Investigating the association between characteristics of local crisis care systems and service use in an English national survey

• DOI: 10.1192/bjo.2023.595
• Publication Date: 2023-11-03T06:55:03Z
• Authors: Antonio Rojas-García; Christian Dalton-...; Luke Sheridan Rains; Ceri Dare; Cedric Ginestet; Una Foye; Kathleen Kelly; Sabine Landau; Chris Lynch; Paul McCrone; Shilpa Nairi; Karen Newbigging; Patrick Nyikavaranda; David Osborn; Karen Persaud; Nick Sevdalis; Martin Stefan; Ruth Stuart; Alan Simpson; Sonia Johnson; Brynmor Lloyd-Evans
• Keywords: Paper; crisis care models and systems; 330; England; Mental health services; psychiatric detentions; psychiatric admissions; 16. Peace & justice; 3. Good health

Background In England, a range of mental health crisis care models and approaches to organising systems have been implemented, but characteristics associated with their effectiveness are poorly understood. Aims To (a) develop typology catchment area (b) investigate how service system relate psychiatric hospital admissions detentions. Method Crisis data were obtained from 2019 English national survey. Latent class analyses conducted identify discernible typologies, mixed-effects negative binomial regression fitted explore associations between detention rates, nationally reported data. Results No clear emerged. Regression suggested that provision telephone within the local was 11.6% lower rate 15.3% rate. Provision cafe 7.8% admission rates. The assessment team separate resolution home treatment 12.8% higher Conclusions configuration varies considerably in we could not derive convincingly categorised systems. Our results suggest phone line may be However, our findings teams, reductions