The psychiatric nonhospital: A model for change

Polak, Paul; Jones, Maxwell

doi:10.1007/bf01411088

Cited by 11 publications

(7 citation statements)

References 10 publications

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“…Although grounded in Caplan's () assertion that a ‘crisis’ occurs when normal coping mechanisms and networks are not sufficient to deal with a particular problem, this short definition reflects only the locally remedial aspect of the intervention. Crisis theory today is also, and equally, concerned with Caplan's own concern to encourage an individual in crisis to learn from the situation (Polak & Jones , Carroll et al . ); that is each crisis should be addressed in such a manner as to facilitate the services user's capacity to diminish, or even obviate, the chance of its recurrence (Bridgett & Polak , Chisholm & Ford ).…”

Section: Theoretical Historical and Policy Backgroundmentioning

confidence: 99%

“…It is within this learning process, in particular, that the CRHT approach places significantly stronger emphasis upon the importance of the social world that the service user inhabits (interpersonal connections, relationships, networks, etc.) than in many approaches to mental health intervention (Gruenberg , Polak , Polak & Jones , Bridgett & Polak ,b). The underlying philosophy of contemporary CRHT is visibly grounded in a ‘social systems’ (von Bertalanaffy ) position.…”

Section: Theoretical Historical and Policy Backgroundmentioning

confidence: 99%

“…Caplan () identified this personal understanding as ‘learning from the situation’ (Polak & Jones , Carroll et al . ).…”

Section: Data Collection and Analysismentioning

confidence: 99%

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‘Dale’: an interpretative phenomenological analysis of a service user's experience with a crisis resolution/home treatment team in the United Kingdom

Nelson

Miller

Ashman

2016

Psychiatric Ment Health Nurs

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Usage of any items from the University of Cumbria's institutional repository 'Insight' must conform to the following fair usage guidelines.Any item and its associated metadata held in the University of Cumbria's institutional repository Insight (unless stated otherwise on the metadata record) may be copied, displayed or performed, and stored in line with the JISC fair dealing guidelines (available here) for educational and not-for-profit activities provided that• the authors, title and full bibliographic details of the item are cited clearly when any part of the work is referred to verbally or in the written form Accessible summaryWhat is known about the subject? This paper describes Crisis Resolution/Home Treatment (CRHT) teams, which are part of mental health services in the UK. CRHT is expected to assist individuals in building resilience, and work within a recovery approach. What this paper adds to existing knowledge?This paper arises from an interview with one individual, Dale, as part of a larger study exploring service users' experiences of CRHT. It adds to the body of narrative knowledge in CRHT through Dale's co-authorship of this paper, reflecting on his original interview four years later, with co-authors providing critical interpretation of his experience, in turn supported by cognate literature. What are the implications for practice?Implications for practice are considered, themselves mediated through Dale's own descriptions of how CRHT interventions impacted upon him. These impacts are analysed with respect to three themes: Resilience, Recovery and Power.It is centrally contended that clinicians need to more clearly comprehend three core matters.Firstly, what resilience 'is' for service users as well as the complex process through which these individuals move in developing resilience. Secondly, the distinction that service users might make between 'recovery' and 'functionality', and how this in turn can impact on individuals both in personal and socio-economic sense. Finally, the mechanics of power within CRHT contexts, and how these interpersonal dynamics can affect the relationship between service user and clinician in practice.

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Section: Theoretical Historical and Policy Backgroundmentioning

confidence: 99%

Section: Theoretical Historical and Policy Backgroundmentioning

confidence: 99%

See 1 more Smart Citation

‘Dale’: an interpretative phenomenological analysis of a service user's experience with a crisis resolution/home treatment team in the United Kingdom

Nelson

Miller

Ashman

2016

Psychiatric Ment Health Nurs

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“…1967, Langsley et al. 1997, Polak & Jones 1973, Fenton et al. 1979, Stein & Test 1980, Hoult 1981, Hoult et al.…”

Section: Introductionmentioning

confidence: 99%

“…Randomised controlled trials are difficult to apply given the varied nature and complex nature of the intervention (Burns et al 2001, Priebe & Slade 2001, Johnson et al 2008. However, most have found reductions in inpatient bed use (Pasamanick et al 1967, Langsley et al 1997, Polak & Jones 1973, Fenton et al 1979, Stein & Test 1980, Hoult 1981, Hoult et al 1983, Pai & Kapur 1983, Marks et al 1994, Dean & Gadd 1990, Minghella et al 1998, Bracken & Cohen 1999, Cotton et al 2007, although a recent observation study found an increase in mental health act assessments after the introduction of home treatment in one English county (Furminger & Webber 2009). Some factors have been found to influence the choice of intervention (HTT or inpatient admission) including age (in men), marital status, living alone and time and location of assessment (Dean & Gadd 1990, Schnyder et al 1999.…”

Section: Introductionmentioning

confidence: 99%

Ethnicity and access to an inner city home treatment service: a case-control study

Bookle

Webber

2011

Health &Amp; Social Care in the Community

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There is strong evidence suggesting ethnic variations in mental health service use and disproportionate numbers of people of black ethnic origin being admitted to hospital. The objective of this study was to establish whether people of black ethnic origin had equal access to home treatment in a mental health crisis. Using a case-control design, we selected a random sample of 240 inpatient episodes and compared them with a sample of 77 home treatment episodes over a 12-month period (1 April 2008-31 March 2009). We found no difference in the proportion of people of black ethnic origin being home treated in comparison to receiving an inpatient admission, although they experienced longer hospital admissions than people of other ethnic origin. Diagnosis, housing status and source of referral were found to be significant in influencing the choice of intervention in our multivariate analysis. People of black ethnic origin were found to use home treatment to the same extent as other ethnic groups in a mental health crisis, but further research is required for the early discharge function of home treatment teams to evaluate whether this aspect of care is experienced differently by different ethnic groups.

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The development of crisis resolution and home treatment teams

Thornicroft

2008

Crisis Resolution and Home Treatment in Mental Health

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The psychiatric nonhospital: A model for change

Cited by 11 publications

References 10 publications

‘Dale’: an interpretative phenomenological analysis of a service user's experience with a crisis resolution/home treatment team in the United Kingdom

‘Dale’: an interpretative phenomenological analysis of a service user's experience with a crisis resolution/home treatment team in the United Kingdom

Ethnicity and access to an inner city home treatment service: a case-control study

The development of crisis resolution and home treatment teams

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