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Individualisation in crisis planning for people with psychotic disorders
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Farrelly, Simone, Szmukler, G., Henderson, C., Birchwood, M. J., Marshall, Max, Waheed, Waquas, Finnecy, C. and Thornicroft, Graham (2014) Individualisation in crisis planning for people with psychotic disorders. Epidemiology and Psychiatric Sciences, 23 (4). pp. 353-359. doi:10.1017/S2045796013000401 ISSN 2045-7979.
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Official URL: http://dx.doi.org/10.1017/S2045796013000401
Abstract
Background. In England, people with a serious mental illness are offered a standardized care plan under the Care Programme Approach (CPA). A crisis plan is a mandatory part of this standard; however, the quality and in particular the level of individualisation of these crisis plans are unknown. In this context, the aim of this study was to assess the quality of crisis planning and the impact of exposure to a specialized crisis planning intervention. Method. The crisis plans of 424 participants were assessed, before and after exposure to the Joint Crisis Plan (JCP) intervention, for 'individualisation' (i.e., at least one item of specific and identifiable information about an individual). Associations of individualisation were investigated. Results. A total of 15% of crisis plans were individualised at baseline. There was little or no improvement following exposure to the JCP. Individualised crisis plans were not associated with a history of prior crises or incidences of harm to self and others. Conclusions. Routine crisis planning for individuals with serious mental illness is not influenced by clinical risk profiles. 'Top down' implementation of the policy is unlikely to generate the best practice and compliance if clinicians do not perceive the clinical value in the process.
| Item Type: | Journal Article | ||||||||||
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| Subjects: | R Medicine > RA Public aspects of medicine R Medicine > RC Internal medicine |
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| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Mental Health and Wellbeing Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| Library of Congress Subject Headings (LCSH): | Mental illness, Mental health , Psychoses | ||||||||||
| Journal or Publication Title: | Epidemiology and Psychiatric Sciences | ||||||||||
| Publisher: | Cambridge University Press | ||||||||||
| ISSN: | 2045-7979 | ||||||||||
| Official Date: | December 2014 | ||||||||||
| Dates: |
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| Volume: | 23 | ||||||||||
| Number: | 4 | ||||||||||
| Page Range: | pp. 353-359 | ||||||||||
| DOI: | 10.1017/S2045796013000401 | ||||||||||
| Status: | Peer Reviewed | ||||||||||
| Publication Status: | Published | ||||||||||
| Access rights to Published version: | Restricted or Subscription Access |
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