Profile and activities of a rural home-based psychiatric treatment service in Ireland

Int J Psychiatry Clin Pract. 2014 Jun;18(2):125-30. doi: 10.3109/13651501.2013.838631. Epub 2013 Sep 23.

Abstract

Objectives: This study described the profile, activities and patient-related outcomes of a long-established home-based treatment (HBT) service in Ireland.

Methods: A retrospective descriptive study design was adopted to review and describe the activities of the Cavan HBT team over a 5-year period. Data including demographics, referral details, duration of admissions and outcome/disposal were retrospectively collected from the home treatment team mental health register of admissions between 2006 and 2010. Data were analysed using SPSS version 15 for windows.

Results: A total of 783 patients were referred to the team over the study period, of which 722 were admitted for home treatment. Most referrals (51%) were from General Practitioners and the commonest reason for referral/admission for home treatment was low mood (26%). While 10% required stepped-up care to the psychiatric inpatient unit, 77% were successfully discharged to the out-patient clinic for routine follow-up care.

Conclusions: Common psychiatric illnesses can be safely and effectively managed with HBT within the context of a spectrum of therapeutic options in a community psychiatric service.

Keywords: Home-based treatment; activities; crisis resolution team; outcomes; profile.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Community Mental Health Services / organization & administration
  • Community Mental Health Services / statistics & numerical data*
  • Female
  • Home Care Services / organization & administration
  • Home Care Services / statistics & numerical data*
  • Humans
  • Ireland
  • Male
  • Mental Disorders / therapy*
  • Middle Aged
  • Rural Health Services / organization & administration
  • Rural Health Services / statistics & numerical data*
  • Young Adult