<> <http://www.w3.org/2000/01/rdf-schema#comment> "The repository administrator has not yet configured an RDF license."^^<http://www.w3.org/2001/XMLSchema#string> . <> <http://xmlns.com/foaf/0.1/primaryTopic> <https://discovery-pp.ucl.ac.uk/id/eprint/10153196> . <https://discovery-pp.ucl.ac.uk/id/eprint/10153196> <http://www.w3.org/1999/02/22-rdf-syntax-ns#type> <http://purl.org/ontology/bibo/AcademicArticle> . <https://discovery-pp.ucl.ac.uk/id/eprint/10153196> <http://www.w3.org/1999/02/22-rdf-syntax-ns#type> <http://purl.org/ontology/bibo/Article> . <https://discovery-pp.ucl.ac.uk/id/eprint/10153196> <http://purl.org/dc/terms/title> "Short-stay crisis units for mental health patients on crisis care pathways: systematic review and meta-analysis"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery-pp.ucl.ac.uk/id/eprint/10153196> <http://purl.org/ontology/bibo/abstract> "BACKGROUND: Internationally, an increasing proportion of emergency department visits are mental health related. Concurrently, psychiatric wards are often occupied above capacity. Healthcare providers have introduced short-stay, hospital-based crisis units offering a therapeutic space for stabilisation, assessment and appropriate referral. Research lags behind roll-out, and a review of the evidence is urgently needed to inform policy and further introduction of similar units. AIMS: This systematic review aims to evaluate the effectiveness of short-stay, hospital-based mental health crisis units. METHOD: We searched EMBASE, Medline, CINAHL and PsycINFO up to March 2021. All designs incorporating a control or comparison group were eligible for inclusion, and all effect estimates with a comparison group were extracted and combined meta-analytically where appropriate. We assessed study risk of bias with Risk of Bias in Non-Randomized Studies - of Interventions and Risk of Bias in Randomized Trials. RESULTS: Data from twelve studies across six countries (Australia, Belgium, Canada, The Netherlands, UK and USA) and 67 505 participants were included. Data indicated that units delivered benefits on many outcomes. Units could reduce psychiatric holds (42% after intervention compared with 49.8% before intervention; difference = 7.8%; P < 0.0001) and increase out-patient follow-up care (χ2 = 37.42, d.f. = 1; P < 0.001). Meta-analysis indicated a significant reduction in length of emergency department stay (by 164.24 min; 95% CI -261.24 to -67.23 min; P < 0.001) and number of in-patient admissions (odds ratio 0.55, 95% CI 0.43-0.68; P < 0.001). CONCLUSIONS: Short-stay mental health crisis units are effective for reducing emergency department wait times and in-patient admissions. Further research should investigate the impact of units on patient experience, and clinical and social outcomes."^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery-pp.ucl.ac.uk/id/eprint/10153196> <http://purl.org/dc/terms/date> "2022-07-25" . <https://discovery-pp.ucl.ac.uk/id/document/1503819> <http://www.w3.org/1999/02/22-rdf-syntax-ns#type> <http://purl.org/ontology/bibo/Document> . <https://discovery-pp.ucl.ac.uk/id/eprint/10153196> <http://purl.org/ontology/bibo/volume> "8" . <https://discovery-pp.ucl.ac.uk/id/eprint/10153196> <http://purl.org/ontology/bibo/issue> "4" . <https://discovery-pp.ucl.ac.uk/id/org/ext-e87fe19c156c9e2d5e704275645c37b0> <http://www.w3.org/1999/02/22-rdf-syntax-ns#type> <http://xmlns.com/foaf/0.1/Organization> . <https://discovery-pp.ucl.ac.uk/id/org/ext-e87fe19c156c9e2d5e704275645c37b0> <http://xmlns.com/foaf/0.1/name> "CAMBRIDGE UNIV PRESS"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery-pp.ucl.ac.uk/id/eprint/10153196> <http://purl.org/dc/terms/publisher> <https://discovery-pp.ucl.ac.uk/id/org/ext-e87fe19c156c9e2d5e704275645c37b0> . <https://discovery-pp.ucl.ac.uk/id/publication/ext-3af8eb106a44f939e1961975c9aa7c32> <http://www.w3.org/1999/02/22-rdf-syntax-ns#type> <http://purl.org/ontology/bibo/Collection> . <https://discovery-pp.ucl.ac.uk/id/publication/ext-3af8eb106a44f939e1961975c9aa7c32> <http://xmlns.com/foaf/0.1/name> "BJPsych Open"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery-pp.ucl.ac.uk/id/eprint/10153196> <http://purl.org/dc/terms/isPartOf> <https://discovery-pp.ucl.ac.uk/id/publication/ext-3af8eb106a44f939e1961975c9aa7c32> . <https://discovery-pp.ucl.ac.uk/id/eprint/10153196> <http://purl.org/ontology/bibo/status> <http://purl.org/ontology/bibo/status/published> . <https://discovery-pp.ucl.ac.uk/id/eprint/10153196> <http://purl.org/dc/terms/creator> <https://discovery-pp.ucl.ac.uk/id/person/ext-713f65b9eae0d2ec7dffc17ef8db559d> . <https://discovery-pp.ucl.ac.uk/id/eprint/10153196> <http://purl.org/ontology/bibo/authorList> <https://discovery-pp.ucl.ac.uk/id/eprint/10153196#authors> . <https://discovery-pp.ucl.ac.uk/id/eprint/10153196#authors> <http://www.w3.org/1999/02/22-rdf-syntax-ns#_1> <https://discovery-pp.ucl.ac.uk/id/person/ext-713f65b9eae0d2ec7dffc17ef8db559d> . <https://discovery-pp.ucl.ac.uk/id/eprint/10153196> <http://purl.org/dc/terms/creator> <https://discovery-pp.ucl.ac.uk/id/person/ext-f1c1d087c2de57467f2cf0034dc1c4cb> . <https://discovery-pp.ucl.ac.uk/id/eprint/10153196> <http://purl.org/ontology/bibo/authorList> <https://discovery-pp.ucl.ac.uk/id/eprint/10153196#authors> . <https://discovery-pp.ucl.ac.uk/id/eprint/10153196#authors> <http://www.w3.org/1999/02/22-rdf-syntax-ns#_2> <https://discovery-pp.ucl.ac.uk/id/person/ext-f1c1d087c2de57467f2cf0034dc1c4cb> . <https://discovery-pp.ucl.ac.uk/id/eprint/10153196> <http://purl.org/dc/terms/creator> <https://discovery-pp.ucl.ac.uk/id/person/ext-33813cdd87c1dbb86f45ad6a02e26810> . <https://discovery-pp.ucl.ac.uk/id/eprint/10153196> <http://purl.org/ontology/bibo/authorList> <https://discovery-pp.ucl.ac.uk/id/eprint/10153196#authors> . <https://discovery-pp.ucl.ac.uk/id/eprint/10153196#authors> <http://www.w3.org/1999/02/22-rdf-syntax-ns#_3> <https://discovery-pp.ucl.ac.uk/id/person/ext-33813cdd87c1dbb86f45ad6a02e26810> . <https://discovery-pp.ucl.ac.uk/id/eprint/10153196> <http://purl.org/dc/terms/creator> <https://discovery-pp.ucl.ac.uk/id/person/ext-5ea0fb189b1733d98385c6c66da24fc1> . <https://discovery-pp.ucl.ac.uk/id/eprint/10153196> <http://purl.org/ontology/bibo/authorList> <https://discovery-pp.ucl.ac.uk/id/eprint/10153196#authors> . <https://discovery-pp.ucl.ac.uk/id/eprint/10153196#authors> <http://www.w3.org/1999/02/22-rdf-syntax-ns#_4> <https://discovery-pp.ucl.ac.uk/id/person/ext-5ea0fb189b1733d98385c6c66da24fc1> . <https://discovery-pp.ucl.ac.uk/id/eprint/10153196> <http://purl.org/dc/terms/creator> <https://discovery-pp.ucl.ac.uk/id/person/ext-ad24df31cd899aa01d7e1f08aebaca3a> . <https://discovery-pp.ucl.ac.uk/id/eprint/10153196> <http://purl.org/ontology/bibo/authorList> <https://discovery-pp.ucl.ac.uk/id/eprint/10153196#authors> . <https://discovery-pp.ucl.ac.uk/id/eprint/10153196#authors> <http://www.w3.org/1999/02/22-rdf-syntax-ns#_5> <https://discovery-pp.ucl.ac.uk/id/person/ext-ad24df31cd899aa01d7e1f08aebaca3a> . <https://discovery-pp.ucl.ac.uk/id/eprint/10153196> <http://purl.org/dc/terms/creator> <https://discovery-pp.ucl.ac.uk/id/person/ext-409d07064dc0b75fcc53f599c5be833b> . <https://discovery-pp.ucl.ac.uk/id/eprint/10153196> <http://purl.org/ontology/bibo/authorList> <https://discovery-pp.ucl.ac.uk/id/eprint/10153196#authors> . <https://discovery-pp.ucl.ac.uk/id/eprint/10153196#authors> <http://www.w3.org/1999/02/22-rdf-syntax-ns#_6> <https://discovery-pp.ucl.ac.uk/id/person/ext-409d07064dc0b75fcc53f599c5be833b> . <https://discovery-pp.ucl.ac.uk/id/eprint/10153196> <http://purl.org/dc/terms/creator> <https://discovery-pp.ucl.ac.uk/id/person/ext-535cfa0f8bbf24b2eb515e4eeeb4ed7f> . <https://discovery-pp.ucl.ac.uk/id/eprint/10153196> <http://purl.org/ontology/bibo/authorList> <https://discovery-pp.ucl.ac.uk/id/eprint/10153196#authors> . <https://discovery-pp.ucl.ac.uk/id/eprint/10153196#authors> <http://www.w3.org/1999/02/22-rdf-syntax-ns#_7> <https://discovery-pp.ucl.ac.uk/id/person/ext-535cfa0f8bbf24b2eb515e4eeeb4ed7f> . <https://discovery-pp.ucl.ac.uk/id/eprint/10153196> <http://purl.org/dc/terms/creator> <https://discovery-pp.ucl.ac.uk/id/person/ext-383088af0b7950d3e42c86cb3f0da94a> . <https://discovery-pp.ucl.ac.uk/id/eprint/10153196> <http://purl.org/ontology/bibo/authorList> <https://discovery-pp.ucl.ac.uk/id/eprint/10153196#authors> . <https://discovery-pp.ucl.ac.uk/id/eprint/10153196#authors> <http://www.w3.org/1999/02/22-rdf-syntax-ns#_8> <https://discovery-pp.ucl.ac.uk/id/person/ext-383088af0b7950d3e42c86cb3f0da94a> . <https://discovery-pp.ucl.ac.uk/id/eprint/10153196> <http://purl.org/dc/terms/creator> <https://discovery-pp.ucl.ac.uk/id/person/ext-63402e0b3533b78a1c3cda603e06d0c4> . <https://discovery-pp.ucl.ac.uk/id/eprint/10153196> <http://purl.org/ontology/bibo/authorList> <https://discovery-pp.ucl.ac.uk/id/eprint/10153196#authors> . <https://discovery-pp.ucl.ac.uk/id/eprint/10153196#authors> <http://www.w3.org/1999/02/22-rdf-syntax-ns#_9> <https://discovery-pp.ucl.ac.uk/id/person/ext-63402e0b3533b78a1c3cda603e06d0c4> . <https://discovery-pp.ucl.ac.uk/id/eprint/10153196> <http://purl.org/dc/terms/creator> <https://discovery-pp.ucl.ac.uk/id/person/ext-8cae2c302571918054f85add32e2e4ad> . <https://discovery-pp.ucl.ac.uk/id/eprint/10153196> <http://purl.org/ontology/bibo/authorList> <https://discovery-pp.ucl.ac.uk/id/eprint/10153196#authors> . <https://discovery-pp.ucl.ac.uk/id/eprint/10153196#authors> <http://www.w3.org/1999/02/22-rdf-syntax-ns#_10> <https://discovery-pp.ucl.ac.uk/id/person/ext-8cae2c302571918054f85add32e2e4ad> . <https://discovery-pp.ucl.ac.uk/id/eprint/10153196> <http://purl.org/dc/terms/creator> <https://discovery-pp.ucl.ac.uk/id/person/ext-fdf80aab2af2ba1ef7bc0caec6a5aa13> . <https://discovery-pp.ucl.ac.uk/id/eprint/10153196> <http://purl.org/ontology/bibo/authorList> <https://discovery-pp.ucl.ac.uk/id/eprint/10153196#authors> . <https://discovery-pp.ucl.ac.uk/id/eprint/10153196#authors> <http://www.w3.org/1999/02/22-rdf-syntax-ns#_11> <https://discovery-pp.ucl.ac.uk/id/person/ext-fdf80aab2af2ba1ef7bc0caec6a5aa13> . <https://discovery-pp.ucl.ac.uk/id/eprint/10153196> <http://purl.org/dc/terms/creator> <https://discovery-pp.ucl.ac.uk/id/person/ext-434ef3df07da04fd2cd337ea43397856> . <https://discovery-pp.ucl.ac.uk/id/eprint/10153196> <http://purl.org/ontology/bibo/authorList> <https://discovery-pp.ucl.ac.uk/id/eprint/10153196#authors> . <https://discovery-pp.ucl.ac.uk/id/eprint/10153196#authors> <http://www.w3.org/1999/02/22-rdf-syntax-ns#_12> <https://discovery-pp.ucl.ac.uk/id/person/ext-434ef3df07da04fd2cd337ea43397856> . <https://discovery-pp.ucl.ac.uk/id/eprint/10153196> <http://purl.org/dc/terms/creator> <https://discovery-pp.ucl.ac.uk/id/person/ext-7d32089077e417c60e9c50e4deacfba6> . <https://discovery-pp.ucl.ac.uk/id/eprint/10153196> <http://purl.org/ontology/bibo/authorList> <https://discovery-pp.ucl.ac.uk/id/eprint/10153196#authors> . <https://discovery-pp.ucl.ac.uk/id/eprint/10153196#authors> <http://www.w3.org/1999/02/22-rdf-syntax-ns#_13> <https://discovery-pp.ucl.ac.uk/id/person/ext-7d32089077e417c60e9c50e4deacfba6> . <https://discovery-pp.ucl.ac.uk/id/eprint/10153196> <http://purl.org/dc/terms/creator> <https://discovery-pp.ucl.ac.uk/id/person/ext-5b8ebfa9cf2265f2fabd902300838f75> . <https://discovery-pp.ucl.ac.uk/id/eprint/10153196> <http://purl.org/ontology/bibo/authorList> <https://discovery-pp.ucl.ac.uk/id/eprint/10153196#authors> . <https://discovery-pp.ucl.ac.uk/id/eprint/10153196#authors> <http://www.w3.org/1999/02/22-rdf-syntax-ns#_14> <https://discovery-pp.ucl.ac.uk/id/person/ext-5b8ebfa9cf2265f2fabd902300838f75> . <https://discovery-pp.ucl.ac.uk/id/eprint/10153196> <http://purl.org/dc/terms/creator> <https://discovery-pp.ucl.ac.uk/id/person/ext-73b11efd0f7f0bd0d21362ce77e10dc9> . <https://discovery-pp.ucl.ac.uk/id/eprint/10153196> <http://purl.org/ontology/bibo/authorList> <https://discovery-pp.ucl.ac.uk/id/eprint/10153196#authors> . <https://discovery-pp.ucl.ac.uk/id/eprint/10153196#authors> <http://www.w3.org/1999/02/22-rdf-syntax-ns#_15> <https://discovery-pp.ucl.ac.uk/id/person/ext-73b11efd0f7f0bd0d21362ce77e10dc9> . <https://discovery-pp.ucl.ac.uk/id/person/ext-535cfa0f8bbf24b2eb515e4eeeb4ed7f> <http://www.w3.org/1999/02/22-rdf-syntax-ns#type> <http://xmlns.com/foaf/0.1/Person> . <https://discovery-pp.ucl.ac.uk/id/person/ext-535cfa0f8bbf24b2eb515e4eeeb4ed7f> <http://xmlns.com/foaf/0.1/givenName> "Heather"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery-pp.ucl.ac.uk/id/person/ext-535cfa0f8bbf24b2eb515e4eeeb4ed7f> <http://xmlns.com/foaf/0.1/familyName> "Jarman"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery-pp.ucl.ac.uk/id/person/ext-535cfa0f8bbf24b2eb515e4eeeb4ed7f> <http://xmlns.com/foaf/0.1/name> "Heather Jarman"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery-pp.ucl.ac.uk/id/person/ext-f1c1d087c2de57467f2cf0034dc1c4cb> <http://www.w3.org/1999/02/22-rdf-syntax-ns#type> <http://xmlns.com/foaf/0.1/Person> . <https://discovery-pp.ucl.ac.uk/id/person/ext-f1c1d087c2de57467f2cf0034dc1c4cb> <http://xmlns.com/foaf/0.1/givenName> "Lucy P"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery-pp.ucl.ac.uk/id/person/ext-f1c1d087c2de57467f2cf0034dc1c4cb> <http://xmlns.com/foaf/0.1/familyName> "Goldsmith"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery-pp.ucl.ac.uk/id/person/ext-f1c1d087c2de57467f2cf0034dc1c4cb> <http://xmlns.com/foaf/0.1/name> "Lucy P Goldsmith"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery-pp.ucl.ac.uk/id/person/ext-383088af0b7950d3e42c86cb3f0da94a> <http://www.w3.org/1999/02/22-rdf-syntax-ns#type> <http://xmlns.com/foaf/0.1/Person> . <https://discovery-pp.ucl.ac.uk/id/person/ext-383088af0b7950d3e42c86cb3f0da94a> <http://xmlns.com/foaf/0.1/givenName> "Sonia"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery-pp.ucl.ac.uk/id/person/ext-383088af0b7950d3e42c86cb3f0da94a> <http://xmlns.com/foaf/0.1/familyName> "Johnson"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery-pp.ucl.ac.uk/id/person/ext-383088af0b7950d3e42c86cb3f0da94a> <http://xmlns.com/foaf/0.1/name> "Sonia Johnson"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery-pp.ucl.ac.uk/id/person/ext-434ef3df07da04fd2cd337ea43397856> <http://www.w3.org/1999/02/22-rdf-syntax-ns#type> <http://xmlns.com/foaf/0.1/Person> . <https://discovery-pp.ucl.ac.uk/id/person/ext-434ef3df07da04fd2cd337ea43397856> <http://xmlns.com/foaf/0.1/givenName> "Jared A"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery-pp.ucl.ac.uk/id/person/ext-434ef3df07da04fd2cd337ea43397856> <http://xmlns.com/foaf/0.1/familyName> "Smith"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery-pp.ucl.ac.uk/id/person/ext-434ef3df07da04fd2cd337ea43397856> <http://xmlns.com/foaf/0.1/name> "Jared A Smith"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery-pp.ucl.ac.uk/id/person/ext-8cae2c302571918054f85add32e2e4ad> <http://www.w3.org/1999/02/22-rdf-syntax-ns#type> <http://xmlns.com/foaf/0.1/Person> . <https://discovery-pp.ucl.ac.uk/id/person/ext-8cae2c302571918054f85add32e2e4ad> <http://xmlns.com/foaf/0.1/givenName> "Paris"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery-pp.ucl.ac.uk/id/person/ext-8cae2c302571918054f85add32e2e4ad> <http://xmlns.com/foaf/0.1/familyName> "Pariza"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery-pp.ucl.ac.uk/id/person/ext-8cae2c302571918054f85add32e2e4ad> <http://xmlns.com/foaf/0.1/name> "Paris Pariza"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery-pp.ucl.ac.uk/id/person/ext-7d32089077e417c60e9c50e4deacfba6> <http://www.w3.org/1999/02/22-rdf-syntax-ns#type> <http://xmlns.com/foaf/0.1/Person> . <https://discovery-pp.ucl.ac.uk/id/person/ext-7d32089077e417c60e9c50e4deacfba6> <http://xmlns.com/foaf/0.1/givenName> "Elizabeth"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery-pp.ucl.ac.uk/id/person/ext-7d32089077e417c60e9c50e4deacfba6> <http://xmlns.com/foaf/0.1/familyName> "Stovold"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery-pp.ucl.ac.uk/id/person/ext-7d32089077e417c60e9c50e4deacfba6> <http://xmlns.com/foaf/0.1/name> "Elizabeth Stovold"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery-pp.ucl.ac.uk/id/person/ext-33813cdd87c1dbb86f45ad6a02e26810> <http://www.w3.org/1999/02/22-rdf-syntax-ns#type> <http://xmlns.com/foaf/0.1/Person> . <https://discovery-pp.ucl.ac.uk/id/person/ext-33813cdd87c1dbb86f45ad6a02e26810> <http://xmlns.com/foaf/0.1/givenName> "Jo"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery-pp.ucl.ac.uk/id/person/ext-33813cdd87c1dbb86f45ad6a02e26810> <http://xmlns.com/foaf/0.1/familyName> "Lomani"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery-pp.ucl.ac.uk/id/person/ext-33813cdd87c1dbb86f45ad6a02e26810> <http://xmlns.com/foaf/0.1/name> "Jo Lomani"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery-pp.ucl.ac.uk/id/person/ext-713f65b9eae0d2ec7dffc17ef8db559d> <http://www.w3.org/1999/02/22-rdf-syntax-ns#type> <http://xmlns.com/foaf/0.1/Person> . <https://discovery-pp.ucl.ac.uk/id/person/ext-713f65b9eae0d2ec7dffc17ef8db559d> <http://xmlns.com/foaf/0.1/givenName> "Katie"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery-pp.ucl.ac.uk/id/person/ext-713f65b9eae0d2ec7dffc17ef8db559d> <http://xmlns.com/foaf/0.1/familyName> "Anderson"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery-pp.ucl.ac.uk/id/person/ext-713f65b9eae0d2ec7dffc17ef8db559d> <http://xmlns.com/foaf/0.1/name> "Katie Anderson"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery-pp.ucl.ac.uk/id/person/ext-409d07064dc0b75fcc53f599c5be833b> <http://www.w3.org/1999/02/22-rdf-syntax-ns#type> <http://xmlns.com/foaf/0.1/Person> . <https://discovery-pp.ucl.ac.uk/id/person/ext-409d07064dc0b75fcc53f599c5be833b> <http://xmlns.com/foaf/0.1/givenName> "Chloe"^^<http://www.w3.org/2001/XMLSchema#string> . <https://discovery-pp.ucl.ac.uk/id/person/ext-409d07064dc0b75fcc53f599c5be833b> <http://xmlns.com/foaf/0.1/familyName> "Crowe"^^<http://www.w3.org/2001/XMLSchema#string> . 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