Continuity of care and therapeutic relationships as critical elements in acute psychiatric care

Ruud, Torleif; Friis, Svein

doi:10.1002/wps.20966

Cited by 8 publications

(6 citation statements)

References 12 publications

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Section: Backg Rou N Dmentioning

confidence: 99%

“…Some studies have highlighted the importance of developing therapeutic relationship competence during training. Thus, there is a need to develop mental health professionals' therapeutic relationship knowledge and skills in professional training in acute mental health care (Liao & Murphy, 2019 ; Ruud & Friis, 2022 ). Consequently, all these factors contribute to patients reporting that nurses are often inaccessible and unavailable, indicating a lack of communication and a lack of opportunity to participate in their care (Rio et al, 2020 ).…”

Section: Introductionmentioning

confidence: 99%

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Impact of the ‘reserved therapeutic space’ nursing intervention on patient health outcomes: An intervention study in acute mental health units

Poyato

Abidi²,

Lluch‐Canut

et al. 2023

Nursing Open

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The therapeutic relationship is internationally considered to be at the core of mental health nursing care (Moreno-Poyato et al., 2016). Indeed, the quality of its establishment is associated with better evidence-based practice on behalf of nurses . Moreover, the therapeutic relationship is used as a vehicle for improving the health of people with mental health problems (Zugai et al., 2015). However, the correct development and maintenance of the therapeutic relationship

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Section: Backg Rou N Dmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Impact of the ‘reserved therapeutic space’ nursing intervention on patient health outcomes: An intervention study in acute mental health units

Poyato

Abidi²,

Lluch‐Canut

et al. 2023

Nursing Open

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“…Given the increasing popularity of outpatient care and the potential importance of the professional relationship during an outpatient crisis intervention, it is critical to understand on how to establish a supportive relationship in this context. Subsequently, especially during an outpatient crisis intervention, own models are needed to be able to establish and maintain a relationship in the shortest possible time [35]. The currently existing models that guide professionals through a crisis intervention and provide steps for dealing with a person in crisis [8,14,35] mostly lack of research-based evidence [35,36] and remain unspecific regarding the relationship.…”

Section: Introductionmentioning

confidence: 99%

“…Subsequently, especially during an outpatient crisis intervention, own models are needed to be able to establish and maintain a relationship in the shortest possible time [35]. The currently existing models that guide professionals through a crisis intervention and provide steps for dealing with a person in crisis [8,14,35] mostly lack of research-based evidence [35,36] and remain unspecific regarding the relationship. Johnson et al [6] state that "service design and development should be rooted in evidence".…”

Section: Introductionmentioning

confidence: 99%

Professional relationships during crisis interventions: A scoping review

Steimle,

von Peter,

Frank

2024

PLoS ONE

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Introduction A crisis can be described as subjective experience that threatens and overwhelms a person’s ability to handle a specific situation. In dealing with crises some people are looking for support from professionals. The “professional relationship” between people experiencing a crisis and professionals plays an important role in the successful management of a crisis which has been widely researched in many contexts. However, regarding outpatient services (e. g. crisis resolution home treatment teams), yet empirical evidence remains limited. Objective We aim to explore descriptions of supportive professional relationships during outpatient crisis interventions in empirical literature. Accordingly, a scoping review was conducted to identify types of evidence, map the key concepts, and point out research gaps. Methods MEDLINE, PsycINFO, CINAHL and Social Science Citation Index were searched for studies reporting empirical data on the professional relationship between people experiencing a crisis (18+) and professionals (e. g. social workers, psychiatrists) during a crisis intervention, defined as a short-term, face-to-face, low threshold, time-limited, outpatient, and voluntary intervention to cope with crises. Studies were excluded if they were published before 2007, in languages other than English and German, and if they couldn’t be accessed. Included studies were summarized, compared, and synthesized using qualitative content analyses. Results 3.741 records were identified, of which 8 met the eligibility criteria. Only one study directly focused on the relationship; the others addressed varied aspects. Two studies explored the perspectives of service users, five focused on those of the professionals and one study examined both. The empirical literature was categorized into three main themes: strategies used to develop a supportive professional relationship, factors influencing the relationship and the nature of these relationships. Discussion The results reveal a gap in understanding the nature of supportive professional relationships from the service users’ perspective, as well as how professionals construct these relationships.

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“…Accordingly, comprehension is often low and informed consent cannot always be properly obtained. Another characteristic of the acute setting that makes research particularly challenging is that in many countries there is no continuity of treatment from the acute inpatient to subsequent (open) settings ( Wood et al, 2022 ), although care continuity, particularly the ability to build a therapeutic relationship, is associated with a variety of positive outcomes ( Ruud and Friis, 2022 ). As stays on acute wards are often brief, ranging from a few days to around four weeks, and interventions that are limited to the ward itself cannot continue seamlessly once the patient leaves care, interventions must be very brief as well ( Bullock et al, 2021 ).…”

Section: Introductionmentioning

confidence: 99%

Metacognitive training in the acute psychiatric care setting: feasibility, acceptability, and safety

Fischer,

Nagel,

Schöttle

et al. 2023

Front. Psychol.

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Patients on acute psychiatric wards desire more psychosocial treatment than they receive, according to recent studies, but evidence-based interventions tailored to this setting are currently lacking. Metacognitive Training for psychosis (MCT) is a flexible, easy-to-administer group therapy that has been adapted to meet this demand (MCT-Acute). Thirty-seven patients with severe mental illness took part in MCT-Acute twice a week during their stay on a locked acute ward and were interviewed before, during, and after the intervention period regarding subjective utility, subjective adverse events, and symptom severity; attendance rates and reasons for absence were recorded. In addition, staff rated adverse events, symptom severity, and functioning (German Clinical Trial Register ID: DRKS00020551). Overall, most patients evaluated MCT-Acute positively and reported symptom stabilization. Staff also reported improvement in functioning. No clinician-rated adverse events related to participation in MCT-Acute were reported. Conducting MCT-Acute is feasible and safe and may contribute to meeting patients’, practitioners’, and researchers’ demands for more evidence-based psychotherapeutic interventions for the acute psychiatric care setting.Clinical Trial RegistrationID: DRKS00020551, https://drks.de/search/de/trial/DRKS00020551

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Continuity of care and therapeutic relationships as critical elements in acute psychiatric care

Cited by 8 publications

References 12 publications

Impact of the ‘reserved therapeutic space’ nursing intervention on patient health outcomes: An intervention study in acute mental health units

Impact of the ‘reserved therapeutic space’ nursing intervention on patient health outcomes: An intervention study in acute mental health units

Professional relationships during crisis interventions: A scoping review

Metacognitive training in the acute psychiatric care setting: feasibility, acceptability, and safety

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