A systematic review of home treatment services: Classification and sustainability
Abstract
Background In view of the plethora of different community-based mental health services, there is a clear need for a classification based on service components rather than labels. Moreover, the sustainability of experimental services beyond their research studies is rarely reported.Methods As part of a systematic review of home treatment for mental health problems, authors of all included studies were followed up for data on service components and sustainability. Associations between components were explored.Results There was evidence of a core group of components co-occurring in home treatment services: regularly visiting at home, taking responsibility for health and social care, having smaller caseloads, multidisciplinary teams, integrated psychiatrists and a high proportion of contacts at home. Fifty-four per cent of services no longer existed, of which almost half had ended by the study's publication date. There was a significant association between sustainability and the study's hospitalisation outcome.Conclusions Some of the related service components presented here were associated with reducing hospitalisation. This group cannot, however, be used to provide a new taxonomy of services. It is imperative that future studies prospectively record and report service components to enable better classification. It is of concern that policy is currently predicated on research findings regardless of whether or not the experimental service was sustainable.
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A 55% failure rate has been found for implemented home-based treatments.
“Most pertinent to the study for sustainment is the finding of a 55% failure rate for implemented home-based treatments (Wright, Catty, Watt, & Burns, 2004).”
From The Roles of System and Organizational Leadership in System-Wide Evidence-Based Intervention Sustainment: A Mixed-Method Study (2016) · cites this paper as Wright, Catty, Watt, & Burns, 2004
Among programs still identifiable after implementation, many key elements were no longer practiced.
“For programs still “identifiable” after implementation, many key elements were no longer practiced.”
From The Roles of System and Organizational Leadership in System-Wide Evidence-Based Intervention Sustainment: A Mixed-Method Study (2016) · cites this paper as Wright, Catty, Watt, & Burns, 2004
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- Authors
- Wright, C., Catty, J., Watt, H., & Burns, T.
- Affiliations
- St George's, University of London (GB)
- Corresponding author
- Wright, Christine
- Venue
- Social Psychiatry and Psychiatric Epidemiology
- Published
- 2004-06-01
- Volume
- 39
- Issue
- 10
- Pages
- 789-796
- ISSN
- 0933-7954 (ISSN-L)
- 1433-9285
- OpenAlex
- W2332715683
- Cited by
- 68
- References
- 15
- Citations by year
- 2026: 1 · 2024: 3 · 2023: 1 · 2021: 7 · 2020: 1 · 2019: 1 · 2018: 3 · 2017: 1 · 2016: 2 · 2015: 1 · 2014: 3 · 2013: 3 · 2012: 8
- FWCI
- 0.74
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Social Psychiatry and Psychiatric Epidemiology (publishedVersion)
- PubMed (publishedVersion)
- LSHTM Research Online (London School of Hygiene and Tropical Medicine) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Historical Psychiatry and Medical Practices
- Keywords
- home treatment, community mental health services, service components, service sustainability, service classification, multidisciplinary team, caseload size, hospitalization outcomes, home visits
- MeSH terms
- Community Mental Health Services, Home Care Services, Humans, Patient Care Team, Personnel Staffing and Scheduling, Program Evaluation, Workload, Statistics, Nonparametric
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