Izlaganje sa skupa
REPEAT USERS OF CRISIS RESOLUTION AND HOME TREATMENT TEAM
Vinod Kumar Lunawat
; South Essex Partnership University NHS Foundation Trust, CRHT, Luton, United Kingdom
Milind Karale
; South Essex Partnership University NHS Foundation Trust, Charter House, Luton, United Kingdom
Sažetak
CRHT services have reduced admissions to psychiatric hospitals. Some patients use CRHT services repeatedly. We reviewed the
first 30 patients who were repeat users of the CRHT services, Luton, between 1 August 2010 and 31 July 2011. The repeat users were
a small group of patients needing disproportionately large amounts of resources from the CRHT service. The factors associated with
repeat use of CRHT were past psychiatric admission and the diagnoses of emotionally unstable personality disorder, self-harm
behaviour and substance misuse. Identifying the factors leading to repeat CRHT use could lead to providing a more tailored service
and reduce repeat use of these services. It appears that repeat CRHT service use might be the result of the interaction of a wide
range of factors relating to underlying disorder, substance misuse, self harm behaviour, employment status and social support. It is
also important to note that many of the patients are liable to relapse as they go through stressful life situations, despite adequate
medication and psychosocial intervention. It can be difficult to identify all the factors that contribute to a pattern of repeat
presentation to CRHT services. However, identification of such factors might help clinicians to offer more targeted services and
might also assist commissioners in focusing resources effectively. They might need more intensive community-based programs to
identify and treat the relapses. The CRHT teams should include all the appropriate professional disciplines required to provide
community care for these challenging service users.
Ključne riječi
Hrčak ID:
265660
URI
Datum izdavanja:
5.11.2014.
Posjeta: 236 *