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What is Crisis Resolution Home Treatment (CRHT)?

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

We will work closely with you, your family, your carer 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 your mental health.

Whilst 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 your needs
  • The development of a personalised care plan
  • Help to administer and monitor your medications.

Support workers can provide:

  • Support and care in line with your 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 your mental health problems and how to manage them
  • Learn new coping strategies to help you feel more in control of your mood, thoughts or actions and tackle the problems that have led you to being in crisis.

Occupational therapists can provide:

  • Access functioning at home
  • Assessment of home and make appropriate amendments if necessary.

Psychiatrists can:

  • Prescribe and monitor your medication.

What can CRHT offer me?

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

What should I expect if I am referred?

  • Our team will help you manage and resolve this stage of your illness through assessment and treatment in your home as an alternative to hospital admission
  •  We also support people being discharged from a psychiatric hospital, helping you to continue your recovery at home. You will be seen by staff who will conduct an ongoing assessment of your needs 
  • You will be reviewed by one of the team’s psychologists or psychiatrists if needed
  • During visits you will be supported to develop and practice coping strategies to use during crisis
  • If your level of risk changes, your level of care will be reviewed which means there may be an increase in home visits, admission to crisis accommodation or hospital.

How can I access help?

  • Contact us - If you’re already in contact with a crisis team you may have been given their details
  • Being referred – Many crisis teams can only support you if you have been referred to them by A&E or your GP
  • Through your care plan – If you are currently being supported by a CMHT your care plan should include details of who to contact in a crisis.

Telephone number: 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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