title: Nurses experiences of working in Crisis Resolution Home Treatment Teams with its additional gatekeeping responsibilities.
abstract: BACKGROUND
  Through their gatekeeping role, CRHTT aim to reduce inappropriate admissions, facilitate early discharge from hospital and maximize the ability of service users to live independently within their own communities. It is evident that there is a vast array of literature on CRHTT internationally, however, little evidence on nurses experiences of working within CRHTT and gatekeeping. Therefore, in the light of limited research, this study aims to expand the current evidence base by exploring nurse's experiences of working in CRHTT with its additional gatekeeping responsibilities.
  
  
  METHODS
  Six nurses working across two CRHTT's were interviewed using semi-structured interviews. Data were analysed through the use of thematic analysis.
  
  
  RESULTS
  Four key themes emerged which were, 'CRHTT as a specialist role', 'core principles of the gatekeeping role', 'redefining risk management for gatekeepers in CRHTT' and 'the future of gatekeeping'.
  
  
  CONCLUSIONS
  It is evident through nurse's experiences of working within CRHTT and gatekeeping that their roles were very dynamic and challenging. A positive risk-taking approach contributed towards the success of CRHTT as gatekeepers. Family members played a significant role in ensuring gatekeeping remained a priority consistent with Government targets. Clinical Implications and recommendations for future research are discussed.
authors.affiliation: Clinical and Corporate Nursing, Birmingham and Solihull Mental Health Foundation Trust, Birmingham, UK.
authors.forename: R
authors.initials: R
authors.lastname: Begum
authors.affiliation: School of Clinical and Experimental Medicine, University of Birmingham, Birmingham, UK.
authors.forename: S
authors.initials: S
authors.lastname: Riordan
mesh_terms: D000328:Adult; D003156:Community Mental Health Services / Q000592:standards*; D020793:Gatekeeping / Q000592:standards*; D006699:Home Care Services / Q000592:standards*; D006801:Humans; D009740:Nursing Staff / Q000592:standards*
keywords: community care; crisis resolution; emergency psychiatry; nursing role; risk management