{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T04:09:29Z","timestamp":1791950969100,"version":"4.3.4"},"reference-count":41,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,9,20]],"date-time":"2024-09-20T00:00:00Z","timestamp":1726790400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2024,9,20]],"date-time":"2024-09-20T00:00:00Z","timestamp":1726790400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Mental Health Nurs"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Crisis Resolution Home Treatment (CRHT) teams have become a widespread alternative to psychiatric hospitalisation. Despite their popularisation, Malta has only recently introduced a CRHT team. The aims of the current study were to investigate (i) patient characteristics, (ii) factors influencing patients' length of follow\u2010up (LoFU) and (iii) predictors of clinical outcomes. Descriptive and quantitative non\u2010identifiable data were collected and analysed for patients utilising the CRHT service within its first 2\u2009years of operation (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u2009643). One\u2010way ANOVA tests investigated influencing factors for LoFU, whereas binary logistic regressions deduced predictive factors for clinical outcomes. Patients without acute psychiatric disorders had the shortest LoFU, indicating that the team received inappropriate referrals. Patients were most likely to have extended LoFU if they were diagnosed with OCD &amp; related disorders and were most likely to be diagnosed with an underlying personality disorder if they were diagnosed with anxiety &amp; phobic disorders. Continuity of care facilitates discharge planning. Patients receiving the CRHT service in Malta are most comparable with health systems that prefer to hospitalise patients with a higher risk profile. The high occurrence of personality disorders necessitates staff to have interdisciplinary knowledge and an appropriate skill mix.\n                  <\/jats:p>","DOI":"10.1111\/inm.13428","type":"journal-article","created":{"date-parts":[[2024,9,20]],"date-time":"2024-09-20T07:54:51Z","timestamp":1726818891000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["National Implementation of a Crisis Resolution Home Treatment (CRHT) Team in Malta: Insights From the First Two Years of Operation"],"prefix":"10.1111","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-0988-6990","authenticated-orcid":false,"given":"Francesca","family":"Sammut","sequence":"first","affiliation":[{"name":"Mental Health Services Mount Carmel Hospital  Attard Malta"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-1778-4879","authenticated-orcid":false,"given":"Doreen","family":"Calleja","sequence":"additional","affiliation":[{"name":"Mental Health Services Mount Carmel Hospital  Attard Malta"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-6608-8176","authenticated-orcid":false,"given":"Manwel","family":"Abela","sequence":"additional","affiliation":[{"name":"Mater Dei Hospital  Msida Malta"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-9931-7951","authenticated-orcid":false,"given":"Giovanni","family":"Grech","sequence":"additional","affiliation":[{"name":"Mental Health Services Mount Carmel Hospital  Attard Malta"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,9,20]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rpsmen.2018.09.002"},{"issue":"1","key":"e_1_2_12_3_1","first-page":"1","article-title":"Malta: Health System Review","volume":"19","author":"Azzopardi\u2010Muscat N.","year":"2017","journal-title":"Health Systems in Transition"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2017.10.034"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1192\/pb.bp.110.031344"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365\u20102850.2003.00643.x"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1017\/s0033291702005299"},{"key":"e_1_2_12_8_1","unstructured":"Department of Health (UK).2000.\u201cThe NHS Plan: A Plan for Investment a Plan for Reform.\u201dhttps:\/\/www.bsuh.nhs.uk\/library\/wp\u2010content\/uploads\/sites\/8\/2020\/09\/The\u2010NHS\u2010plan\u20102000.pdf."},{"key":"e_1_2_12_9_1","unstructured":"Department of Health (UK).2001.\u201cThe Mental Health Policy Implementation Guide.\u201dhttps:\/\/intensivehometreatment.com\/wp\u2010content\/uploads\/2010\/10\/Mental\u2010health\u2010policy\u2010implementation\u2010guide\u2010department\u2010of\u2010health\u20102001.pdf."},{"key":"e_1_2_12_10_1","unstructured":"European Commission.2005.\u201cImproving the Mental Health of the Population: Towards a Strategy on Mental Health for the European Union(COM(2005)484).\u201dhttps:\/\/ec.europa.eu\/health\/ph_determinants\/life_style\/mental\/green_paper\/mental_gp_en.pdf."},{"key":"e_1_2_12_11_1","volume-title":"Hospital Discharges and Length of Stay Statistics","author":"Eurostat","year":"2023"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/fmch\u20102021\u2010001290"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471\u2010244X\u201011\u2010183"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471\u2010244X\u201013\u2010117"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.3109\/09638237.2011.637999"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1192\/apt.bp.107.004192"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1192\/BJP.187.1.68"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/1752\u20104458\u20106\u201014"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.19ac13182"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.31887\/dcns.2010.12.2\/mkellner"},{"issue":"7","key":"e_1_2_12_21_1","first-page":"5","article-title":"Practice Guideline for the Treatment of Patients With Obsessive\u2010Compulsive Disorder","volume":"164","author":"Koran L. 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