How do crisis resolution and home treatment teams provide services for elderly?

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Crisis resolution and home treatment teams provide intensive home-based care to older people with mental health problems. These can be nurse-led services, available during the day or through 24 h, with the view of reducing admission rates and supporting the caregivers in looking after their relative at home. Increasingly home treatment teams act as gatekeepers who reinforce alternatives to hospital admission. A systematic review (Toot et al., 2011) showed a lack of good quality evidence for the effectiveness of home treatment teams in supporting older people with mental illness to remain at home and subsequently reducing hospital admissions. Although the absence of evidence does not necessarily imply lack of effectiveness for home treatment teams, future controlled studies can provide empirical evidence to help decision-making about this type of service.

Toot, S., Devine, M., & Orrell, M. (2011). The effectiveness of crisis resolution/home treatment teams for older people with mental health problems: a systematic review and scoping exercise. International journal of geriatric psychiatry, 26(12), 1221-1230.