BACKGROUND Crisis resolution teams (CRTs) can provide effective home-based treatment for acute mental health crises, although critical ingredients of the model have not been clearly identified, and implementation has been inconsistent. In order to inform development of a more highly specified CRT model that meets service users' needs, this study used qualitative methods to investigate stakehold...

BACKGROUND Malaysia has been at the forefront of the development and scale up of One-Stop Crisis Centres (OSCC) - an integrated health sector model that provides comprehensive care to women and children experiencing physical, emotional and sexual abuse. This study explored the strengths and challenges faced during the scaling up of the OSCC model to two States in Malaysia in order to identify l...

Over half the patients who were admitted to hospital after self-poisoning had seen their general practitioner in the previous month, and in half of those discharged from hospital no definite after-care arrangements were made. Opportunities for prevention of occurrences are being missed. Thorough follow-up of 135 such patients identified many non-medical problems, and over 80 per cent were helpe...

The effectiveness and cost of day hospital care in rehabilitation were studied in a randomised controlled trial in 120 elderly patients who were assessed at referral and six weeks and five months later in activities of daily living skills and mood. Day hospital patients were compared with a control group, who were managed as they would have been before the availability of day hospital care. Day...

DIRECT admission of patients from home is the predominant method of admission to geriatric medical units. Admission may take place as the result of a telephone consultation with the general practitioner or, in less urgent cases, following a domiciliary assessment visit by a member of the medical staff of the unit. However, in recent years the pattern of referral to hospitals in Belfast has chan...

surgery hours or that self-referral to hospital would hasten treatment; in several instances the patient was unable to contact the family doctor (7.9%) or on doing so was directed to hospital (3.2%). It is unlikely that any emergency service can be organized to be ideal to all concerned, but there does seem to be a disturbing trend in the receiving of "acute" cases. This may be peculiar to the ...

At recruitment to the Oxford-Family Planning Association (Oxford-FPA) study, oral contraceptive (OC) users were less likely to give a history of hospital treatment for varicose veins (VVs) than users of other contraceptive methods. Adjusted for age and parity, 1.6% of OC users gave such a history compared with 2.3% of diaphragm users and 3.9% of intrauterine device (IUD) users. We have examined...

The community matron is a new type of practitioner, one who is highly skilled and a specialist in community care and inter-agency working. It is considered that this new role will support new ways of working to reduce unplanned hospital admissions and support the most vulnerable people in our communities. The role is not simply one of coordination but will extend to undertaking clinical interve...

OBJECTIVE To improve the clinical management of severely malnourished children in rural hospitals in South Africa. STUDY DESIGN A pre- and post-intervention descriptive study in three stages: assessment of the clinical management of severely malnourished children, planning and implementing an action plan to improve quality of care, and monitoring and evaluating targeted activities. A particip...

This study aimed to explore the relationship between hospital admissions for asthma and socioeconomic deprivation. A retrospective study examined one year of hospital admissions for asthma in the West Midlands region of England (n = 10,044), and in one of the region's wealthier districts, Worcester (n = 251). Age standardized admission ratios (SARs) for asthma, and the routes of hospital admiss...