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Rojas-García A, Dalton-Locke C, Rains LS, Dare C, Ginestet C, Foye U, Kelly K, Landau S, Lynch C, McCrone P, Nairi S, Newbigging K, Nyikavaranda P, Osborn D, Persaud K, Sevdalis N, Stefan M, Stuart R, Simpson A, Johnson S, Lloyd-Evans B. Investigating the association between characteristics of local crisis care systems and service use in an English national survey - CORRIGENDUM. BJPsych Open 2023; 10:e6. [PMID: 38053428 PMCID: PMC10755550 DOI: 10.1192/bjo.2023.631] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/07/2023] Open
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Rojas-García A, Dalton-Locke C, Sheridan Rains L, Dare C, Ginestet C, Foye U, Kelly K, Landau S, Lynch C, McCrone P, Nairi S, Newbigging K, Nyikavaranda P, Osborn D, Persaud K, Sevdalis N, Stefan M, Stuart R, Simpson A, Johnson S, Lloyd-Evans B. Investigating the association between characteristics of local crisis care systems and service use in an English national survey. BJPsych Open 2023; 9:e209. [PMID: 37920101 PMCID: PMC10753954 DOI: 10.1192/bjo.2023.595] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/20/2023] [Revised: 09/13/2023] [Accepted: 09/25/2023] [Indexed: 11/04/2023] Open
Abstract
BACKGROUND In England, a range of mental health crisis care models and approaches to organising crisis care systems have been implemented, but characteristics associated with their effectiveness are poorly understood. AIMS To (a) develop a typology of catchment area mental health crisis care systems and (b) investigate how crisis care service models and system characteristics relate to psychiatric hospital admissions and detentions. METHOD Crisis systems data were obtained from a 2019 English national survey. Latent class analyses were conducted to identify discernible typologies, and mixed-effects negative binomial regression models were fitted to explore associations between crisis care models and admissions and detention rates, obtained from nationally reported data. RESULTS No clear typology of catchment area crisis care systems emerged. Regression models suggested that provision of a crisis telephone service within the local crisis system was associated with a 11.6% lower admissions rate and 15.3% lower detention rate. Provision of a crisis cafe was associated with a 7.8% lower admission rates. The provision of a crisis assessment team separate from the crisis resolution and home treatment service was associated with a 12.8% higher admission rate. CONCLUSIONS The configuration of crisis care systems varies considerably in England, but we could not derive a typology that convincingly categorised crisis care systems. Our results suggest that a crisis phone line and a crisis cafe may be associated with lower admission rates. However, our findings suggest crisis assessment teams, separate from home treatment teams, may not be associated with reductions in admission and detentions.
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Affiliation(s)
- Antonio Rojas-García
- NIHR Mental Health Policy Research Unit, Division of Psychiatry, University College London, UK; and Department of Psychiatry, University of Granada, Spain
| | | | - Luke Sheridan Rains
- NIHR Mental Health Policy Research Unit, Division of Psychiatry, University College London, UK
| | - Ceri Dare
- NIHR Mental Health Policy Research Unit, Division of Psychiatry, University College London, UK
| | - Cedric Ginestet
- Department of Biostatistics and Health Informatics, Institute of Psychiatry, Psychology, and Neuroscience, King's College London, UK
| | - Una Foye
- NIHR Mental Health Policy Research Unit, Institute of Psychiatry, Psychology, and Neuroscience, King's College London, UK
| | | | - Sabine Landau
- NIHR Mental Health Policy Research Unit, Department of Biostatistics and Health Informatics, Institute of Psychiatry, Psychology, and Neuroscience, King's College London, UK
| | - Chris Lynch
- NIHR Mental Health Policy Research Unit, Division of Psychiatry, University College London, UK
| | - Paul McCrone
- NIHR Mental Health Policy Research Unit, Institute for Lifecourse Development, University of Greenwich, UK
| | - Shilpa Nairi
- Camden and Islington NHS Foundation Trust, London, UK
| | | | - Patrick Nyikavaranda
- NIHR Mental Health Policy Research Unit, Division of Psychiatry, University College London, UK; and Department of Primary Care and Public Health, Brighton & Sussex Medical School, University of Sussex, UK
| | - David Osborn
- Department of Psychiatry, University of Granada, Spain; and Camden and Islington NHS Foundation Trust, London, UK
| | - Karen Persaud
- NIHR Mental Health Policy Research Unit, Division of Psychiatry, University College London, UK
| | - Nick Sevdalis
- Centre for Implementation Science, Health Service and Population Research Department, Institute of Psychiatry, Psychology, and Neuroscience, King's College London, UK; and NUS Centre for Behavioural & Implementation Science Interventions, Singapore
| | - Martin Stefan
- Mental Health Addictions and Intellectual Disability Directorate, Te Whatu Ora (Southern), Dunedin, New Zealand
| | - Ruth Stuart
- NIHR Mental Health Policy Research Unit, Institute of Psychiatry, Psychology, and Neuroscience, King's College London, UK
| | - Alan Simpson
- NIHR Mental Health Policy Research Unit, Institute of Psychiatry, Psychology, and Neuroscience, King's College London, UK
| | - Sonia Johnson
- NIHR Mental Health Policy Research Unit, Division of Psychiatry, University College London, UK; and Camden and Islington NHS Foundation Trust, London, UK
| | - Brynmor Lloyd-Evans
- NIHR Mental Health Policy Research Unit, Division of Psychiatry, University College London, UK
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