Christopher Bridgett is the consultant psychiatrist with the South Kensington and Chelsea Crisis Resolution Team, London, and honorary clinical senior lecturer at Imperial College School of Medicine, London (Central and North West London NHS Trust, South Kensington and Chelsea Mental Health Centre, 1 Nightingale Place, London SW10 9NG, UK. E-mail: christopher.bridgett{at}nhs.net). Paul Polak is the president and founder of International Development Enterprises, Lakewood, Colorado, USA, and was the executive director and founder of Southwest Denver Community Mental Health Services, Denver, Colorado.
Home treatment as an alternative to acute adult in-patient care is part of the National Health Service Plan for mental health services in the UK. As a form of crisis intervention, it benefits from an understanding of, and ways of working with, the social systems relevant to the patient in crisis. This article reviews relevant terminology and background theory, and considers the social factors associated with psychiatric admission.
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