Table 2.
Implementation of CRTs for working age adults in 2016 compared with 2012
| Service domain | CRT characteristic | CRTs with this service characteristic n/N (%) | Significant differences 2012–2016 | |
|---|---|---|---|---|
| 2012 CRT survey | 2016 CRT survey | |||
| Eligibility (diagnosis) | The CRT will accept people with dementia | 39/192 (20%) | 32/190 (17%) | n/s |
| The CRT will accept people with comorbid learning difficulties | 111/192 (58%) | 94/190 (50%) | n/s | |
| The CRT will accept people with personality disorder | 151/192 (79%) | 187/190 (98%) | χ2 = 36.6, P < 0.001 | |
| Eligibility (age) | The CRT will accept people age 16+ | 99/192 (52%) | 60/190 (32%) | χ2 = 15.7, P < 0.001 |
| There is no upper age limit to the CRT service | 110/191 (58%) | 137/190 (72%) | χ2 = 8.8, P = 0.003 | |
| Access (hours of service) | The CRT provides a 24 h telephone response | 138/171 (81%) | 176/190 (93%) | χ2 = 11.3, P = 0.001 |
| The CRT provides home visits 24/7 | 65/166 (39%) | 132/190 (69%) | χ2 = 32.9, P < 0.001 | |
| Access (referrals) | The CRT accepts referrals from GPs | 147/190 (77%) | 148/184 (80%) | n/s |
| The CRT accepts self-referrals from known patients | 106/191 (55%) | 127/184 (69%) | χ2 = 7.4, P = 0.007 | |
| The CRT accepts self-referrals from new patients | 40/191 (20.9%) | 79/184 (43%) | χ2 = 20.9, P < 0.001 | |
| Access (gatekeeping) | The CRT assesses all patients in person before voluntary hospital admission | 62/187 (33%) | 92/185 (50%) | χ2 = 10.5, P = 0.001 |
| The CRT always attends Mental Health Act assessments | 35/187 (19%) | 35/185 (19%) | n/s | |
| Staff mix | The CRT includes consultant psychiatrists | 148/171 (87%) | 163/185 (88%) | n/s |
| The CRT includes psychiatrists at non-consultant grades | 129/171 (75%) | 133/185 (72%) | n/s | |
| The CRT includes nurses | 171/171 (100%) | 182/185 (98%) | n/s | |
| The CRT includes social workers | 122/171 (71%) | 105/185 (57%) | χ2 = 8.2, P = 0.004 | |
| The CRT includes occupational therapists | 72/171 (42%) | 88/185 (48%) | n/s | |
| The CRT includes psychologists | 50/171 (29%) | 73/185 (39%) | χ2 = 4.1, P = 0.04 | |
| The CRT includes support workers | 145/171 (85%) | 162/185 (88%) | n/s | |
| Staffing level | The CRT has at least 14 full time equivalent staff for a caseload of 30 patients (based on current caseload) | 116/134 (87%) | 137/180 (76%) | χ2 = 5.4, P = 0.02 |
| Crisis alternatives | The CRT has access to a crisis house | 65/184 (35%) | 85/185 (46%) | χ2 = 4.3, P = 0.04 |
| The CRT has access to an acute day hospital | 41/184 (22%) | 40/185 (22%) | n/s | |