Nurses experiences of working in Crisis Resolution Home Treatment Teams with its additional gatekeeping responsibilities

Begum, Ruhela; Riordan, Sharon

doi:10.1111/jpm.12276

Cited by 13 publications

(43 citation statements)

References 18 publications

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“…This is in line with the findings from previous research, which had already highlighted the importance of family, as having a central role in recovery. Its involvement is seen as a valuable and qualified resource, responsible for assisting with the care provision (41). Importantly, the way in which a family starts a compulsory admission process has an effect on how individuals consider the first days of admission and is decisive in the patient's whole experience (42).…”

Section: Discussionmentioning

confidence: 99%

“…Importantly, the way in which a family starts a compulsory admission process has an effect on how individuals consider the first days of admission and is decisive in the patient's whole experience (42). It has been emphasized already that working in partnership and having discussions between the staff and the family members contributes to the development of best practice (43), to deliver safe and effective interventions (41). Despite the importance of family in mental health care, some families in London reported that they are treated as an irrelevant and troublesome part by the British mental health system (44).…”

Section: Discussionmentioning

confidence: 99%

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Experiences and Perceptions of Police Officers Concerning Their Interactions With People With Serious Mental Disorders for Compulsory Treatment

Soares

Costa

2019

Front. Psychiatry

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Background: In Portuguese law, police officers are the link between security and the treatment of people with serious mental disorders who require compulsory admission. The perceptions of police officers are in part based on their individual characteristics, and may influence their capability in managing patients they are transporting. However, little is known about police officers experience of this process. Methods: In-depth semi-structured interviews explored the experiences and per- ceptions of police officers from Porto Police Department in Portugal. All interviews were audio recorded, transcribed and analyzed through thematic analysis. Results: Ten police officers agreed to take part in this study. The interviewed police officers consisted of nine men and one woman, had an average length service of 22.6 years and all had more than 10 years of service. The interviews highlighted that the activity of the police under the Mental Health Law is shaped by whether the person who they are transporting has a mental health disorder and requires psychiatric admission. The police officers reportedly adjusted their behavior to give patients more attention, comfort and empathy. However, they describe these interactions as one of the most time consuming and challenging activities for the police. Importantly, they acknowledged family members as crucial for police officers to be able to gain direct access to patients and knowledge about them. Police officers showed to perceive people with mental illness as unpredictable, dangerous and without discernment, and identified some aspects of the process that could be improved, such as hospital admission waiting times. Police officers felt they required more skilled support to deal with unwell patients. Conclusions: This study highlights the perceptions and experiences of police officers about the process of compulsory admission, and identifies areas of unmet needs. These findings help to raise awareness of their needs, improving this process, and ensuring a more humane and effective approach.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Experiences and Perceptions of Police Officers Concerning Their Interactions With People With Serious Mental Disorders for Compulsory Treatment

Soares

Costa

2019

Front. Psychiatry

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“…One strategy commonly suggested to improve integration between community and hospital based services is the assessment of all patients potentially requiring an inpatient admission by a central acute community team (Begum & Riordan, 2016;Chisholm & Ford, 2004;Hasselberg et al, 2011;Murphy et al, 2012;National Institute for Mental Health, 2006).…”

Section: Towards the Development And Delivery Of Integrated Service Modelsmentioning

confidence: 99%

Service Models for Urgent and Emergency Psychiatric Care: An Overview

Coates¹

2018

J Psychosoc Nurs Ment Health Serv

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There is variation in the way mental health services respond to urgent and emergency presentations, with few evidence-based models reported in the literature, and no agreed on best practice models. To inform the development of urgent and emergency psychiatric care models, a literature review was performed. The review sought to identify strengths and critiques of varying models, evidence gaps, and areas for future research. After review, significant variation was found in the design and scope of urgent and emergency care models. Most models are either community or hospital based, with few integrated models that span community and hospital care. The development of integrated models has the potential to reduce service duplication and support a shift toward provision of least restrictive care. The overall evidence base of urgent and emergency care models is limited, with few studies in the area, and there is a need for further research. [Journal of Psychosocial Nursing and Mental Health Services, 56(8), 23-30.].

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“…This team is often the first point of call for family members when seeking help for their relatives. The team has a gatekeeping role for access to mental health services (Begum & Riordan, ). It has been reported that best practice involves partnership between crisis team, consumers and their carers during the delivery of care (Karlsson, Borg, Eklund, & Kim, ; Ness, Karlsson, Borg, Biong, & Hesook, ).…”

Section: Introductionmentioning

confidence: 99%

Not sick enough: Experiences of carers of people with mental illness negotiating care for their relatives with mental health services

Olasoji

Maude

McCauley

2017

Psychiatric Ment Health Nurs

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Aim The literature reporting experiences of relatives of people with mental illness regarding their interactions with mental health services identifies many commonalities. However, the actual experience of carers engaging the services and understanding healthcare systems remains a gap in the literature. The aim of this study was to explore the experiences of carers (of people with a severe mental illness) in a major area mental health service in Victoria Australia as they fulfil their caring role while negotiating support for their relative. A carer is defined as a family member or significant other who is the primary individual who provides informal care for a person with severe mental illness and may or may not be in receipt of income supplement for such a role. Specifically this study has a focus on the experience of the carer when negotiating care needs or admission with a mental health service. Method A qualitative descriptive approach was used with five focus groups as a means of data collection. Ethical approval for the study was obtained from both the hospital and universities ethics committees. Results Key themes identified using thematic analysis are presented in the words of the carers and include: "Juggling" between services; We became assertive and If only they would listen. Often carers were advocating for their relative and needing to negotiate between services (police and crisis assessment teams) to gain any form of assessment or intervention. Carers often spent a great deal of time on the phone to services only to be told that their relative was "not sick enough" to access care or that no response would occur without another service also being involved. Discussion Our research highlights the importance of working collaboratively with informal carers and acknowledging their valuable contribution to the care of their relatives with a severe mental illness. It is very important that adequate support is given to carers especially during the period when their relatives are experiencing a crisis. An understanding of their experiences ensures a more family focused approach towards care. The study findings should enable the healthcare team to focus attention on the issues which are most pertinent to carers. Nurses are advocates not only for the patient but also for their families. Relevance statement Carers supporting a person who experiences mental illness can often find themselves in difficult and emotionally challenging situations such as at times of crisis and admission to mental health services. The fourth and latest Australian National Mental Health Plan (2009-2014) acknowledged these concerns and highlighted the need to recognize the role of carers in promoting well-being and recovery of the relative with a mental illness. The plan acknowledges that families are often best placed to recognize signs of relapse in their family members with a mental illness and discharge planning should include the involvement of family members (Commonwealth of Australia, ). To achieve best care outcomes for consumer...

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Nurses experiences of working in Crisis Resolution Home Treatment Teams with its additional gatekeeping responsibilities

Cited by 13 publications

References 18 publications

Experiences and Perceptions of Police Officers Concerning Their Interactions With People With Serious Mental Disorders for Compulsory Treatment

Experiences and Perceptions of Police Officers Concerning Their Interactions With People With Serious Mental Disorders for Compulsory Treatment

Service Models for Urgent and Emergency Psychiatric Care: An Overview

Not sick enough: Experiences of carers of people with mental illness negotiating care for their relatives with mental health services

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