The purpose of this three-day interactive course is to introduce to new e. It will then be possible to conduct further research into service user-led alternatives to mental health crises, including mixed-methods research to compare therapeutic alliances and outcomes in service user-led and mainstream acute services.
This work was produced by Sweeney et al. Specific crisis houses tailored to the needs of particular demographic or diagnostic groups, such as women, members of particular ethnic minorities, or people with early psychosis, have been reported in some catchment areas, 27 and may further enhance the capacity of a catchment area acute mental health care system to deliver care tailored to the needs of individual service users.
Chapter 5Discussion and conclusions Main findings How do therapeutic relationships differ between crisis house and hospital, and how may this contribute to service user satisfaction? Interspersed throughout the course will be interactive small group activities to engage the participants in the iterative process of conducting MMR.
This sometimes brings challenges for staff in terms of maintaining an appropriate balance between two ways of being in their relationships with service users. Furthermore, the inclusion of service user researchers as the key study researchers, engaged not only in data collection, as is frequently the case, but also in study design and instrument development, data analysis and interpretation and writing up, is a particular strength.
In the quantitative study, a good response rate was achieved with a sample likely to be representative of service users in the relevant services. Close collaboration between service users and clinicians is likely to be needed to develop feasible and effective methods of improving relationships.
Basic considerations for a mixed method study is covered without bombarding the student with too much of the philosophical underpinnings-which makes the material non-threatening to new students of research.
One of the most recent of many resounding indictments comes from the Schizophrenia Commission: 10 In our evidence we heard of many acute units which were stressful, chaotic and scary places. It does exactly what it says it will do.The crisis houses studied in this research comprised a range of models, from statutory services staffed in the main by mental health clinicians to voluntary services employing few staff with clinical mental health qualifications. Thus differences in the extent to which service users feel they have experienced recovery are not likely to account for differences in satisfaction between ward and crisis houses: a parallel is in the prior TAS where comparisons on a more conventionally clinical definition of recovery, i. In order to understand the ways in which the organisation and operating principles of crisis houses affects therapeutic relationships, we recommend that an ethnographic study is conducted, focussing on a range of crisis houses that operate along clear values and principles, preferably including a crisis house led and run by service users. Basic considerations for a mixed method study is covered without bombarding the student with too much of the philosophical underpinnings-which makes the material non-threatening to new students of research. This is likely to have enhanced both the validity of the data collected as described above and the interpretation of that data, and particularly of service user accounts of their experiences. Participatory action research may be an appropriate model to develop and test interventions involving enhanced support and training for staff in the ways in which they engage and interact with service users. It seems essential that services ensure that service users have the maximum possible levels of freedom and autonomy. Our research joins a growing body of evidence that has identified a lack of compassion and humanity on acute wards and staff disengagement from service users. It has allowed students to become more selective in their choices when considering methodology. The effects of deprivation of liberty were less prominent in staff than in service user accounts, suggesting that they may not always understand how important their effect is on relationships. Managers should consider addressing these issues, for example by creating a workplace culture and environment that enables staff to support one another, but also to challenge instances of poor practice. However, it could also be regarded as a component of therapeutic relationships.