Intensive home support for mental health crises: experience of the Trieste territorial crises team, in Italy

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dc.contributor.authorSeabra Sade, Rossana Maria [UNESP]
dc.contributor.authorGoljevscek, Serena
dc.contributor.authorCorradi-Webster, Clarissa Mendonca
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.contributor.institutionDipartimento Salute Mentale Trieste
dc.contributor.institutionUniversidade de São Paulo (USP)
dc.date.accessioned2020-12-10T17:41:03Z
dc.date.available2020-12-10T17:41:03Z
dc.date.issued2020-01-01
dc.description.abstractEarly 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.en
dc.description.affiliationUniv Estadual Paulista, Fac Filosofia & Ciencias, Dept Educ, Marilia, SP, Brazil
dc.description.affiliationDipartimento Salute Mentale Trieste, Trieste, Italy
dc.description.affiliationUniv Sao Paulo, Fac Filosofia Ciencias & Letras Ribeirao Preto, Dept Psicol, Ribeirao Preto, SP, Brazil
dc.description.affiliationUnespUniv Estadual Paulista, Fac Filosofia & Ciencias, Dept Educ, Marilia, SP, Brazil
dc.format.extent11
dc.identifierhttp://dx.doi.org/10.1590/S0104-12902020190831
dc.identifier.citationSaude E Sociedade. Sao Paulo: Univ Sao Paulo, Fac Saude Publica, v. 29, n. 3, 11 p., 2020.
dc.identifier.doi10.1590/S0104-12902020190831
dc.identifier.fileS0104-12902020000300304.pdf
dc.identifier.issn0104-1290
dc.identifier.scieloS0104-12902020000300304
dc.identifier.urihttp://hdl.handle.net/11449/195629
dc.identifier.wosWOS:000563064000001
dc.language.isoeng
dc.publisherUniv Sao Paulo, Fac Saude Publica
dc.relation.ispartofSaude E Sociedade
dc.rights.accessRightsAcesso aberto
dc.sourceWeb of Science
dc.subjectMental Health
dc.subjectCrisis
dc.subjectHome Care
dc.titleIntensive home support for mental health crises: experience of the Trieste territorial crises team, in Italyen
dc.typeArtigo
dcterms.rightsHolderUniv Sao Paulo, Fac Saude Publica
unesp.author.orcid0000-0002-3386-1267[3]

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