Social systems intervention and crisis resolution. Part 1: Assessment

Bridgett, Christopher; Polak, Paul

doi:10.1192/apt.9.6.424

Cited by 20 publications

(20 citation statements)

References 29 publications

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“…This requires a complex, multidisciplinary response involving contributions from agencies such as social services that can engage with confused, anxious or threatened relatives, housing agencies, employers and others. As Bridgett and Polak (2003) point out, the admission of a person in acute mental distress can be as much a social as a medical necessity.…”

Section: A Contemporary Acute Mental Health Services Modelmentioning

confidence: 99%

New ways of working in acute inpatient care: a case for change

Baguley

Alexander

Middleton

et al. 2007

The Journal of Mental Health Training, Education and Practice

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This position paper focuses on the current tensions and challenges of aligning inpatient care with innovations in mental health services. It argues that a cultural shift is required within inpatient services. Obstacles to change including traditional perceptions of the role and responsibilities of the psychiatrist are discussed. The paper urges all staff working in acute care to reflect on the service that they provide, and to consider how the adoption of new ways of working might revolutionise the organisational culture. This cultural shift offers inpatient staff the opportunity to fully utilise their expertise. New ways of working may be perceived as a threat to existing roles and responsibilities or as an exciting opportunity for professional development with increased job satisfaction. Above all, the move to new ways of working, which is gathering pace throughout the UK, could offer service users1 a quality of care that meets their needs and expectations.

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Section: A Contemporary Acute Mental Health Services Modelmentioning

confidence: 99%

New ways of working in acute inpatient care: a case for change

Baguley

Alexander

Middleton

et al. 2007

The Journal of Mental Health Training, Education and Practice

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show abstract

“…There are only four papers that address clinical approaches in crisis resolution and home treatment. Bridgett & Polak (2003a,b) focused on social factors associated with admission and examine the social systems intervention process, both as an alternative to admission and as an element in early inpatient discharge, stressing the importance of home treatment and the network.…”

Section: Resultsmentioning

confidence: 99%

“…Mobile‐care means new possibilities to clinicians in engaging the social environment within which the service user lives (Bridgett & Polak 2003a). Being mobile allows easier access to the service user by the team for assessing and solving practical social problems such as ‘shortage of money, inadequate shelter, risk of accident, danger of exploitation, and neglect of self‐care and diet’ (Bridgett & Polak 2003a, p. 427). By being mobile the team gets closer to the service user, the home environment, and social network.…”

Section: Resultsmentioning

confidence: 99%

Crisis resolution and home treatment: structure, process, and outcome - a literature review

Sjølie¹,

Karlsson

Kim

2010

Journal of Psychiatric and Mental Health Nursing

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The objective of this paper is to explore and systematize the existing knowledge regarding the structure, process, and outcome of crisis resolution and home treatment (CRHT) as a form of community mental health service. Data sources are published peer-reviewed articles. Our study selection is systematic search for peer-reviewed articles written in English and Norwegian published between January 2000 and December 2008. Data are extracted from review of published articles on the subject of CRHT team and home treatment. We identified 35 articles including 6 reviews, consisting of quantitative and qualitative studies. The knowledge regarding CRHT focuses on three areas: (1) structure in terms of the standards, organization, and development; (2) process in terms of clinical interventions; and (3) outcome in relation to cost-effectiveness and admission rates. While the structural issues were presented and discussed a great deal, there is a paucity of articles on clinical intervention methods in home treatment as well as a limited attention on outcomes at the micro-level. There is a need for further studies regarding the clinical work of CRHT teams from the home treatment perspective.

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“…Bridgett and Polak (2003), for example, highlight how decisions to admit a patient to hospital in acute mental distress are made in E M O T I O N I N C R I S I S relation to medical need, when there may have been crucial social factors which precipitated the crisis. These social factors may be ignored until the time of discharge.…”

Section: Discussionmentioning

confidence: 98%

Emotion in crisis: primary and secondary mental health contexts

Morton¹

2010

Journal of Social Work Practice

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EMOTION IN CRISIS: PRIMARY AND SECONDARY MENTAL HEALTH CONTEXTSThe purpose of this paper is to explore the relationship between emotion and the experience of a mental health crisis, in particular how this relationship is understood in crisis resolution services and formal mental health (primary and secondary) services more broadly. The paper presents some findings from a small scale study of a Crisis Resolution/Home Treatment Team (CRT/HT) in the North West of England. The specific findings discussed relate to: (i) the nature of the crises people presented with; (ii) diagnostic category; and (iii) staff perceptions of what they felt had most helped individuals. The analysis of emotion is developed from these findings in this crisis service where practitioners seemed to implicitly understand crisis and emotion relationships even though these were seldom articulated or acknowledged in the practices and procedures intended to assist people in crisis. The paper goes on to develop an analysis of these findings in the context of current service provision and offers a conceptual exploration of the limitations which may be found in the acknowledgement of the relationships between emotion and crisis. The paper suggests that emotional context for an individual is considered differently depending on which parts of the formal mental health services are accessed.

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Social systems intervention and crisis resolution. Part 1: Assessment

Cited by 20 publications

References 29 publications

New ways of working in acute inpatient care: a case for change

New ways of working in acute inpatient care: a case for change

Crisis resolution and home treatment: structure, process, and outcome - a literature review

Emotion in crisis: primary and secondary mental health contexts

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