1. CRHT Phil Belcher Team Manager

2. background Community care Failures of community care Failures of inpatient care

3. origins Pasamanick et al (1967) Langsley et al (1971) Polak & Jones (1973) Stein & Test (1980) Hoult (1991 Minghella et al (1998)

4. UK CRHT National Service Framework (1999) – help in crisis NHS Plan (2000) 335 teams Mental Health PIG (2001) detail service specifications Guidance on Best Practice & Fidelity (2004) Performance targets 2005 on National Audit Office (2007)

6. fundamentals Little discussion of theory Admission bad HTT should reduce admission and Length of Stay Crisis as an opportunity to intervene Power relationship more equal in own home

7. Home visits at least daily Team approach and shared caseload Rapid assessment Gatekeep all admissions High staffing ratio 24hr/7days a week Short term (discharge within 6 weeks) Core interventions, meds, practical help, time

8. Local service development Crisis service Out of hours team CRT CRT & AMHP service Home Treatment (wards closed)

9. Currently 2 teams W & E CPN’s, ASW,