Service use preceding and following first referral for psychiatric emergency care at a short-stay crisis unit: A cohort study across three cities and one rural area in England

被引：1

作者：

Goldsmith, Lucy Pollyanna ^{[1
,10
]}

Anderson, Katie ^{[2
]}

Clarke, Geraldine ^{[3
]}

Crowe, Chloe ^{[4
]}

Jarman, Heather ^{[1
,5
]}

Johnson, Sonia ^{[6
]}

Lomani, Jo ^{[7
]}

McDaid, David ^{[8
]}

Park, A-La ^{[8
]}

Smith, Jared G. ^{[1
]}

Gillard, Steven ^{[9
]}

机构：

[1] St Georges Univ London, Populat Hlth Res Inst, London, England

[2] Middlesex Univ London, London, England

[3] Hlth Fdn, London, England

[4] Goodmayes Hosp, North East London NHS Fdn Trust, Ilford, England

[5] St Georges Univ Hosp NHS Fdn Trust, London, England

[6] Univ Coll London Bloomsbury, Div Psychiat, NIHR Mental Hlth Policy Res Unit, London, England

[7] NHS England & NHS Improvement, London, England

[8] London Sch Econ & Polit Sci, Care Policy & Evaluat Ctr, Dept Hlth Policy, London, England

[9] City Univ London, Sch Hlth & Psychol Sci, London, England

[10] St Georges Univ London, Populat Hlth Res Inst, Cranmer Terrace, London SW17 0RE, England

来源：

INTERNATIONAL JOURNAL OF SOCIAL PSYCHIATRY | 2023年 / 69卷 / 04期

关键词：

Mental health crisis; psychiatric admission; emergency department; experience of care; mental health nursing; short-stay crisis care; MENTAL-HEALTH; INPATIENT; HOSPITALIZATION; UK;

D O I：

10.1177/00207640221142530

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

Background: Internationally, hospital-based short-stay crisis units have been introduced to provide a safe space for stabilisation and further assessment for those in psychiatric crisis. The units typically aim to reduce inpatient admissions and psychiatric presentations to emergency departments. Aims: To assess changes to service use following a service user's first visit to a unit, characterise the population accessing these units and examine equality of access to the units. Methods: A prospective cohort study design (ISCTRN registered; 53431343) compared service use for the 9 months preceding and following a first visit to a short-stay crisis unit at three cities and one rural area in England. Included individuals first visited a unit in the 6 months between 01/September/2020 and 28/February/2021. Results: The prospective cohort included 1189 individuals aged 36 years on average, significantly younger (by 5-13 years) than the population of local service users (<.001). Seventy percent were White British and most were without a psychiatric diagnosis (55%-82% across sites). The emergency department provided the largest single source of referrals to the unit (42%), followed by the Crisis and Home Treatment Team (20%). The use of most mental health services, including all types of admission and community mental health services was increased post discharge. Social-distancing measures due to the COVID-19 pandemic were in place for slightly over 50% of the follow-up period. Comparison to a pre-COVID cohort of 934 individuals suggested that the pandemic had no effect on the majority of service use variables. Conclusions: Short-stay crisis units are typically accessed by a young population, including those who previously were unknown to mental health services, who proceed to access a broader range of mental health services following discharge.

引用

页码：928 / 941

页数：14