Intensive home support for mental health crises: experience of the Trieste territorial crises team, in Italy
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1590/S0104-12902020190831 http://hdl.handle.net/11449/195629 |
Resumo: | Early management of mental health crises is important for a good prognosis and treatment adherence. Ideas have been proposed to address crisis situations at home, aiming to reduce hospitalizations and medication doses and to increase care satisfaction. Identifying experiences of home care for mental health crises can support managers and professionals in proposing innovative practices. This article aims to describe the experience of Trieste, in Italy, which implemented a home crisis team service. The work is carried out in four phases: application of the inclusion criteria for treatment by the crisis team; initial assessment; co-construction of the therapeutic plan; discharge and transition to other services. In one year, the team performed 124 assessments and provided care for 59 people. Regarding psychiatric symptoms, 93% of the patients showed significant improvement at discharge. Considering overall functioning, 81% showed significant improvement. Data show a reduction of compulsory admission rates of 29.4% in the first semester of 2018 and of 78.8% in the second semester, compared to 2017. The home crisis team achieved its goals of holistically caring for suffering individuals and reducing their contact with hospitals. |
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Intensive home support for mental health crises: experience of the Trieste territorial crises team, in ItalyMental HealthCrisisHome CareEarly management of mental health crises is important for a good prognosis and treatment adherence. Ideas have been proposed to address crisis situations at home, aiming to reduce hospitalizations and medication doses and to increase care satisfaction. Identifying experiences of home care for mental health crises can support managers and professionals in proposing innovative practices. This article aims to describe the experience of Trieste, in Italy, which implemented a home crisis team service. The work is carried out in four phases: application of the inclusion criteria for treatment by the crisis team; initial assessment; co-construction of the therapeutic plan; discharge and transition to other services. In one year, the team performed 124 assessments and provided care for 59 people. Regarding psychiatric symptoms, 93% of the patients showed significant improvement at discharge. Considering overall functioning, 81% showed significant improvement. Data show a reduction of compulsory admission rates of 29.4% in the first semester of 2018 and of 78.8% in the second semester, compared to 2017. The home crisis team achieved its goals of holistically caring for suffering individuals and reducing their contact with hospitals.Univ Estadual Paulista, Fac Filosofia & Ciencias, Dept Educ, Marilia, SP, BrazilDipartimento Salute Mentale Trieste, Trieste, ItalyUniv Sao Paulo, Fac Filosofia Ciencias & Letras Ribeirao Preto, Dept Psicol, Ribeirao Preto, SP, BrazilUniv Estadual Paulista, Fac Filosofia & Ciencias, Dept Educ, Marilia, SP, BrazilUniv Sao Paulo, Fac Saude PublicaUniversidade Estadual Paulista (Unesp)Dipartimento Salute Mentale TriesteUniversidade de São Paulo (USP)Seabra Sade, Rossana Maria [UNESP]Goljevscek, SerenaCorradi-Webster, Clarissa Mendonca2020-12-10T17:41:03Z2020-12-10T17:41:03Z2020-01-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article11application/pdfhttp://dx.doi.org/10.1590/S0104-12902020190831Saude E Sociedade. Sao Paulo: Univ Sao Paulo, Fac Saude Publica, v. 29, n. 3, 11 p., 2020.0104-1290http://hdl.handle.net/11449/19562910.1590/S0104-12902020190831S0104-12902020000300304WOS:000563064000001S0104-12902020000300304.pdfWeb of Sciencereponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengSaude E Sociedadeinfo:eu-repo/semantics/openAccess2023-11-06T06:09:41Zoai:repositorio.unesp.br:11449/195629Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-05T17:01:33.935346Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Intensive home support for mental health crises: experience of the Trieste territorial crises team, in Italy |
title |
Intensive home support for mental health crises: experience of the Trieste territorial crises team, in Italy |
spellingShingle |
Intensive home support for mental health crises: experience of the Trieste territorial crises team, in Italy Seabra Sade, Rossana Maria [UNESP] Mental Health Crisis Home Care |
title_short |
Intensive home support for mental health crises: experience of the Trieste territorial crises team, in Italy |
title_full |
Intensive home support for mental health crises: experience of the Trieste territorial crises team, in Italy |
title_fullStr |
Intensive home support for mental health crises: experience of the Trieste territorial crises team, in Italy |
title_full_unstemmed |
Intensive home support for mental health crises: experience of the Trieste territorial crises team, in Italy |
title_sort |
Intensive home support for mental health crises: experience of the Trieste territorial crises team, in Italy |
author |
Seabra Sade, Rossana Maria [UNESP] |
author_facet |
Seabra Sade, Rossana Maria [UNESP] Goljevscek, Serena Corradi-Webster, Clarissa Mendonca |
author_role |
author |
author2 |
Goljevscek, Serena Corradi-Webster, Clarissa Mendonca |
author2_role |
author author |
dc.contributor.none.fl_str_mv |
Universidade Estadual Paulista (Unesp) Dipartimento Salute Mentale Trieste Universidade de São Paulo (USP) |
dc.contributor.author.fl_str_mv |
Seabra Sade, Rossana Maria [UNESP] Goljevscek, Serena Corradi-Webster, Clarissa Mendonca |
dc.subject.por.fl_str_mv |
Mental Health Crisis Home Care |
topic |
Mental Health Crisis Home Care |
description |
Early management of mental health crises is important for a good prognosis and treatment adherence. Ideas have been proposed to address crisis situations at home, aiming to reduce hospitalizations and medication doses and to increase care satisfaction. Identifying experiences of home care for mental health crises can support managers and professionals in proposing innovative practices. This article aims to describe the experience of Trieste, in Italy, which implemented a home crisis team service. The work is carried out in four phases: application of the inclusion criteria for treatment by the crisis team; initial assessment; co-construction of the therapeutic plan; discharge and transition to other services. In one year, the team performed 124 assessments and provided care for 59 people. Regarding psychiatric symptoms, 93% of the patients showed significant improvement at discharge. Considering overall functioning, 81% showed significant improvement. Data show a reduction of compulsory admission rates of 29.4% in the first semester of 2018 and of 78.8% in the second semester, compared to 2017. The home crisis team achieved its goals of holistically caring for suffering individuals and reducing their contact with hospitals. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-12-10T17:41:03Z 2020-12-10T17:41:03Z 2020-01-01 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1590/S0104-12902020190831 Saude E Sociedade. Sao Paulo: Univ Sao Paulo, Fac Saude Publica, v. 29, n. 3, 11 p., 2020. 0104-1290 http://hdl.handle.net/11449/195629 10.1590/S0104-12902020190831 S0104-12902020000300304 WOS:000563064000001 S0104-12902020000300304.pdf |
url |
http://dx.doi.org/10.1590/S0104-12902020190831 http://hdl.handle.net/11449/195629 |
identifier_str_mv |
Saude E Sociedade. Sao Paulo: Univ Sao Paulo, Fac Saude Publica, v. 29, n. 3, 11 p., 2020. 0104-1290 10.1590/S0104-12902020190831 S0104-12902020000300304 WOS:000563064000001 S0104-12902020000300304.pdf |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Saude E Sociedade |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
11 application/pdf |
dc.publisher.none.fl_str_mv |
Univ Sao Paulo, Fac Saude Publica |
publisher.none.fl_str_mv |
Univ Sao Paulo, Fac Saude Publica |
dc.source.none.fl_str_mv |
Web of Science reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
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1808128740742397952 |