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[Crisis and connection.].

Shery Mead, David Hilton

    Sante Mentale Au Quebec
    |February 7, 2008
    PubMed
    Summary
    This summary is machine-generated.

    Psychiatric crisis care needs a fundamental shift from forced treatment to a relational, contextual approach. This change emphasizes mutuality and proactive planning, moving beyond illness constructs for better support.

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    Area of Science:

    • Mental Health Services
    • Psychiatric Care
    • Crisis Intervention

    Context:

    • The current psychiatric crisis care system is often characterized by a conflict between forced treatment and recovery-oriented models.
    • Public perception of psychiatric crises is heavily influenced by media, leading to fear-based responses and social control rather than effective support.
    • Existing approaches often objectify the crisis experience as an illness construct, hindering genuine understanding and help.

    Purpose:

    • To propose a fundamental change in understanding and responding to psychiatric crises.
    • To shift from an illness-construct framework to a relational and contextual model for crisis response.
    • To explore key concepts including mutuality, proactive crisis planning, negotiated power, risk/safety, and 're-storying' crisis experiences.

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    Summary:

    • This paper advocates for a paradigm shift in psychiatric crisis intervention, moving away from labeling crises as mere illness experiences.
    • It introduces a relational and contextual framework for crisis response, emphasizing concepts like mutuality, proactive planning, and negotiated power.
    • The authors, with extensive personal and professional experience in peer support programs, argue for research strategies that align with this new understanding.

    Impact:

    • This work aims to reframe the understanding and management of psychiatric crises, fostering more supportive and less stigmatizing interventions.
    • By promoting a relational approach, it seeks to empower individuals experiencing crisis and improve the effectiveness of mental health services.
    • The proposed shift encourages the development of congruent research that supports person-centered, recovery-oriented crisis care.