Do patients get better? A review of outcomes from a crisis house and home treatment team partnership

Mohsin Faysal Butt; David Walls; Rahul Bhattacharya

doi:10.1192/bjb.2018.105

Do patients get better? A review of outcomes from a crisis house and home treatment team partnership

BJPsych Bull. 2019 Jun;43(3):106-111. doi: 10.1192/bjb.2018.105. Epub 2019 Jan 29.

Authors

Mohsin Faysal Butt¹, David Walls², Rahul Bhattacharya^{1

3}

Affiliations

¹ Centre for Psychiatry, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, UK.
² Look Ahead Housing and Care, UK.
³ East London NHS Foundation Trust, UK.

Abstract

Aims and methodThe Tower Hamlets Crisis House (voluntary sector), in partnership with the local home treatment team, offers a brief residential alternative to psychiatric hospital admission. Here, we review clinician-reported (Health of the Nation Outcome Scales; HoNOS) and patient-reported (DIALOG) outcome scores collected from successive admissions between June 2015 and December 2016, to assess the effectiveness of the service model. We identified 153 successive admissions, and of these, 85 (55.6%) and 91 (59.5%) patients completed both admission and discharge DIALOG and HoNOS questionnaires, respectively. We analysed ten out of twelve HoNOS domains and eight patient-reported outcome measure DIALOG domains. RESULTS: We found a statistically significant improvement in nine out of ten domains of HoNOS and three out of eight domains of DIALOG.Clinical implicationsA partnership between a home treatment team and crisis house can result in positive outcomes for patients, as determined by both clinicians and patients.Declaration of interestNone.

Keywords: Crisis house; DIALOG; Health of the Nation Outcome Scales; home treatment team; outcome PROM CROM.