National implementation of a mental health service model: A survey of Crisis Resolution Teams in England.

Autor: Lloyd-Evans B; Division of Psychiatry, University College London, London, UK., Paterson B; Division of Psychiatry, University College London, London, UK., Onyett S; Onyett Entero Ltd/Department of Psychology, University of Exeter Washington Singer Building, Exeter, UK., Brown E; Glenside Campus, University of the West of England, Bristol, UK., Istead H; Division of Psychiatry, University College London, London, UK., Gray R; Glenside Campus, University of the West of England, Bristol, UK., Henderson C; Institute of Psychiatry, Kings College London, London, UK., Johnson S; Division of Psychiatry, University College London, London, UK.
Jazyk: angličtina
Zdroj: International journal of mental health nursing [Int J Ment Health Nurs] 2018 Feb; Vol. 27 (1), pp. 214-226. Date of Electronic Publication: 2017 Jan 11.
DOI: 10.1111/inm.12311
Abstrakt: In response to pressures on mental health inpatient beds and a perceived 'crisis in acute care', Crisis Resolution Teams (CRTs), acute home treatment services, were implemented nationally in England following the NHS Plan in the year 2000: an unprecedentedly prescriptive policy mandate for three new types of functional community mental health team. We examined the effects of this mandate on implementation of the CRT service model. Two hundred and eighteen CRTs were mapped in England, including services in all 65 mental health administrative regions. Eighty-eight percent (n = 192) of CRT managers in England participated in an online survey. CRT service organization and delivery was highly variable. Nurses were the only professional group employed in all CRT staff teams. Almost no teams adhered fully to government implementation guidance. CRT managers identified several aspects of CRT service delivery as desirable but not routinely provided. A national policy mandate and government guidance and standards have proved insufficient to ensure CRT implementation as planned. Development and testing of resources to support implementation and monitoring of a complex mental health intervention is required.
(© 2017 Australian College of Mental Health Nurses Inc.)
Databáze: MEDLINE
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