A Model of Home-Based Crisis Intervention : A Preliminary Follow-Up Study
Bibliographic record
Abstract
Introduction : Home-based crisis intervention (HBCI) is an intensive clinically service designed to immediately (max. 24 hours) assist patients in crisis in their real life environment. Our mobile psychiatric team also integrates families in the treatment. We offer care delivery based on the needs of people with mental health problems and relational or emotional disorders. Objectives : The present preliminary study examines the effect of our HBCI model on health-related quality of life, symptom distress (depression, anxiety), interpersonal relationships (conflict with others), suicidal ideation or behavior and continuity of care in patient in crisis. Methods : Thirty patients experiencing an acute crisis, aged between 19 and 71 years, were assessed before and after our home-based treatment. The Nottingham Health Profile (NHP), the Hospital Anxiety and Depression scale (HAD), the Outcome questionnaire (OQ-45), the Scale for Suicide Ideation (SSI), and the Alberta Continuity of Services Scale for Mental Health (ACSS-MH) were used in a 9-month preliminary follow-up study. Results : Our results showed a significant decrease in distress symptoms and suicidal ideation after between three to 6 weeks of treatment with a large effect size. The dimensions related to the quality of life assessment also improved during the intervention. A the end of treatment, a majority of patients had a total OQ-45 score below clinical significance. Conclusion : This study suggests that our home-based crisis intervention may benefit for patient in crisis with improvement on several outcomes measures. However, the lack of comparison group entails caution when drawing conclusion. Keywords : Home-Based treatment, crisis intervention, Outcome, Effectiveness. Discussion : Our mobile treatment allows to avoid hospitalizations, reduces the impact of mental health emergencies through immediate response to crisis situations, prevents the crisis from having induced side effects and guides the beneficiaries towards the mental health care network.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.004 | 0.005 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.001 | 0.000 |
| Science and technology studies | 0.002 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.001 | 0.002 |
| Insufficient payload (model declined to judge) | 0.003 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".