Psychiatric Bulletin (2008) 32: 378-379. doi: 10.1192/pb.bp.107.018374
© 2008 The Royal College of Psychiatrists
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Crisis resolution/home treatment teams, gate-keeping and the role of the consultant psychiatrist{dagger}

Hugh Middleton, Associate Professor

School of Sociology & Social Policy, University of Nottingham, and UK and Honorary Consultant Psychiatrist, Nottinghamshire Healthcare NHS Trust

Gyles Glover, Consultant in Public Health

North East Public Health Observatory, and Honorary Professor of Public Mental Health, Wolfson Research Institute, University of Durham

Steve Onyett, Senior Development Consultant and Visiting Professor

Care Services Improvement Partnership South West Development Centre, Mallard Court, Express Park, Bristol Road, Bridgwater, Somerset TA6 4RN, email: steve.onyett{at}nimhesw.nhs.uk

Karen Linde, Senior Research Fellow

Institute of Public Policy, Leeds University

Declaration of interest

None.

{dagger} See original paper pp. 374–377, this issue.

AIMS AND METHOD

The working relationship between consultant psychiatrists and crisis resolution/home treatment (CRHT) teams varies quite widely. Data from the national survey have been used to investigate the effects of consultant psychiatrist intput upon functions of the CRHT team. Logistic regression was employed to consider the effects of team size, team maturity and consultant input upon gate-keeping and fidelity to model (how many of six criteria teams’ activities included).

RESULTS

There were statistically significant effects of size and maturity upon fidelity, and of maturity and consultant input upon gate-keeping.

CLINICAL IMPLICATIONS

The relationship between the consultant psychiatrist and other elements of the acute care pathway is an important determinant of how it functions. Depending upon how they relate to them, consultants can assist or hinder a team’s capacity to fulfill their intended purposes.


Related articles in PB:

Implementation of crisis resolution/home treatment teams in England: national survey 2005–2006
Steve Onyett, Karen Linde, Gyles Glover, Siobhan Floyd, Steven Bradley, and Hugh Middleton
PB 2008 32: 374-377. [Abstract] [Full Text]  



This article has been cited by other articles:


Home page
 Psychiatr. Bull.Home page
S. Onyett, K. Linde, G. Glover, S. Floyd, S. Bradley, and H. Middleton
Implementation of crisis resolution/home treatment teams in England: national survey 2005-2006
Psychiatr. Bull., October 1, 2008; 32(10): 374 - 377.
[Abstract] [Full Text] [PDF]