Note: Numbers 1-17 of the aggregated count relate to the explanatory diagram below:
Referrals / Assessments:
1. Total Number of Referrals Received for Crisis Assessment
This is the total number of referrals received by the CRHT Service for Crisis Assessment. This excludes follow-up assessments.
2. Number of Crisis Assessments Undertaken
This is the number of crisis assessments undertaken as a result of appropriate referrals (as defined in WHC (2005) 048) that have been accepted onto the CRHT caseload.
3. Number of Referrals Not Assessed Due to Lack of CRHT Service Capacity
This is the number of appropriate referrals not assessed by the CRHT Service due to lack of CRHT service capacity.
4. Number of Inappropriate Referrals
Derived Field
5. Time Referrals Accepted by CRHT Service
This is the number of referrals within each time period accepted onto case load by the CRHT Service (24 Hour Clock).
09:00 – 09:59
10:00 – 10:59
11:00 – 11:59
12:00 – 12:59
13:00 – 13:59
14:00 – 14:59
15:00 – 15:59
16:00 – 16:59
17:00 – 17:59
18:00 – 18:59
19:00 – 19:59
20:00 – 20:59
21:00 – 23:59
00:00 – 02:59
03:00 – 05:59
06:00 – 08:59
6. Time Between Referral and Face to Face Contact with CRHT Service
This is the time in hourly bands between the time the referral is accepted by the CRHT service and the time the face to face assessment is undertaken by a CRHT team practitioner. Patients who do not receive an assessment by a CRHT Practitioner following acceptation of an appropriate referral should be counted in ‘Assessment Not Undertaken’.
≤ 1 hour
> 1 hour: ≤ 2 hours
> 2 hours: ≤ 3 hours
> 3 hours: ≤ 4 hours
> 4 hours: Crisis
> 4 hours: Home Treatment
Assessment Not Undertaken
Outcomes of Crisis Assessment:
7. Number of Patients Admitted to the MH Inpatient Unit – Agreed by CRHT Service Following Crisis Assessment
This is the number of patients admitted to the Mental Health Inpatient Unit that have been agreed by the CRHT Service following assessment within the hours of 9am - 9pm.
8. Number of Patients Received Home Treatment from CRHT Service
This is the number of patients who received home treatment from the CRHT Service following assessment.
9. Number of Patients Received Home Treatment but NOT from CRHT Service
This is the number of patients who received home treatment following assessment but home treatment not undertaken by the CRHT Service.
10. Number of Patients Discharged back to Referrer
This is the number of patients who were discharged back to referrer following assessment by the CRHT Service with NO Home Treatment.
Admissions:
11. Total Number of Admissions to Mental Health Inpatient Units
12. Number of Admissions to MH Inpatient Unit Agreed by CRHT
This is the number of patients admitted to the MH Inpatient Unit between the hours of 9am and 9pm agreed by the CRHT Service. (Includes those admitted following a crisis assessment (Number 7) plus any other admissions agreed by the CRHT Team i.e. following home treatment or follow-up assessment)
13. Number of Admissions to MH Inpatient Unit NOT Agreed by CRHT
This is the number of patients admitted to the MH Inpatient Unit within the hours of 9am and 9pm not agreed by the CRHT Service.
14. Number of Admissions to MH Inpatient Unit with No CHRT Involvement
This is the number of patients admitted to the MH Inpatient Unit with no involvement from the CRHT Service outside the hours of 9am and 9pm.
Follow-Up:
15. Number of Follow-Up Assessment Undertaken within 24 Hours
This is the number of patients who received a follow-up assessment within 24 hours of admission to the MH Inpatient Unit who have had no prior assessment with the CRHT service.
16. Number of Follow-Up Assessments NOT Undertaken within 24 Hours
This is the number of patients who DID NOT receive a follow-up assessment within 24 hours of admission to the MH Inpatient Unit who had no prior assessment with the CRHT service.
Home Treatment:
17. Duration of Home Treatment
This is an aggregate count of the period of time in weeks between assessment and completion of Home Treatment.
≤ 1 week
> 1 week: ≤ 2 weeks
> 2 weeks: ≤ 3 weeks
> 3 weeks: ≤ 4 weeks
> 4 weeks: ≤ 5 weeks
> 5 weeks: ≤ 6 weeks
> 6 weeks: ≤ 7 weeks
> 7 weeks: ≤ 8 weeks
> 8 weeks
18. Discharge Destination
This is a count of the destination agreed following completion of CRHT Service Home Treatment Intervention.
Community Mental Health Team
General Practice
Mental Health Inpatient Unit
Other
7 / (7 + 13) * 100 = % of service users admitted to a psychiatric hospital between 0900 and 2100 will have received a gate-keeping assessment by the CRHT service prior to admission
15 / (13 + 14)* 100 = % of service users admitted to a psychiatric hospital, who have not received a gate keeping assessment by the CRHTS, will receive a follow up assessment by the CRHTS within 24 hours of admission.”