Primary care

Crisis presentations are common in primary care and predominantly managed there with or without routine or urgent referral onto CMHTs or other teams.

Direct linkage with community psychiatric nurses in primary care seems to lead to substantial increases in referrals to mental health services57.

A small proportion will reach the threshold for immediate attention by CRHTs who focus on severe problems involving substantial deterioration in psychosis, suicidality or severe agitation but access in crisis for those with severe problems can be difficult58.