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Providing support in the home
Target
Where the service user has not actively expressed a preference to meet elsewhere, at least 80% of CRT contacts with service users take place in the service user's home or current place of residence.
Why this is important
Treatment at home offers the chance to work with service users' social systems and help them develop sustainable coping strategies. Research shows that home treatment can increase satisfaction with acute care. Home visits were highly valued by most service users in interviews for the CORE study.
Ways of doing this well
In the national CORE fidelity review survey, 72 out of 75 teams scored a 5 on this item, indicating that teams are already doing this very well.
Relevant reading
Mental Health Foundation (2012) Take Control: Self-management in care and treatment planning
'The settings of crisis resolution (such as the client's own home) might also mean that he or she is free to express tensions (for a limited time) that would be unacceptable in hospital and this can sometimes help to promote crisis resolution.' (p. 4)
National Audit Office (2008) CRHT: The Service User and Carer Experience
'CRHT interventions should be based on a strong awareness of the service user's home environment, including any issues there that may trigger anxiety or stress. Part of the intended benefit of the CRHT model is that the team can observe people first-hand in the context of their home and social network, identifying possible problems and trigger factors more easily as most people behave more naturally in their own homes.28 Thus the CRHT team should consider all such factors in assessing the feasibility of home treatment, including an appraisal of whether possible trigger factors are inextricable from the home environment itself.' (p.19)