{"title":"Patient experiences of crisis home treatment teams: a systematic review and thematic synthesis.","authors":"Jialin Yang, Naomi Glover, Lisa Wood","doi":"10.1007/s00127-025-02830-6","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>Crisis home treatment teams (CHTTs) provide rapid at-home assessments and crisis support to individuals experiencing mental health crises. Exploring patient feedback on CHTTs can provide policymakers and service planners useful insight regarding service enhancements and improvements in care quality. The current systematic review aims to explore patient experiences on CHTTs, to inform policy decision-making and care quality.</p><p><strong>Method: </strong>The current review synthesised ten eligible qualitative studies (from Medline, PsycINFO, Embase and CINAHL) on patient experiences of CHTTs using thematic synthesis. Adult patients with a past or current experience of CHTTs, as well as a mental health diagnosis were included in the review.</p><p><strong>Results: </strong>The current review revealed that patients valued the rapid accessibility of services and positive characteristics of staff that contributed to cultivating strong therapeutic relationships. Patients also appreciated having equal power in treatment decision-making. However, concerns were raised regarding staff timekeeping, receiving generic treatment not well-tailored to patient's unique circumstances, and inconsistencies in continuity of service delivery and smooth transition to other services.</p><p><strong>Conclusions: </strong>Patient feedback on service improvements are useful for service planners and policymakers to improve CHTT services. Based on the results of this study, the importance of staff timeliness, having a smooth transition during the end of care, and tailored staff training for various demographics can improve CHTT service quality and delivery. Further qualitative research is needed to gain a comprehensive understanding of patient needs and experiences in various regions and demographics.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.6000,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Social Psychiatry and Psychiatric Epidemiology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s00127-025-02830-6","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHIATRY","Score":null,"Total":0}
引用次数: 0
Abstract
Purpose: Crisis home treatment teams (CHTTs) provide rapid at-home assessments and crisis support to individuals experiencing mental health crises. Exploring patient feedback on CHTTs can provide policymakers and service planners useful insight regarding service enhancements and improvements in care quality. The current systematic review aims to explore patient experiences on CHTTs, to inform policy decision-making and care quality.
Method: The current review synthesised ten eligible qualitative studies (from Medline, PsycINFO, Embase and CINAHL) on patient experiences of CHTTs using thematic synthesis. Adult patients with a past or current experience of CHTTs, as well as a mental health diagnosis were included in the review.
Results: The current review revealed that patients valued the rapid accessibility of services and positive characteristics of staff that contributed to cultivating strong therapeutic relationships. Patients also appreciated having equal power in treatment decision-making. However, concerns were raised regarding staff timekeeping, receiving generic treatment not well-tailored to patient's unique circumstances, and inconsistencies in continuity of service delivery and smooth transition to other services.
Conclusions: Patient feedback on service improvements are useful for service planners and policymakers to improve CHTT services. Based on the results of this study, the importance of staff timeliness, having a smooth transition during the end of care, and tailored staff training for various demographics can improve CHTT service quality and delivery. Further qualitative research is needed to gain a comprehensive understanding of patient needs and experiences in various regions and demographics.
期刊介绍：
Social Psychiatry and Psychiatric Epidemiology is intended to provide a medium for the prompt publication of scientific contributions concerned with all aspects of the epidemiology of psychiatric disorders - social, biological and genetic.
In addition, the journal has a particular focus on the effects of social conditions upon behaviour and the relationship between psychiatric disorders and the social environment. Contributions may be of a clinical nature provided they relate to social issues, or they may deal with specialised investigations in the fields of social psychology, sociology, anthropology, epidemiology, health service research, health economies or public mental health. We will publish papers on cross-cultural and trans-cultural themes. We do not publish case studies or small case series. While we will publish studies of reliability and validity of new instruments of interest to our readership, we will not publish articles reporting on the performance of established instruments in translation.
Both original work and review articles may be submitted.
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