Steve Onyett

TL;DR: In this article, the authors examined the emotional exhaustion, low personal accomplishment, depersonalisation, job satisfaction and sick leave among 445 team members in 57 community mental health teams (CMHTs) in relation to the perceived clarity of the role of the team, personal role clarity, identification with one's profession and the team and caseload size, composition and the frequency with which users were seen.

TL;DR: It is possible to conclude that although many studies report high levels of emotional exhaustion, there is no evidence for a decline in morale, and effective team working and good leadership, management, support and supervision appear to be protective factors that need further enhancement informed by evidence.

TL;DR: In this paper, a concept mapping process was used to develop a CRT fidelity scale, which was then piloted in 75 CRTs in the UK to assess the range of scores achieved and feasibility for use in a 1-day fidelity review process.

TL;DR: A national policy mandate and government guidance and standards have proved insufficient to ensure CRT implementation as planned and development and testing of resources to support implementation and monitoring of a complex mental health intervention is required.

TL;DR: Successful implementation of the CRHT teams as alternatives to hospital admission requires resources for home treatment out of hours, effective systems working among local services, stronger local understanding and advocacy of the teams' role.