practice for CRTs, based on available evidence. A concept mapping process was used scale....
Background Crisis resolution teams (CRTs) offer brief, intensive home treatment for people experiencing mental health crisis. CRT implementation is highly variable; positive trial outcomes have not been reproduced in scaled-up care. Aims To evaluate a 1-year programme to improve CRTs’ model fidelity non-masked, cluster-randomised (part of the team Optimisation and RElapse prevention (CORE) research programme, registration number: ISRCTN47185233). Method Fifteen CRTs England received an...
As an alternative to hospital admission, crisis resolution teams (CRTs) provide intensive home treatment people experiencing mental health crises. Trial evidence supports the effectiveness of CRT model, but research suggests that anticipated reductions in inpatient admissions and increased user satisfaction with acute care have been less than hoped for following scaling up CRTs nationally England, as mandated by National Health Service (NHS) Plan 2000. The organisation service delivery vary...
Abstract Background A documented gap in support exists for service users following discharge from acute mental health services, and structured interventions to reduce relapse are rarely provided. Peer-facilitated self-management have potential meet this need, but evidence their effectiveness is limited. This paper describes the development of a peer-provided intervention crisis resolution teams (CRTs). Methods five-stage iterative mixed-methods approach sequential data collection was...
Background Crisis resolution teams (CRTs) seek to avert hospital admissions by providing intensive home treatment for people experiencing a mental health crisis. The CRT model has not been highly specified. care is often experienced as ending abruptly and relapse rates following discharge are high. Aims aims of CORE (Crisis team Optimisation RElapse prevention) workstream 1 were specify best practice CRTs, develop measure assess adherence this evaluate service improvement resources help CRTs...
Abstract Background Crisis Resolution Teams (CRTs) offer home-based care for people in mental health crisis, as an alternative to hospital admission. The success of CRTs England has been variable. In response this, the CRT Optimization and RElapse prevention (CORE) study developed trialled a 12-month Service Improvement Programme (SIP) based on fidelity model. This paper describes qualitative evaluation perspectives staff, managers, programme facilitators. We identify barriers facilitators...
Loneliness is associated with poor health outcomes at all ages, including shorter life expectancy and greater risk of developing depression. People mental problems are particularly vulnerable to loneliness and, for those anxiety or depression, poorer outcomes. Interventions which support people utilise existing networks access new social contact advocated in policy but there little evidence regarding their effectiveness. have potential benefit from interventions reduce loneliness, needed...
Psychiatric inpatients present with multiple difficulties, including comorbid diagnoses, social problems, trauma, and high levels of psychiatric medication use. All these factors have been associated poorer cognitive functioning, which is rarely assessed. The aim this study was to examine the acceptability a brief screening assessment, identify psychological profile current inpatients.A cross-sectional design adopted. Participants (N = 75) were administered measures Montreal Cognitive...
<title>Abstract</title> Background Crisis Resolution Teams (CRTs) offer home-based care for people in mental health crisis, as an alternative to hospital admission. The success of CRTs England has been variable. In response this, the CRT Optimization and RElapse prevention (CORE) study developed trialled a 12-month Service Improvement Programme (SIP) based on fidelity model. This paper describes qualitative evaluation perspectives staff, managers, programme facilitators. We identify barriers...