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Related Experiment Videos

Explorations of a crisis intervention service.

D A Winter1, H Shivakumar, R J Brown

  • 1Napsbury Hospital, London Colney, St Albans, Hertfordshire.

The British Journal of Psychiatry : the Journal of Mental Science
|August 1, 1987
PubMed
Summary

Crisis intervention staff attitudes and personal styles vary by profession, impacting case discrimination. Therapists use more confrontation in crisis interviews compared to standard psychiatric settings.

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Area of Science:

  • Psychology
  • Psychiatry
  • Mental Health Services

Background:

  • Previous research indicates a link between staff attitudes and personal styles in crisis intervention.
  • Differences in professional backgrounds contribute to variations in staff attitudes and personal styles.
  • Understanding these differences is crucial for effective crisis service delivery.

Purpose of the Study:

  • To explore the relationship between staff attitudes, personal styles, and professional roles in a crisis intervention service.
  • To compare the characteristics of crisis team members with non-members.
  • To examine differences in patient perceptions between crisis referrals and standard out-patient clinic referrals.

Main Methods:

  • Descriptive studies analyzing staff attitudes and personal styles.

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  • Comparison of crisis team members and non-members.
  • Analysis of initial crisis intervention interviews versus psychiatric out-patient clinic interviews.
  • Assessment of patient perception differences.

    • Main Results:

    • Staff attitudes and personal styles differed between crisis team members and non-members, influenced by professional composition.
    • All staff groups understood the concept of crisis but varied in distinguishing crisis cases from other psychiatric conditions ('furores').
    • Crisis intervention interviews were more confrontational and less exploratory than those in psychiatric out-patient clinics.
    • Patients referred to crisis services perceived their problems differently compared to their social contacts and patients in standard clinics.

    Conclusions:

    • Professional background significantly shapes staff approaches in crisis intervention.
    • Crisis teams exhibit distinct therapeutic styles and patient referral characteristics.
    • Patient perception of problems is a key differentiator for crisis service engagement.