Supporting people with mental health crises at home

People who experience a mental health crisis can receive support in many different ways. One approach is to support them in their own home via a Crisis Resolution Home Treatment (CRHT) team. The CRHT team provides intensive support, which can include carer support, treatment and medication.

What proportion of admissions to a psychiatric ward were gate kept by a CRHT team?

It is hoped that the intensive, short-term support of a CRHT team could prevent hospital admissions. However, in some cases, admission is still necessary. In cases where an admission is the result of a mental health crisis, CRHT teams should be involved in the decision to admit and will have assessed the service user prior to admission. The national threshold is that 95% of all admissions to a psychiatric inpatient ward are gate kept by a CRHT team.

Here we see that, in all quarters, the proportion of admissions which were gate kept by a CRHT team is above the national threshold of 95% and has remained around 98% since 2011/12 Q3. It dropped to 96.3% in Q1 2015/16 but has since increased again.

Updated August 2016.

How are the numbers of admissions to psychiatric wards changing?

We saw previously that the proportion of psychiatric admissions gate kept by a CRHT team has been fairly steady. Here, we see that the number of admissions to a psychiatric ward - along with those gate kept by a CRHT team has been falling. Total admissions dropped to a low of 15,599 in Q4 2014/15, and has since increased again to 16,837 in Q1 2016/17, although this is almost 2,000 less than Q1 2010/11. It is unclear from these data whether these reductions are due to the CRHT team being able to reduce admissions and keep people at home, whether the number of crises have decreased or whether there is a capacity issue, with fewer spaces on wards to admit people. More information is needed to understand the reduction in these numbers.

Updated August 2016.

About this data

For more information about this indicator, please see the guidance available here.


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