In the US, when a patient is in need of intensive psychiatric care, the first step is hospitalization. However, elsewhere in the world, psychiatric home treatment is proposed as an alternative. Model programs in Canada and the United Kingdom are publicly administered by community health agencies or teaching hospitals. Home Treatment of Acute Mental Disorders provides a review of the literature on home care and describes working programs around the world. This timely volume reviews treatment plans for different disorders with case illustrations, explains the administration of a PHC program and offers guidelines to case workers. It will be of interest to professionals and postgraduates of all mental health disciplines working on the issue of patient hospitalization.
This book, the first of its kind, considers the recent research, theory, and limited practice of Mobile Crisis Home Treatment (MCHT) as an efficacious treatment of acute mental disorders. With the advent of managed care, hospital cutbacks, and increasingly limited health insurance coverage, psychiatric patients are often denied adequate hospital care. MCHT has recently emerged as the most versatile and effective alternative to hospital admission, and has been verified as such by several independent studies. This text reviews the numerous studies supporting these claims and discusses how MCHT might fit into existing mental health systems and managed care structures, and compares it to other community alternatives. In addition to this exhaustive survey, David Heath presents practical guidelines to facilitate the implementation and operation of an MCHT service, supporting his arguments with case examples and real life situations. --- from the publisher
Part 1: Review of Research and Discussion of Mental Health Systems. Introduction. Review of Research on Mobile Crisis Home Treatment. Why Mobile Crisis Home Treatment; How Does it Fit in with Mental Health Systems? Part 2: Examples of Mobile Crisis Home Treatment Services: How to Set Up and Operate a Mobile Crisis Home Treatment Service. Mobile Crisis Home Treatment Services in Three Countries: Seven Site Visits. Key Elements and Principles of Mobile Crisis Home Treatment. How to Set Up and Operate a Mobile Crisis Home Treatment Service. Daily Program Operations. Mobile Crisis Home Treatment of Specific Mental Disorders.
David S. Heath, MB, ChB, FRCPC, is Psychiatric Consultant to the Hazelglen Program in Cambridge, Ontario. Dr. Heath is also a psychiatrist at the Homewood Health Centre in Guelph, Ontario.