Between a rock and a softer place—A discourse analysis of helping cultures in crisis resolution teams

Klevan, Trude; Karlsson, Bengt; Ness, Ottar; Grant, Alec; Ruud, Torleif

doi:10.1177/1473325016668962

Cited by 11 publications

(9 citation statements)

References 67 publications

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“…Creative and collaborative help and support is considered important to recovery-oriented practices. Klevan and colleagues found that helpful help was experienced as something creative and ‘in the making’ [ 53 ]. This is in contrast to a predetermined and defined approach to helping and supporting.…”

Section: Resultsmentioning

confidence: 99%

Part III: Recovery-Oriented Practices in Community Mental Health and Substance Abuse Services: A Meta-Synthesis

Klevan

Sommer

Borg

et al. 2021

IJERPH

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In recent decades, recovery-oriented practice has become the major approach in mental health and substance abuse care, especially in community mental health and substance abuse services. Various models of recovery-oriented practice have come to form the basis of the integration of this approach in service settings. The study aims to elucidate the characteristics of recovery-oriented practice as experienced by participants in the practice. The method used was a qualitative meta-synthesis that integrated the findings from thirty-four empirical papers published by one research group. Four meta-themes were developed: (a) helping and supporting, (b) collaborating and relating, (c) identity integration in practice, and (d) generating hope through nurturing and helping. These themes emphasize the value of relationships and connectedness, contextuality, and resources that can be mobilized in practice. The results emphasize the need to incorporate the elements in the four major themes as “working capital” for practitioners to realize recovery-oriented practice. The concepts of personal, social, and economic capital as working capital are elaborated, drawing from the meta-themes as the basis for recovery-oriented practice in mental health and substance abuse services.

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Section: Resultsmentioning

confidence: 99%

Part III: Recovery-Oriented Practices in Community Mental Health and Substance Abuse Services: A Meta-Synthesis

Klevan

Sommer

Borg

et al. 2021

IJERPH

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“…However, I find myself nodding in agreement with Rita’s assertion that stories about human misery give meaning to distress experiences, and that the act of listening and telling is dialogical and relational, aimed at empowering the person who is telling their story and being listened to (Klevan, Karlsson, Ness, Grant, & Ruud, 2016). But I still don’t have much of a handle on what Rita’s implicit narrative (Richardson, 1997, 2001) is around what she takes for granted in writing about mental health issues, and whether this fits with mine.…”

Section: Alec: June 21 2017mentioning

confidence: 59%

My Mother’s Skull Is Burning: A Story of Stories

Sørly

Karlsson

Grant

2018

Qualitative Inquiry

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Performing autoethnography is a dynamic and dialogic exercise, transgressing and exceeding traditional expectations of academic papers. In this freely spoken piece—of narratives, thoughts, poems, and reflections—you will meet three international mental health scholar-researchers seeking and deepening connection through friendship. The article began as a single story and developed, as stories often do, to become many stories. It is conversational, shifting discursively across many topics, including diagnosis, medication, mental health demedicalization and recovery, cultural colonization, language, narrative and human abuse, identity, human connection, being outside the academic mainstream, ethnicity, time, and transitions. It is a story of telling stories.

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“…This includes not only having expert skills in assessing acute mental distress and suicide risk but also having skills and capacity to inform a more collaborative and interprofessional approach to crises. As such, the expectations for collaboration with CRTs are diverse, reflecting the diverse rationale for CRTs, comprising components related to effectiveness and cost reduction and more value-based components related to contributing to humanizing mental health services (Klevan et al, 2018;Wheeler et al, 2015).…”

Section: Discussionmentioning

confidence: 99%

‘No service is an island’: experiences of collaboration with crisis resolution teams in Norway

Klevan

Karlsson

Hasselberg

et al. 2021

Journal of Interprofessional Care

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Crisis resolution teams (CRTs) are a community-based service targeting adults experiencing acute mental health crises. The rationale for the development of CRTs is both value and efficacy based, suggesting that CRTs should contribute to the humanizing of mental health services and replace some acute hospitalbased services with services in the community. Despite the collaborative nature of CRT work, how professionals from health and social services experience collaboration with CRTs is scantly explored. In the current study, semi-structured focus group interviews with eight different groups of 44 clinicians collaborating with CRTs in Norway were conducted. Data were analyzed using thematic analysis and categorized into four themes: (1) 'The accessible experts', (2) 'A broad and deep expertise', (3) 'Doing it together' and (4) 'Toward a new culture?'. The themes elaborate on issues related to the content and organization of CRT services, emphasizing the need for CRTs to be able to contribute their professional expertise in accessible, flexible and collaborative ways. A diversity in the knowledge base and in how services are organized may pose a challenge in interprofessional mental health crisis collaboration and mutual expectations. The study suggests that a shift toward a value-based and coherent mental health and social system could be a purposeful direction.

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Between a rock and a softer place—A discourse analysis of helping cultures in crisis resolution teams

Cited by 11 publications

References 67 publications

Part III: Recovery-Oriented Practices in Community Mental Health and Substance Abuse Services: A Meta-Synthesis

Part III: Recovery-Oriented Practices in Community Mental Health and Substance Abuse Services: A Meta-Synthesis

My Mother’s Skull Is Burning: A Story of Stories

‘No service is an island’: experiences of collaboration with crisis resolution teams in Norway

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