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Table 1 Distribution and median of fidelity scores on items for 28 Norwegian crisis resolution teams

From: Fidelity to an evidence-based model for crisis resolution teams: a cross-sectional multicentre study in Norway

Subscales and items Fidelity
  1 2 3 4 5 Median
1.Referrals and accessibility
 1.The CRTs responds quickly to new referrals 9 4 7 5 3 3
 2.The CRT is easily accessible to all eligible referrers 1 0 2 8 17 5
 3.The CRT accepts referrals from all sources 2 2 5 2 17 5
 4.The CRT will consider working with anyone who would otherwise be admitted to adult acute psychiatric hospital 0 0 0 7 21 5
 5.The CRT provides a 24-h, seven days a week service 28 0 0 0 0 1
 6.The CRT has a fully impended “gatekeeping” role, assessing all patients before admission to acute psychiatric wards and deciding whether they are suitable for home treatment 26 2 0 0 0 1
 7.The CRT facilitates early discharge from hospital 28 0 0 0 0 1
 8.The CRT provides explanation and direction to other services for service users, carers and referrers regarding referrals which are not accepted 0 1 5 17 5 4
 9.The CRT responds to requests for help from service users and carers whom the CRT is currently supporting 2 2 1 18 5 4
 10.The CRT is a distinct service which only provides crisis assessment and brief home treatment 10 7 7 4 0 2
2.Content and delivery of Care
 11.The CRT conducts a comprehensive assessment for all service users accepted for CRT support 2 4 7 1 14 4
 12.The CRT provides clear information to service users and families about treatment and visits 0 1 21 5 1 3
 13.The CRT closely involves and works with families and wider social networks in supporting service users 11 7 5 3 2 2
 14.The CRT assesses carers’ needs and offers carers emotional and practical support 0 23 4 1 0 2
 15.The CRT reviews, prescribes and delivers medication for all service users when needed 17 7 4 0 0 1
 16.The CRT promotes service user’ and carers’ understanding of illness and medication and addresses concerns or problems with medication 8 16 3 0 1 2
 17.The CRT provides psychological interventions 0 1 2 17 8 4
 18.The CRT considers and addresses service users’ physical health needs 5 5 5 11 2 3
 19.The CRT helps service users with social and practical problems 0 1 14 5 8 3
 20.The CRT provides individualized care 1 2 3 8 14 4
 21.CRT staff visits are long enough to discuss service users’ and families’ concerns 0 1 8 12 7 4
 22.The CRT prioritises good therapeutic relationships between staff and service users and carers 0 3 25 0 0 3
 23.The CRT offers service users choice regarding location, timing and types of support 1 1 6 17 3 4
 24.The CRT helps plan service users’ and service responses to future crises 27 0 0 0 1 1
 25.The CRT plans aftercare with all service users 3 22 3 0 0 2
 26.The CRT prioritises acceptability to service users in how CRT care is ended 2 7 3 9 7 4
3.Staffing and team organisation
 27.The CRT has adequate staffing levels 15 2 3 3 5 1
 28.The CRT has a psychiatrist or psychiatrists in the CRT team, with adequate staffing levels 3 9 1 0 15 5
 29.The CRT is a full multi-disciplinary staff team 7 5 9 6 1 3
 30.The CRT provides a thorough introduction program for new staff and ongoing training and supervision in core competencies for CRT staff 21 4 2 1 0 1
 31.The CRT has comprehensive risk assessment and risk management procedures, including procedures for safeguarding children and vulnerable adults living with CRT service users 14 8 5 1 0 1
 32.The CRT has systems to ensure the safety of CRT staff members 2 13 4 5 4 2
 33.The CRT has effective record keeping and communication procedures to promote teamwork and information sharing between CRT staff 2 11 6 7 2 3
 34.The CRT works effectively with other community services 5 13 8 1 1 2
 35The CRT takes account of equality and diversity in all aspects of service provision 0 5 21 2 0 3
 36.The CRT has systems to provide consistency of staff and support to a service user during a period of CRT care 0 4 6 5 13 4
4.Location and timing of care
 37.The CRT can access a range of crisis services to help provide an alternative to hospital admission for service users experiencing mental health crisis 8 9 10 1 0 2
 38.The CRT provides frequent visits to service users 27 1 0 0 0 1
 39.The CRT mostly assesses and supports service users in their home 17 7 1 0 3 1