This is a significant change to the original function of the CRHTT where a psychiatric assessment was not a standard aspect of care when very few of the original CRHTTs included a psychiatrist.
The diagnostic and second opinion function of the CRHTT is more prevalent when patients have been referred by the community team (67% reviewed, 47% medication changed) rather than on discharge from hospital (24% reviewed, 14% medication changed).
Longer lengths of stay with the CRHTT made psychiatric assessments more likely.
It is interesting that chi-square statistical analysis suggests that the only influence on prescription change at the next appointment is whether the patient was seen by a CRHTT psychiatrist.
This is a small study conducted in a single CRHTT. It does, however, offer an indication of the evolving role of the CRHTT and its relationship to other services.
Figure 2: Group Demographics n Patient Gender Patient Age Male Female Average Range No prior referral 43 20 (47%) 23 (53%) 36.0 19-60 open (NR) Community referral (CR) 36 13 (36%) 23(64%) 37.8 19-66 Hospital referral (HR) 21 10 (48%) 11 (52%) 39.0 19-63 n Time with CRHTT 1-7 days > 7 days No prior referral 43 5 (12%) 38 (88%) open (NR) Community referral (CR) 36 7 (19%) 29 (81%) Hospital referral (HR) 21 6 (29%) 15 (71%)
(9) Over the last two decades, with remodelling of services, increased investment, NHS funding rising from 49 billion [pounds sterling] in 2000 to 122 billion [pounds sterling] in 2016, and a migration of mental health professionals, CRHTTs were established and are now available in every mental health trust across the United Kingdom (UK).