Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
Social Psychiatry and Psychiatric Epidemiology
Published in: Social Psychiatry and Psychiatric Epidemiology 5/2008

01-05-2008 | ORIGINAL ARTICLE

Crisis homes for adult psychiatric patients

Authors: Dr. MedSc. Jørgen Aagaard, Michael Freiesleben, Leslie Foldager

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 5/2008

Login to get access

Abstract

Introduction

Inspired by the Crisis Home programme in Madison, we have adapted and evaluated the programme at the Community Mental Health (CMH) Centre in Tønder, Denmark.

Material and methods

Procedures and schedules from the Crisis Home programme were applied in this open trial. Questionnaire data concerning satisfaction with the stay and registration data concerning the admissions and bed days two years before and two years after the first stay were obtained.

Results

During four years, 52 different patients had a total of 187 stays in a crisis home. Twenty (38.5%) of the patients were attached to the ACT team. The average duration of the stays was 4.0 days. The number of readmissions and bed days after the first stay showed a significant downward tendency for the subgroup of patients with a more severe mental disorder, but not for the whole group. The patients, the crisis homes families and the referrers were very satisfied with the programme and the treatment.

Conclusion

Crisis home stays represent a quality improvement in the treatment package, especially for patients with a more severe mental disorder. Further documentation will require a controlled study.
Literature
1.
Aagaard J (2006) Opsøgende psykoseteam. (Assertive Community Treatment. Experiences from the first ACT programme in Denmark). Grafisk Service, Århus
2.
Aagaard J, Freiesleben M, Mathiesen A, Foldager L (2005) Aflastningsfamilier til voksne psykiatriske patienter. De første erfaringer fra Danmark.(Crisis Homes for adult psychiatric patients. The first experiences from Denmark). Ugeskr Laeger 167:3174–3179PubMed
3.
Aagaard J, Nielsen JA (2004) Experiences from the first ACT programme in Denmark. I. Baseline evaluation 1981–2000. Nord J Psychiatry 58:165–169PubMedCrossRef
4.
Aagaard J, Nielsen JA (2004) Experiences from the first ACT programme in Denmark. II. Severe mental illness. A register diagnosis. Nord J Psychiatry 58:171–174CrossRef
5.
Bak M, Van Os J, Delespaul P, de Bie A, Campo J, Poddighe G, et al. (2007) An observational, “real life” trial of the introduction of assertive community treatment in a geographically defined area using clinical rather than service use outcome criteria. Soc Psychiatry Psychiatr Epidemiol 42(2):125–130PubMedCrossRef
6.
Bennett R (1995) Family placement schemes as an alternative to short-term hospitalization. In: Phelan M, Strathdee G, Thornicroft G (eds) Emergency mental health services in the community. University Press, Cambridge
7.
8.
Bond GR, Becker DR, Drake RE, Rapp CA, Meisler N, Lehman AF, et al. (2001) Implementing supported employment as an evidence-based practice. Psychiatr Serv 52(3):313–322PubMedCrossRef
9.
Brook DB, Cortes M, March R, Sundberg-Stirling M (1976) Community Families: An alternative to psychiatric hospital intensive care. Hosp Comm Psychiatry 27:195–197
10.
Burns T, Knapp M, Catty J, Healey A, Henderson J, Watt H, et al. (2001) Home treatment for mental health problems: a systematic review. Health Technol Assess 5(15):1–139PubMed
11.
Fakhoury W, Priebe S (2002) The process of deinstitutionalization: an international overview. Current Opinion in Psychiatry 15:187CrossRef
12.
Fenton WS, Hoch JS, Herrell JM, Mosher L, Dixon L (2002) Cost and cost-effectiveness of hospital vs residential crisis care for patients who have serious mental illness. Arch Gen Psychiatry 59(4):357–364PubMedCrossRef
13.
Helweg A (1906) Om familiepleje af sindssyge (About family care of mentally deranged). Statshospitalet i Middelfart, Middelfart
14.
Launsø L (2000) Forskning om og med mennesker.(Research around and with human beings). Arnold Busck, København
15.
Liang KV, Zeger SL (1986) Longitudinal data analysis using generalized linear models. Biometrika 73:13CrossRef
16.
Liberman RP (1992) Handbook of Psychiatric Rehabilitation. Macmillon, New York
17.
Linn MW, Klett J, Cafley EM (1980) Foster home characteristics and psychiatric patient outcome. Arch Gen Psychiatry 37:129–132PubMed
18.
McCoin JM (1983) Adult Foster Homes: Their managers and Residents. Human Services Press, New York
19.
McCullagh P, Nelder J (1989) Generalized Linear Models. 2nd edn. Chapman & Hall/CRC, London
20.
McFarlane WR, Stastny P, Deakins S (1992) Family-aided assertive community treatment: a comprehensive rehabilitation and intensive case management approach for persons with schizophrenic disorders. New Dir Ment Health Serv 53:43–54PubMedCrossRef
21.
Munk-Jørgensen P, Mortensen PB (1997) The Danish Psychiatric Central Register. Dan Med Bull 44:82–84PubMed
22.
Nielsen B, Bloch-Sørensen P, Balslov KD, Sigsgaard A (2000) Skizofrene patienters pleje og behandling.(Care and treatment of the schizophrenic patients). Trykkeriet, Fyens Amt, Odense
23.
Olsen M, Schafer J (2001) A Two-Part Random-Effects Model for Semicontinuous Longitudinal Data. J American Statistical Association 96:736–745CrossRef
24.
25.
StataCorp (2005) Stata Statistical Software; release 9. College Station, Texas
26.
Stein LI, Santos AB (1998) Assertive community treatment of persons with severe mental illness. Norten, New York
27.
Teague GB, Bond GR, Drake RE (1998) Program fidelity in assertive community treatment: development and use of a measure. Am J Orthopsychiatry 68(2):216–232PubMedCrossRef
28.
Thorup A, Petersen L, Jeppesen P, Ohlenschlaeger J, Christensen T, Krarup G, et al. (2006) Social network among young adults with first-episode schizophrenia spectrum disorders: results from the Danish OPUS trial. Soc Psychiatry Psychiatr Epidemiol 41(10):761–770PubMedCrossRef
29.
Tooze JA, Grunwald GK, Jones RH (2002) Analysis of repeated measures data with clumping at zero. Stat Methods Med Res 11(4):341–355PubMedCrossRef
30.
Warner R (1995) Alternatives to the hospital for acute psychiatric treament. American Psychiatric Press, Washington DC
Metadata
Title
Crisis homes for adult psychiatric patients
Authors
Dr. MedSc. Jørgen Aagaard
Michael Freiesleben
Leslie Foldager
Publication date
01-05-2008
Publisher
Steinkopff-Verlag
Published in
Social Psychiatry and Psychiatric Epidemiology / Issue 5/2008
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-008-0311-7

Other articles of this Issue 5/2008

Social Psychiatry and Psychiatric Epidemiology 5/2008 Go to the issue

ORIGINAL PAPER

Ten-year trends in self-reported emotional and behavioral problems of Dutch adolescents

ORIGINAL PAPER

Symptomatology of depressive state in the workplace

ORIGINAL PAPER

Frequency and effects of psychosocial interventions additional to olanzapine treatment in routine care of schizophrenic patients

ORIGINAL PAPER

Adolescent problem behaviours predicting DSM-IV diagnoses of multiple substance use disorder

ORIGINAL ARTICLE

Characteristics of recent violence among entrants to acute mental health and substance abuse services

ORIGINAL PAPER

More than jobs and houses: mental health, quality of life and the perceptions of locality in an area undergoing urban regeneration