Home Based Crisis Team: Home Based Crisis Team: initial steps towards recovery initial steps towards recovery

in the communityin the community

Dr. Sinead O’Brien.Dr. Sinead O’Brien.

Consultant Psychiatrist, Consultant Psychiatrist,

Home Based Crisis Team.Home Based Crisis Team.

North Lee Mental Health Services.North Lee Mental Health Services.

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Inclusion CriteriaInclusion Criteria

The crisis team (HBCT) aim to treat individuals in the The crisis team (HBCT) aim to treat individuals in the community, where appropriate, for approximately 4 community, where appropriate, for approximately 4 weeks. We are targeting adults with severe mental weeks. We are targeting adults with severe mental illness, who require urgent assessment. illness, who require urgent assessment.

This includes: This includes: Those in acute psychosocial crisisThose in acute psychosocial crisis Those with acute psychiatric conditions in need of Those with acute psychiatric conditions in need of

urgent psychiatric attentionurgent psychiatric attention And those with long term, severe psychiatric problems And those with long term, severe psychiatric problems

who experience who experience eithereither of the first two problems. of the first two problems.

Exclusion CriteriaExclusion Criteria

risk of violence in home &/ or to staffrisk of violence in home &/ or to staff primary diagnosis of organic brain damage primary diagnosis of organic brain damage

and dementia and dementia medical illness which may require medical medical illness which may require medical

assessment assessment primary diagnosis of active substance primary diagnosis of active substance

misusemisuse.. severe personality disorder severe personality disorder

HBCT Working HoursHBCT Working Hours

Mon-Fri. Mon-Fri.

Mon-Thurs 9am-5pm. Mon-Thurs 9am-5pm.

Fri 9am-4pm. Fri 9am-4pm.

ReferralsReferrals

Referrals must be made by healthcare Referrals must be made by healthcare professionals using the referral form. professionals using the referral form.

An urgent referral must be followed An urgent referral must be followed up by a phone call to the team in up by a phone call to the team in order to discuss the case. order to discuss the case.

The client must be aware of the The client must be aware of the referral and agreeable to assessment referral and agreeable to assessment in their home. in their home.

Assessments

Initial assessment by 2 team members.

HBCT Proforma HONOS MADRAS Risk Assessement.

Acceptance/Non Acceptance Procedure

Referrer notified immediately via fax.

Full detailed assessment to referrer within 2 working days.

Clients working with HBCT

Keyworker

Initial daily reviews

Weekly review of Collaborative Care Plan.

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