scholarly journals Experiences of intensive home treatment for a mental health crisis during the perinatal period: A UK qualitative study

2020 ◽  
Author(s):  
Luisa Rubio ◽  
Billie Lever Taylor ◽  
Nicola Morant ◽  
Sonia Johnson
Keyword(s):  
Mental Health ◽  
Qualitative Study ◽  
Perinatal Period ◽  
Home Treatment ◽  
Mental Health Crisis ◽  
Health Crisis

scholarly journals Home Treatment as an Alternative to Hospital Admission for Mothers in a Mental Health Crisis: A Qualitative Study

2009 ◽  
Vol 60 (5) ◽  
pp. 634-639 ◽  
Author(s):  
Hind Khalifeh ◽  
Catherine Murgatroyd ◽  
Mona Freeman ◽  
Sonia Johnson ◽  
Helen Killaspy
Keyword(s):  
Mental Health ◽  
Qualitative Study ◽  
Hospital Admission ◽  
Home Treatment ◽  
Mental Health Crisis ◽  
Health Crisis

P02-08 - Mental health crisis resolution and home treatment teams: a qualitative evaluation

2010 ◽  
Vol 25 ◽  
pp. 626
Author(s):  
B. Ferguson ◽  
H. Middleton ◽  
R. Shaw ◽  
R. Collier ◽  
A. Purser
Keyword(s):  
Mental Health ◽  
Qualitative Evaluation ◽  
Home Treatment ◽  
Mental Health Crisis ◽  
Crisis Resolution ◽  
Health Crisis

scholarly journals Acute Day Units for mental health crises: A qualitative study of service user and staff views and experiences

2020 ◽  
Author(s):  
Nicola Morant ◽  
Michael Davidson ◽  
Jane Wackett ◽  
Danielle Lamb ◽  
Vanessa Pinfold ◽  
...  
Keyword(s):  
Mental Health ◽  
Qualitative Study ◽  
Acute Care ◽  
User Satisfaction ◽  
Service Users ◽  
Mental Health Crisis ◽  
Structured Interviews ◽  
Short Term Treatment ◽  
Health Crisis ◽  
Care Systems

AbstractBackgroundAcute Day Units (ADUs) provide intensive, non-residential, short-term treatment for adults in mental health crisis. They currently exist in approximately 30% of health localities in England, but there is little research into their functioning or effectiveness, and how this form of crisis care is experienced by service users. This qualitative study explores the views and experiences of stakeholders who use and work in ADUs.MethodsWe conducted 36 semi-structured interviews with service users, staff and carers at four ADUs in England. Data were analysed using thematic analysis.ResultsBoth service users and staff provided generally positive accounts of using or working in ADUs. Valued features were structured programmes that provide routine, meaningful group activities, and opportunities for peer contact and emotional, practical and peer support, within a ‘safe’ environment. Aspects of ADU care were often described as enabling personal and social connections that contribute to shifting from crisis to recovery. ADUs were compared favourably to other forms of home- and hospital-based acute care, particularly in providing more therapeutic input and social contact. Some service users and staff thought ADU lengths of stay should be extended slightly, and staff described some ADUs being under-utilised or poorly-understood by referrers in local acute care systems.ConclusionsMulti-site qualitative data suggests that ADUs provide a distinctive and valued contribution to acute care systems, and can avoid known problems associated with other forms of acute care, such as low user satisfaction, stressful ward environments, and little therapeutic input or positive peer contact. Findings suggest there may be grounds for recommending further development and more widespread implementation of ADUs to increase choice within local acute care systems.

Promoting family inclusive practice in home treatment teams

2020 ◽  
Vol 15 (5) ◽  
pp. 261-273
Author(s):  
Maria Griffiths ◽  
Jo Allen ◽  
Krisna Patel ◽  
Victoria Bell
Keyword(s):  
Mental Health ◽  
Interpersonal Relationships ◽  
Well Being ◽  
Role Playing ◽  
Home Treatment ◽  
Treatment Team ◽  
Mental Health Crisis ◽  
Health Crisis ◽  
Content Type ◽  
Family Approach

Purpose Families play an instrumental role in helping relatives experiencing mental health issues to stay well. In the context of wider initiatives promoting family and carer needs, this study aims to evaluate the feasibility, acceptability and potential benefits of bespoke training to develop clinicians’ skills in working with families in crisis. Design/methodology/approach The study was an uncontrolled evaluation of a one-day workshop for home treatment team staff using pre- and post-questionnaires. Findings In total, 83 staff members participated. Overall, there was a strong agreement for the involvement of families, which increased marginally after training. There were significant changes in views about talking to family members without service user consent (p = 0.001) and keeping them informed of their relative’s well-being (p = 0.02). Qualitative feedback indicated that participants enjoyed the interactive elements, particularly role-playing. Training provided an opportunity to practice skills, share knowledge and facilitate the integration of family work into their professional role. Research limitations/implications Confident support for families contributes to effective mediation of crisis and continuation of care; factors important in reducing admission rates and protecting interpersonal relationships. Overall, the consistency of responses obtained from participants suggests that this workshop offers a helpful introduction to a family approach at times of a mental health crisis. Originality/value This pilot evaluation suggests this new one-day workshop, is a feasible and acceptable training program, which is beneficial in developing clinicians’ skills in working with families in a crisis.

scholarly journals Acute day units for mental health crises: a qualitative study of service user and staff views and experiences

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Nicola Morant ◽  
Michael Davidson ◽  
Jane Wackett ◽  
Danielle Lamb ◽  
Vanessa Pinfold ◽  
...  
Keyword(s):  
Mental Health ◽  
Qualitative Study ◽  
Acute Care ◽  
User Satisfaction ◽  
Advisory Panel ◽  
Service Users ◽  
Mental Health Crisis ◽  
Short Term Treatment ◽  
Health Crisis ◽  
Care Systems

Abstract Background Acute Day Units (ADUs) provide intensive, non-residential, short-term treatment for adults in mental health crisis. They currently exist in approximately 30% of health localities in England, but there is little research into their functioning or effectiveness, and how this form of crisis care is experienced by service users. This qualitative study explores the views and experiences of stakeholders who use and work in ADUs. Methods We conducted 36 semi-structured interviews with service users, staff and carers at four ADUs in England. Data were analysed using thematic analysis. Peer researchers collected data and contributed to analysis, and a Lived Experience Advisory Panel (LEAP) provided perspectives across the whole project. Results Both service users and staff provided generally positive accounts of using or working in ADUs. Valued features were structured programmes that provide routine, meaningful group activities, and opportunities for peer contact and emotional, practical and peer support, within an environment that felt safe. Aspects of ADU care were often described as enabling personal and social connections that contribute to shifting from crisis to recovery. ADUs were compared favourably to other forms of home- and hospital-based acute care, particularly in providing more therapeutic input and social contact. Some service users and staff thought ADU lengths of stay should be extended slightly, and staff described some ADUs being under-utilised or poorly-understood by referrers in local acute care systems. Conclusions Multi-site qualitative data suggests that ADUs provide a distinctive and valued contribution to acute care systems, and can avoid known problems associated with other forms of acute care, such as low user satisfaction, stressful ward environments, and little therapeutic input or positive peer contact. Findings suggest there may be grounds for recommending further development and more widespread implementation of ADUs to increase choice and effective support within local acute care systems.

EMDR Within Crisis Resolution and Home Treatment Teams

2016 ◽  
Vol 10 (1) ◽  
pp. 47-56 ◽  
Author(s):  
Simon Proudlock ◽  
Jonathan Hutchins
Keyword(s):  
Mental Health ◽  
Psychological Treatment ◽  
Home Treatment ◽  
Traumatic Experiences ◽  
Treatment Team ◽  
Mental Health Crisis ◽  
Crisis Resolution ◽  
Health Crisis ◽  
Crisis Services ◽  
Emdr Therapy

This article describes how eye movement desensitization and reprocessing (EMDR) can be used in a National Health Service (NHS) mental health crisis team with individuals who are expressing strong desire and intent to die by suicide. It explores previous research in this area and examines how offering EMDR therapy may expedite recovery for clients and how offering immediate access to specialized treatment can result in NHS Trusts reducing costs associated with further psychological treatment in the community. Nine cases are presented of clients who were under the care of an NHS crisis resolution and home treatment team and who received brief EMDR therapy. Treatment directly addressed recent or historical traumatic experiences, without extensive preparation even though clients had suicidal intent and were in crisis. All clients showed marked improvement in their mental state and a reduction in their risk regarding harm to self and harm to others. An audit of the patient electronic database was used to examine contact with mental health services 12 months posttreatment. Three of the nine clients reaccessed crisis services at 6, 8, and 11 months, respectively, concerning new crises unrelated to the material initially processed with EMDR. EMDR therapy has the potential to significantly improve the outcomes of clients experiencing a mental health crisis but more research is needed in this area.

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