What is Crisis Resolution Home Treatment (CRHT)?

Crisis Resolution Home Treatment (CRHT) teams can support people if they have a mental health crisis outside of hospital. They can also help facilitate early discharge from hospital to provide home treatment.

We will work closely with you, the service user and other professionals to provide intensive support, assessment and treatment. Our team will work with you to draw on your strengths and skills to improve their mental health.

Whilst your loved one is under our care, you can access the team 24 hours per day, 7 days per week. The service we provide will be short term in nature, however, will be intensive and flexible to meet your needs.

CRHT is currently operating on a 24 hour basis 7 days a week, 365 days per year.

What do we mean by crisis?

A mental health crisis can mean different things to different people, but can include

  • Thinking about suicide or acting on suicidal thoughts
  • Having an episode of psychosis (where you might experience or believe things others do not
  • Doing something that could put yourself or others at risk.

Who works in a CRHT team?

Mental health practitioners can provide:

  • Ongoing assessment of the service user’s needs
  • The development of a personalised care plan
  • Help to administer and monitor medications.

Support workers can provide:

  • Support and care in line with a personalised care plan.

Social workers can provide

  • Identifying social care needs through the form of social prescribing.

Psychologists can help the service user to:

  • Understand more about their mental health problems and how to manage them
  • Learn new coping strategies to help them feel more in control of their mood, thoughts or actions and tackle the problems that have led them to being in crisis.

Occupational therapists can provide:

  • The skills to function at home
  • Assess home environment and adapt accordingly.

Psychiatrists can:

  • Prescribe and monitor the service user’s medications.

What can CRHT offer people in a crisis?

  • An alternative to hospital admission by visiting them in their home or elsewhere in the community
  • Visit people in hospital if they’re being discharged
  • Support them and their carers at every stage throughout their crisis
  • Short term psychological interventions with a psychologist
  • Administer and monitor medication
  • Signpost them to services where they can get practical help (e.g. with money, housing or childcare arrangements).

What should I expect if the person I care for is referred

  • They will be seen by staff who will conduct an ongoing assessment of their needs
  • They will be reviewed by one of the team’s psychologists or psychiatrists if needed
  • During visits they will be supported to develop and practice coping strategies to use during crisis
  • If their level of risk changes, their level of care will be reviewed - this means there may be an increase in home visits, admission to crisis accommodation or hospital.

How can I access help for the person I care for?

You may notice early warning signs that their mental health is getting worse. Try to get help as soon as possible. The person you care for might have a care plan.

A care plan should explain who to contact in a crisis.

You can contact the CRHT on 0151 250 5064, 24 hours per day, for guidance and advice.

In some circumstances, the Mental Health Act might be needed. You can ask social services to think about assessing your relative under the Mental Health Act.

If you need emergency help for your relative you should go to A&E.

How can I access help for myself?

Caring for someone with a mental illness can be difficult. There will be times when you will need support for yourself, especially if your relative is going through a crisis.

What we can offer

  • Carer support group
  • Advice and support on how best to care for someone in a crisis
  • Involvement in your relatives care (if they consent).

Our contact details

Broadoak Unit,
Broadgreen Hospital site,
Thomas Drive,
Liverpool,
L14 3 PJ
Tel: 0151 250 5064

Other helpful resources

Our patients matter

Mersey Care NHS Foundation Trust listens and responds to patients and their carers to help improve the services we deliver. If you have any comments, compliments or concerns you can speak with a member of staff or contact our Patient Advice and Liaison Service (PALS) and Complaints Team.

Phone: 0151 471 2377
Freephone: 0800 328 2941
Email: palsandcomplaints@merseycare.nhs.uk


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