title: Randomised controlled trial of acute mental health care by a crisis resolution team: the north Islington crisis study.
abstract: OBJECTIVE
  To evaluate the effectiveness of a crisis resolution team.
  
  
  METHODS
  Randomised controlled trial.
  
  
  METHODS
  260 residents of the inner London Borough of Islington who were experiencing crises severe enough for hospital admission to be considered.
  
  
  METHODS
  Acute care including a 24 hour crisis resolution team (experimental group), compared with standard care from inpatient services and community mental health teams (control group).
  
  
  METHODS
  Hospital admission and patients' satisfaction.
  
  
  RESULTS
  Patients in the experimental group were less likely to be admitted to hospital in the eight weeks after the crisis (odds ratio 0.19, 95% confidence interval 0.11 to 0.32), though compulsory admission was not significantly reduced. A difference of 1.6 points in the mean score on the client satisfaction questionnaire (CSQ-8) was not quite significant (P = 0.07), although it became so after adjustment for baseline characteristics (P = 0.002).
  
  
  CONCLUSIONS
  Crisis resolution teams can reduce hospital admissions in mental health crises. They may also increase satisfaction in patients, but this was an equivocal finding.
authors.affiliation: Department of Mental Health Sciences, Royal Free and University College Medical Schools, University College London, London W1W 7EY. s.johnson@ucl.ac.uk
authors.forename: Sonia
authors.initials: S
authors.lastname: Johnson
authors.forename: Fiona
authors.initials: F
authors.lastname: Nolan
authors.forename: Stephen
authors.initials: S
authors.lastname: Pilling
authors.forename: Andrew
authors.initials: A
authors.lastname: Sandor
authors.forename: John
authors.initials: J
authors.lastname: Hoult
authors.forename: Nigel
authors.initials: N
authors.lastname: McKenzie
authors.forename: Ian R
authors.initials: IR
authors.lastname: White
authors.forename: Marie
authors.initials: M
authors.lastname: Thompson
authors.forename: Paul
authors.initials: P
authors.lastname: Bebbington
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003156:Community Mental Health Services / Q000458:organization & administration* / Q000706:statistics & numerical data; D003419:Crisis Intervention / Q000458:organization & administration*; D005260:Female; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D008131:London; D008297:Male; D001523:Mental Disorders / Q000628:therapy*; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data; D010348:Patient Care Team / Q000458:organization & administration*; D017060:Patient Satisfaction; D011379:Prognosis