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Table 1 A high-level summary and comparison of the models of care across each of the typologies

From: Alternative approaches to standard inpatient mental health care: development of a typology of service models

 

Adult acute inpatient alternatives

Adult

long-term rehabilitation and forensic inpatient alternatives

Children and young people inpatient alternatives

Community-based alternatives

Crisis houses

Peer-led crisis houses

x

  

Clinical crisis houses

x

 

x

Non-clinical crisis houses

x

  

Specialist crisis houses

x

 

x

Intensive residential services

Residential rehabilitation services

 

x

x

Intensive supported housing models

 

x

x

Secure accommodation

Secure children’s homes

  

x

Secure training centres

  

x

Residences for the execution of security measures

 

x

 

Family placement schemes

Family sponsor homes

x

  

Shared lives

x

x

x

Therapeutic foster care

  

x

Geel family foster care model

 

x

x

Healing homes

 

x

 

Acute day services

General acute day units

x

 

x

Specialist acute day units

x

 

x

Enhanced acute day treatment

x

  

Home based crisis services

Crisis resolution and home treatment teams

x

 

x

Other intensive home treatment services

x

 

x

Intensive home treatment with optional brief inpatient admission

  

x

Homebuilders model

  

x

Emergency service linked models

Police and/or ambulance street triage

x

 

x

Clinician-only mobile crisis unit

x

 

x

Drop-in crisis services

Crisis assessment services

x

 

x

Lifeguard pharmacies

x

  

Mental health crisis hubs

x

 

x

Crisis cafes

x

 

x

Discharge transition support

Transition to recovery program

x

  

Supported discharge service

  

x

Hot-BITS

  

x

Peer-Bridger

x

x

 

Outpatient-based crisis services

Whole of service stepped care approach

x

 

x

Behavioural health crisis care clinic

  

x

General community services with crisis function

Enhanced case management

x

x

x

Enhanced community mental health teams

x

  

Early intervention models

x

 

x

Adolescent forensic community services

  

x

Intensive intervention and risk management services

 

x

 

Specialist community mental health rehabilitation teams

Specialist community mental health rehabilitation teams

 

x

 

Hospital-based alternatives

Models involving general hospital medical care

Enhanced psychiatric liaison services

x

 

x

Time limited admission to general medical wards with specialist community eating disorder team input

x

 

x

Brief stay crisis units

23-hour crisis stabilisation units

x

 

x

Behavioural assessment units

x

 

x

Psychiatric emergency service centres

x

 

x

Psychiatric observation units

x

  

Psychiatric decision units

x

  

Emergency psychiatric assessment, treatment and healing units (EmPATH units)

x

  

Inpatient psychiatric services

Services with a specific therapeutic model

x

x

x

Inpatient wards for specific groups

x

x

x

Short-stay acute inpatient wards

x

 

x

Ter beschikking stelling (TBS)

 

x

 

Cross-setting approaches

Open dialogue

Open dialogue

x

 

x

Peer supported open dialogue

x

  

Therapeutic communities

Therapeutic communities

x

x

x

Democratic therapeutic communities

x

x

x

Other cross-setting approaches

Need-adapted treatment

x

 

x

Specialist consultancy

x

x

 

The sanctuary model

x

x

x

Enabling environments

x

x

x

Wraparound with intensive services

x

 

x

Trieste

x

x

x

Multi-systemic therapy

  

x

Psychologically informed planned environments

 

x

 

Psychologically enhanced resettlement services

 

x

 

Offender personality disorder treatment services

 

x

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