CORE: Crisis Team Optimisation and Relapse Prevention - Phase 4

  • Research type

    Research Study

  • Full title

    Optimising team functioning, preventing relapse and enhancing recovery in Crisis Resolution Teams (CRTs): the CORE Programme (Crisis team Optimisation and RElapse prevention)CORE Phase 4: A Cluster Randomised Controlled Trial: Evaluation of implementation of a CRT Resource Kit

  • IRAS ID

    141909

  • Contact name

    I. Sonia Johnson

  • Contact email

    s.johnson@ucl.ac.uk

  • Sponsor organisation

    North Central London Research Network

  • Research summary

    Crisis Resolution Teams (CRTs) have been set up across England in the last decade to avert hospital admission wherever possible for people experiencing mental health crises, by providing rapid assessment and intensive home treatment.

    Research suggests CRTs reduce inpatient admissions and healthcare costs and increase service users’ satisfaction with acute care. However, their impact appears to vary between areas and service users and carers report some areas of dissatisfaction with CRT care. There is still uncertainty about how CRTs should best be organised and what are the critical ingredients of care which lead to good outcomes.

    Phase 1 of the CORE programme collected existing evidence and investigated the perspectives of involved stakeholders about how CRTs should operate. This information has now been used to develop a model of CRT best practice. A measure of fidelity to this ideal CRT model has been developed and piloted in CRT teams across England.

    In this phase (Phase 4) of the programme we will test the impact of providing a CRT resource kit to 15 CRTs within the UK. We will compare these teams with 10 that will not receive the resource kit. Comparisons will be made in terms of fidelity measure score, service users’ satisfaction and staff morale. We will also assess the impact of the CRT resource kit upon CRT service outcomes, including hospital admission rates.

  • REC name

    London - Camden & Kings Cross Research Ethics Committee

  • REC reference

    14/LO/0107

  • Date of REC Opinion

    13 Mar 2014

  • REC opinion

    Further Information Favourable Opinion