PMID- 21569226
OWN - NLM
STAT- MEDLINE
DCOM- 20110929
LR  - 20211020
IS  - 1472-6963 (Electronic)
IS  - 1472-6963 (Linking)
VI  - 11
DP  - 2011 May 10
TI  - An implementation study of the crisis resolution team model in Norway: are the 
      crisis resolution teams fulfilling their role?
PG  - 96
LID - 10.1186/1472-6963-11-96 [doi]
AB  - BACKGROUND: The establishment of crisis resolution teams (CRTs) is part of the 
      national mental health policy in several Western countries. The purpose of the 
      present study is to describe characteristics of CRTs and their patients, explore 
      the differences between CRTs, and examine whether the CRTs in Norway are 
      organized according to the international CRT model. METHODS: The study was a 
      naturalistic study of eight CRTs and 680 patients referred to these teams in 
      Norway. Mental health problems were assessed using the Health of the Nation 
      Outcome Scales (HoNOS), Global Assessment of Functioning Scales (GAF) and the 
      International Statistical Classification of Diseases and Related Health Problems, 
      10th Revision (ICD-10). RESULTS: None of the CRTs operated 24 hours a day, seven 
      days a week (24/7 availability) or had gate-keeping functions for acute wards. 
      The CRTs also treated patients who were not considered for hospital admission. 
      Forty per cent of patients waited more than 24 hours for treatment. Fourteen per 
      cent had psychotic symptoms, and 69% had affective symptoms. There were 
      significant variations between teams in patients' total severity of symptoms and 
      social problems, but no variations between teams with respect to patients' 
      aggressive behaviour, non-accidental self-injury, substance abuse or psychotic 
      symptoms. There was a tendency for teams operating extended hours to treat 
      patients with more severe mental illnesses. CONCLUSIONS: The CRT model has been 
      implemented in Norway without a rapid response, gate-keeping function and 24/7 
      availability. These findings indicate that the CRTs do not completely fulfil 
      their intended role in the mental health system.
FAU - Hasselberg, Nina
AU  - Hasselberg N
AD  - R&D Department, Mental Health Services, Akershus University Hospital and 
      Institute of Clinical Medicine, University Oslo, Norway. nina.hasseberg@ahus.no
FAU - Grawe, Rolf W
AU  - Grawe RW
FAU - Johnson, Sonia
AU  - Johnson S
FAU - Ruud, Torleif
AU  - Ruud T
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20110510
PL  - England
TA  - BMC Health Serv Res
JT  - BMC health services research
JID - 101088677
SB  - IM
MH  - Adult
MH  - Cluster Analysis
MH  - Crisis Intervention/methods/statistics & numerical data
MH  - Female
MH  - Health Status Indicators
MH  - Humans
MH  - Male
MH  - *Mental Health
MH  - *Mental Health Services
MH  - Middle Aged
MH  - Models, Organizational
MH  - Models, Psychological
MH  - Negotiating/*methods/psychology
MH  - Norway
MH  - *Professional Role
MH  - Psychometrics/statistics & numerical data
MH  - Psychotic Disorders/*therapy
MH  - Statistics, Nonparametric
MH  - Young Adult
PMC - PMC3116476
EDAT- 2011/05/17 06:00
MHDA- 2011/10/01 06:00
PMCR- 2011/05/10
CRDT- 2011/05/17 06:00
PHST- 2010/08/30 00:00 [received]
PHST- 2011/05/10 00:00 [accepted]
PHST- 2011/05/17 06:00 [entrez]
PHST- 2011/05/17 06:00 [pubmed]
PHST- 2011/10/01 06:00 [medline]
PHST- 2011/05/10 00:00 [pmc-release]
AID - 1472-6963-11-96 [pii]
AID - 10.1186/1472-6963-11-96 [doi]
PST - epublish
SO  - BMC Health Serv Res. 2011 May 10;11:96. doi: 10.1186/1472-6963-11-96.