Clinical outcomes of Joint Crisis Plans to reduce compulsory treatment for people with psychosis: a randomised controlled trial

Abstract

Medical Research Council UK and the National Institute for Health Research.

Advance Planning in the Context of a Psychiatric Acute Care Hospital: Acceptance of a Trialogical Pilot Project

“…These findings are congruent with other studies, which similarly documented numerous positives effects (Dietz et al, 2002;Swanson et al, 2006;Thornicroft et al, 2013;Drack-Schöneberger, Bleiker, Lengler, Blank, Rössler, & Lay, 2015). The actual self-experience is positively influenced, since the processes of information collection and provision are systematically implemented and patients are still involved in decision-making processes despite their limited capacity to act 5 :…”

Correlates of Involuntary Admission: Findings From an Italian Inpatient Psychiatric Unit

“…Involuntary admission in psychiatric inpatient services could be perceived by most patients as a negative experience and often described as an unjustified event in their life (Priebe et al 2009, Katsakou et al 2012, Thornicroft et al 2013). Future investigations improving the knowledge of correlates of involuntary admission in psychiatry will be helpful to implement new interventions in mental health services' routine clinical practice in order to try to reduce as much as possible this often traumatic form of hospitalization.…”

Users’ and Health Professionals’ Values in Relation to a Psychiatric Intervention: The Case of Psychiatric Advance Directives

“…It is centred on a document in which the user notifies his/her preferences for treatment and may appoint a surrogate decision-maker for the period of incompetence (Atkinson et al 2004;Atkinson 2007;Campbell and Kisely 2009). PADs should contribute to numerous clinical and organisational aims in psychiatric care, including empowerment of the user and recovery Szmukler 2007), improving compliance with treatment (Swanson et al 2000; Thomas and Cahill 2004), continuity of care , and therapeutic alliance (Kim et al 2008; Thornicroft et al 2011;Van Dorn et al 2008); they should also eventually contribute to reducing the number of voluntary and involuntary hospitalisations (Henderson et al 2004). However, with the exception of the last study cited, randomised clinical evaluations have had disappointing results, showing little or no significant differences between intervention and control groups for primary outcomes (Borschmann et al 2013;Campbell and Kisely 2009;Papageorgiou et al 2002;Thornicroft et al 2011).…”

“…Their actual implementation and use during crisis episodes is still an issue (Henderson et al 2010;Srebnik and Brodoff 2003). This could explain why rates of uptake of PADs have remained low regardless of their type and why results obtained during clinical trials have been disappointing (Thornicroft et al 2011). At the same time, most studies noted that the endorsement of PADs by users and health professionals was decisive for their actual use (Atkinson et al 2004;Elbogen et al 2006Elbogen et al , 2007Thornicroft et al 2011); hence, understanding the theoretical expectations and values of stakeholders is crucial.…”

“…In the second theoretical framework, a PAD intervention was expected to improve the quality of the therapeutic alliance between clinicians, users, and carers as a tool for exchanging information, facilitating mutual understanding, and support compliance with treatment (Atkinson et al 2003b;Henderson et al 2004Henderson et al , 2008Papageorgiou et al 2002). This second framework underlay the development of Joint Crisis Plans (JCP) in the United Kingdom (Henderson et al 2004(Henderson et al , 2009Thornicroft et al 2011). In the third theoretical framework, PADs were supposed to encourage the coordination of care between different clinicians and providers (Backlar et al 2001;Swanson et al 2000;Swartz et al 2006).…”