Severe problems in crisis

  1. Extend the range and intensity of support available through community-based crisis services in the setting in which the crisis occurs
  2. Create least restrictive but safe level of care by effective gate-keeping for people entering the acute pathway with active discharge planning involving housing providers

Crisis resolution and home teams can provide intensive support to people in their own homes as an alternative to admission to hospital but, in practice, vary in how much they do so: crisis houses and other options as supplementary choices.

Use of inpatient beds varies considerably across the country with consequences for available resources; active approaches to gatekeeping and inpatient management in conjunction with housing and other community agencies can enable people in crisis to spend more time in their own homes