{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T19:46:51Z","timestamp":1790192811525,"version":"4.1.0"},"reference-count":35,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2023,9,5]],"date-time":"2023-09-05T00:00:00Z","timestamp":1693872000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychiatry"],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Crisis Resolution Home Treatment (CRHT) seem to offer comparable results to the traditional hospitalization model, at a lower cost and offering greater flexibility and scope. However, in Madrid, its implementation in Mental Health did not occur until the midst of the COVID-19 pandemic. In this work we analysed the effectiveness of a mental health CRHT unit promoted during the COVID-19 pandemic, as well as the degree of satisfaction of patients and their families.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>90 patients were treated by the CRHT unit in the period between October 2020 and June 2022. All patients met the inclusion criteria: (1) Acute psychopathological decompensation in patients suffering from psychotic disorders, major affective disorder, obsessive compulsive disorder, personality disorder and other severe mental disorders causing functional disability, according to ICD-10 diagnostic criteria; (2) Ages between 18\u201390 years old; (3) Living in the urban area of Vallecas, Madrid; and (4) Counting with sufficient social and family support. The effectiveness of the intervention was evaluated with the SF-36 health questionnaire, the caregiver burden with the Zarit questionnaire, and patient satisfaction with a survey specifically designed for this work.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>55 (61.1%) patients completed the SF-36 at baseline and at the end of hospitalization. Statistically significant improvements were observed in the 8 dimensions of the SF-36 (<jats:italic>p<\/jats:italic>\u2009&amp;lt;\u20090.05). However, CRHT did not achieve a statistically significant decrease in caregiver burden. Regarding the satisfaction of the patients with the attention and care received, an average score of 47.72\/50 was obtained.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The Crisis Resolution Home Treatment intervention resulted in significant improvement in patients\u2019 quality of life with high satisfaction scores. However, it did not effectively reduce caregiver burden. Future research should focus on randomized controlled trials with long-term follow-up to assess the effectiveness of CRHT compared to traditional hospitalization and utilize specific assessment scales for different mental disorders.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpsyt.2023.1197833","type":"journal-article","created":{"date-parts":[[2023,9,5]],"date-time":"2023-09-05T07:08:15Z","timestamp":1693897695000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":5,"title":["Patient satisfaction and outcomes of crisis resolution home treatment for the management of acute psychiatric crises: a study during the COVID-19 pandemic in Madrid"],"prefix":"10.3389","volume":"14","author":[{"given":"Irene","family":"Moreno-Alonso","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manuel","family":"Nieves-Carnicer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandra","family":"Noguero-Alegre","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miguel Angel","family":"Alvarez-Mon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alberto","family":"Rodriguez-Quiroga","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan F.","family":"Dorado","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fernando","family":"Mora","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Javier","family":"Quintero","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2023,9,5]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"118","DOI":"10.1177\/1084822319880930","article-title":"Hospital at Home: an overview of literature","volume":"32","author":"de Sousa","year":"2020","journal-title":"Home Health Care Manag Pract"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"17","DOI":"10.1016\/j.ejim.2018.04.010","article-title":"Working group on professional issues and quality of care, European Federation of Internal Medicine (EFIM)hospital ambulatory medicine: a leading strategy for internal medicine in Europe","volume":"54","author":"Corbella","year":"2018","journal-title":"Eur J Intern Med"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12913-020-05941-9","article-title":"Characteristics and outcomes of patients receiving Hospital at Home Services in the south west of Sydney","volume":"20","author":"Hecimovic","year":"2020","journal-title":"BMC Health Serv Res"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"74","DOI":"10.1186\/s12888-015-0441-x","article-title":"Implementation of the crisis resolution team model in adult mental health settings: a systematic review","volume":"15","author":"Wheeler","year":"2015","journal-title":"BMC Psychiatry"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"e043285","DOI":"10.1136\/bmjopen-2020-043285","article-title":"Comparison of hospital-at-home models: a systematic review of reviews","volume":"11","author":"Leong","year":"2021","journal-title":"BMJ Open"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"238","DOI":"10.1002\/14651858.CD007491.pub2","article-title":"Admission avoidance hospital at home","volume":"2016","author":"Shepperd","year":"2016","journal-title":"Cochrane Database Syst Rev"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"565","DOI":"10.1080\/08039488.2022.2029941","article-title":"A scoping review of studies into crisis resolution teams in community mental health services","volume":"76","author":"Holgersen","year":"2022","journal-title":"Nord J Psychiatry"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"46","DOI":"10.1017\/ipm.2018.46","article-title":"Progress in home-based treatment","author":"Mcgarry","year":"2018","journal-title":"Ir J Psychol Med"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"866","DOI":"10.1177\/00207640211009558","article-title":"At home or in hospital: home treatment and mental health stigma","volume":"68","author":"Hubbeling","year":"2022","journal-title":"Int J Soc Psychiatry"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"37","DOI":"10.1344\/rbd2021.53.34726","article-title":"Alternativas a los internamientos en salud mental: hospitalizaci\u00f3n domiciliaria desde la perspectiva espa\u00f1ola y anglosajona (alternatives to inpatient mental health care: home-based hospitalization from the Spanish and Anglo-Saxon perspective)","volume":"53","author":"Noguero Alegre","year":"2021","journal-title":"Revista de Bio\u00e9tica y Derecho"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"61","DOI":"10.1007\/s12185-021-03219-2","article-title":"Implementation of a hospital-at-home (HAH) unit for hematological patients during the COVID-19 pandemic: safety and feasibility","volume":"115","author":"G\u00f3mez-Centuri\u00f3n","year":"2022","journal-title":"Int J Hematol"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"939","DOI":"10.1016\/j.jamda.2021.01.077","article-title":"Hospital-at-home expands hospital capacity during COVID-19 pandemic","volume":"22","author":"Nogu\u00e9s","year":"2021","journal-title":"J Am Med Dir Assoc"},{"key":"ref13","first-page":"1","article-title":"Salud mental y COVID-19 (mental health and COVID-19: one year of the pandemic)","year":"2021","journal-title":"Confederaci\u00f3n Salud Mental Espa\u00f1a"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"160","DOI":"10.1136\/bmj.305.6846.160","article-title":"Validating the SF-36 health survey questionnaire: new outcome measure for primary care","volume":"305","author":"Brazier","year":"1992","journal-title":"Br Med J"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"135","DOI":"10.1157\/13074369","article-title":"El Cuestionario de Salud SF-36 espa\u00f1ol: una d\u00e9cada de experiencia y nuevos desarrollos (the Spanish version of the SF-36 health survey: a decade of experience and new developments)","volume":"19","author":"Vilagut","year":"2005","journal-title":"Gac Sanit"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"411","DOI":"10.1016\/j.aprim.2011.09.007","article-title":"Validaci\u00f3n de escalas abreviadas de zarit para la medici\u00f3n de s\u00edndrome del cuidador primario del adulto mayor en Medell\u00edn (Validation of abbreviated Zarit scales for measuring primary caregiver burden in the elderly in Medellin)","volume":"44","author":"V\u00e9lez Lopera","year":"2012","journal-title":"Aten Primaria"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"8","DOI":"10.1016\/j.archger.2016.08.005","article-title":"Measuring burden in dementia caregivers: confirmatory factor analysis for short forms of the Zarit burden interview","volume":"68","author":"Lin","year":"2017","journal-title":"Arch Gerontol Geriatr"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"207","DOI":"10.1016\/j.rpsm.2018.09.003","article-title":"Home hospitalization unit at hospital del mar. home psychiatric care team in the Barcelona area. Rev Psiquiatr","volume":"12","author":"Alba Pal\u00e9","year":"2019","journal-title":"Salud Ment"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"183","DOI":"10.1186\/1471-244X-11-183","article-title":"Treatment and outcomes of crisis resolution teams: a prospective multicentre study","volume":"11","author":"Hasselberg","year":"2011","journal-title":"BMC Psychiatry"},{"key":"ref20","doi-asserted-by":"crossref","first-page":"254","DOI":"10.1186\/s12888-017-1421-0","article-title":"Crisis resolution and home treatment: stakeholders\u2019 views on critical ingredients and implementation in England","volume":"17","author":"Morant","year":"2017","journal-title":"BMC Psychiatry"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"405","DOI":"10.1186\/s12888-022-04020-z","article-title":"Effectiveness of crisis resolution home treatment for the management of acute psychiatric crises in southern Switzerland: a natural experiment based on geography","volume":"22","author":"Soldini","year":"2022","journal-title":"BMC Psychiatry"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"70","DOI":"10.1016\/j.jad.2022.07.011","article-title":"The global evolution of mental health problems during the COVID-19 pandemic: a systematic review and meta-analysis of longitudinal studies","volume":"315","author":"C\u00e9nat","year":"2022","journal-title":"J Affect Disord"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"9","DOI":"10.22365\/jpsych.2023.004","article-title":"The impact of COVID-19 pandemic on patients with personality disorders","volume":"34","author":"Malogiannis","year":"2023","journal-title":"Psychiatriki"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"80","DOI":"10.1007\/s11920-020-01204-w","article-title":"Personality disorders in time of pandemic","volume":"22","author":"Preti","year":"2020","journal-title":"Curr Psychiatry Rep"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"1461","DOI":"10.1007\/s11136-021-03019-5","article-title":"Psychopathology and health-related quality of life as patient-reported treatment outcomes: evaluation of concordance between the brief symptom inventory (BSI) and the short Form-36 (SF-36) in psychiatric outpatients","volume":"31","author":"de Beurs","year":"2022","journal-title":"Qual Life Res"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"13","DOI":"10.1177\/089198879600900103","article-title":"Usefulness of the SF-36 health survey in measuring health outcomes in the depressed elderly","volume":"9","author":"Beusterien","year":"1996","journal-title":"J Geriatr Psychiatry Neurol"},{"key":"ref27","doi-asserted-by":"publisher","first-page":"377","DOI":"10.1046\/j.1440-1614.2001.00908.x","article-title":"Measuring mental health outcomes in a private psychiatric clinic: health of the nation outcome scales and medical outcomes short form SF-36","volume":"35","author":"Page","year":"2001","journal-title":"Aust N Z J Psychiatry"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"12","DOI":"10.3389\/fpsyt.2021.623499\/full","article-title":"Posttraumatic stress symptoms, quality of life, and stress burden in caregivers of patients with severe mental illness: an underestimated health concern","author":"Rady","year":"2021","journal-title":"Front Psychiatry"},{"key":"ref29","doi-asserted-by":"publisher","first-page":"2423","DOI":"10.3390\/healthcare10122423","article-title":"Caregiver burden among caregivers of patients with mental illness: a systematic review and Meta-analysis","volume":"10","author":"Cham","year":"2022","journal-title":"Healthcare"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"535","DOI":"10.1177\/08919887211023593","article-title":"A multicomponent home-based intervention for neuropsychiatric symptoms in people with dementia and caregivers\u2019 burden and depression: a 6-month longitudinal study","volume":"35","author":"Mougias","year":"2022","journal-title":"J Geriatr Psychiatry Neurol"},{"key":"ref31","doi-asserted-by":"publisher","first-page":"85","DOI":"10.1186\/1741-7015-8-85","article-title":"Clinically significant changes in burden and depression among dementia caregivers following nursing home admission","volume":"8","author":"Gaugler","year":"2010","journal-title":"BMC Med"},{"key":"ref32","doi-asserted-by":"publisher","first-page":"e11","DOI":"10.1192\/j.eurpsy.2022.2359","article-title":"Assessment of beliefs and attitudes about electroconvulsive therapy posted on twitter: an observational study","volume":"66","author":"de Anta","year":"2023","journal-title":"European Psychiatry"},{"key":"ref33","doi-asserted-by":"publisher","first-page":"304","DOI":"10.1034\/j.1600-0447.2003.00150.x","article-title":"The stigma of mental illness: effects of labelling on public attitudes towards people with mental disorder","volume":"108","author":"Angermeyer","year":"2003","journal-title":"Acta Psychiatr Scand"},{"key":"ref34","doi-asserted-by":"publisher","first-page":"1363","DOI":"10.1136\/bmj.326.7403.1363","article-title":"Patients\u2019 perspectives on electroconvulsive therapy: systematic review","volume":"326","author":"Rose","year":"2003","journal-title":"BMJ"},{"key":"ref35","doi-asserted-by":"publisher","first-page":"805","DOI":"10.1111\/1756-185X.13833","article-title":"Selection and perception of methotrexate treatment information in people with rheumatoid arthritis","volume":"23","author":"Leonardo","year":"2020","journal-title":"Int J Rheum Dis"}],"container-title":["Frontiers in Psychiatry"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyt.2023.1197833\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,5]],"date-time":"2023-09-05T07:08:19Z","timestamp":1693897699000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyt.2023.1197833\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,9,5]]},"references-count":35,"alternative-id":["10.3389\/fpsyt.2023.1197833"],"URL":"https:\/\/doi.org\/10.3389\/fpsyt.2023.1197833","relation":{},"ISSN":["1664-0640"],"issn-type":[{"value":"1664-0640","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,9,5]]},"article-number":"1197833"}}