The Core Study


Item 37

Accessing alternatives to hospital admission


The CRT can refer to both a residential crisis services and an acute day service, and there is all-source agreement that they have good access to some beds/places at both services.

Why this is important

Some service users will find it intolerable to remain at home during the period of crisis. In these cases other services such as day hospitals or crisis houses could provide a positive alternative to admission onto acute wards.  These kinds of services can help to manage risks while reducing service users' isolation and providing respite for carers.

Ways of doing this well

The Tower Hamlets Home Treatment Team have a local crisis house that they can use, and the PowerPoint presentation below, together with some case studies, demonstrate their experience of being able to use this kind of service.

Examples of good practice

In our fidelity review survey of 75 crisis teams in 2014, the following teams achieved excellent model fidelity, and can be contacted for advice about how they achieved this:

  • Newham Psychiatric Acute Community Team, East London NHS Foundation Trust
  • Hastings CRT, Sussex Partnership NHS Foundation Trust
  • Great Yarmouth CMHT, Norfolk & Suffolk NHS Foundation Trust
  • Eastbourne CRT, Sussex Partnership NHS Foundation Trust