Nursing and policing as boundary‐spanning professions: From crisis management towards community outcomes in mental health

Author(s):  
Auke J. Dijk ◽  
Jeroen Bastiaan Zoeteman ◽  
Thijs Fassaert
2016 ◽  
Vol 12 (12) ◽  
pp. 113
Author(s):  
Shu-Fang Su ◽  
Jiin-Ru Rong ◽  
Jin-Biau Li

This study was to develop the Community Psychiatric Crisis Management (CPCM) Model for community-dwelling psychiatric patients of Taiwan. Purposes of this study were: 1. To develop psychiatric patients’ community crisis management indictors; 2. To develop the psychiatric patients’ community crisis management framework. Methods: Three focus group interviews involving a total of 42 experts, included psychiatrists, psychiatric nurses, social worker, and community mental health service providers were implemented. Interview data were analyzed with qualitative content analysis. Results: The model of CPCM concretized the objectives, crisis assessment indicators, and crisis intervention services for community psychiatric patients, and proved to be an important part of CPCM. The level of crisis severity and impact of patient can be assessed by the four indicators: medical care seeking behaviors, psychiatric symptom severity and impact, history of violence and substance abuse, and protective factors of family and social support system. In addition, the severity and impact of CPCM score could be implement to provide home visiting care and crisis management interventions. The recommended CPCM model enabled community mental health care professionals’ assessment and management the patient’s crisis problems in three stages, from crisis, acute and maintenance stage. Conclusions: The CPCM model was improved practically, and the contents of the intervention were constructed. It is important to integrate crisis management with the preventive intervention to the community psychiatric patient care.


2020 ◽  
Author(s):  
Salman Elbedour ◽  
Futiem Alsubie ◽  
Shareefah N Al’Uqdah ◽  
Joseph A Bawalsah

Abstract The fundamental need for safety in schools requires research-based and trauma-informed strategies for implementing crisis management plans (CMPs). Beyond the immediate harm, longer-term potential outcomes of crises are psychological trauma and damage to the reputation for safety of the school, leading to staff attrition. An effective CMP involves (a) planning, (b) communication, (c) protocols for immediate action, and (d) protocols specific to different types of school crises. School crises can occur on the organizational level, such as natural disasters or shootings; community level, such as bullying or community violence; or individual level, such as suicide, pregnancy, or family changes. This article incorporates research from the business sector as well as education, social work, and psychology to describe the vital components of a school CMP and the role of the school mental health staff. School mental health staff must be central to development and implementation of a trauma-informed school CMP that incorporates prevention, communication, and different protocols for the various types of crises.


Author(s):  
Gülcan Sutton Purser

Practising psychotherapy online during Covid-19; uncertainties and crisis management; after effects of lockdown; trauma and its effects on autonomic nervous system; how we regulate. This article consists of my work during the global Covid-19 crisis and to address the consequences of it on mental health.


Author(s):  
HANS TOCH

The impact of congested prisons is not primarily a problem of population density, but of corollaries of crowding such as social instability, lack of programming, and the ascendance of custody goals. Congestion affects staff as well as inmates, and different inmates are differently affected. Some have antisocial tendencies exacerbated; others suffer from mental health problems. Staff subserve custody goals, but subserve them less effectively because social control mechanisms—such as programming and classification—are impaired by crowding. A recent prison riot points to transience and idleness as key preconditions and shows the results of congestion in escalating sequences that prominently include crisis management. The most serious consequence of crowding is warehousing, which creates a prison climate that prevents inmates from serving time in customary ways. It remains to be determined whether this result constitutes disproportionate—hence unlawful—punishment.


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