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CRHT

CRHT. Phil Belcher Team Manager. background. Community care Failures of community care Failures of inpatient care. origins. Pasamanick et al (1967) Langsley et al (1971) Polak & Jones (1973) Stein & Test (1980) Hoult (1991 Minghella et al (1998). UK CRHT.

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CRHT

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  1. CRHT Phil Belcher Team Manager

  2. background • Community care • Failures of community care • Failures of inpatient care

  3. origins • Pasamanick et al (1967) • Langsley et al (1971) • Polak & Jones (1973) • Stein & Test (1980) • Hoult (1991 • Minghella et al (1998)

  4. UK CRHT • National Service Framework (1999) – help in crisis • NHS Plan (2000) 335 teams • Mental Health PIG (2001) detail service specifications • Guidance on Best Practice & Fidelity (2004) • Performance targets 2005 on • National Audit Office (2007)

  5. fundamentals • Little discussion of theory • Admission bad HTT should reduce admission and Length of Stay • Crisis as an opportunity to intervene • Power relationship more equal in own home

  6. Home visits at least daily • Team approach and shared caseload • Rapid assessment Gatekeep all admissions • High staffing ratio • 24hr/7days a week • Short term (discharge within 6 weeks) • Core interventions, meds, practical help, time

  7. Local service development • Crisis service • Out of hours team • CRT • CRT & AMHP service • Home Treatment (wards closed)

  8. Currently • 2 teams W & E • CPN’s, ASW,

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