The dodo bird verdict and the elephant in the room: A service user-led investigation of crisis resolution and home treatment

Middleton, Hugh; Shaw, Rebecca; Collier, Ron; Purser, Aimie; Ferguson, Brian G.

doi:10.5172/hesr.2011.20.2.147

Cited by 20 publications

(14 citation statements)

References 1 publication

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“…, Middleton et al . ). In terms of strengthening the service user perspectives and affecting policy positively, narrative accounts should hold as much credence as more quantitative studies.…”

Section: Resultsmentioning

confidence: 97%

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‘Dale’: an interpretative phenomenological analysis of a service user's experience with a crisis resolution/home treatment team in the United Kingdom

Nelson

Miller

Ashman

2016

Psychiatric Ment Health Nurs

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Usage of any items from the University of Cumbria's institutional repository 'Insight' must conform to the following fair usage guidelines.Any item and its associated metadata held in the University of Cumbria's institutional repository Insight (unless stated otherwise on the metadata record) may be copied, displayed or performed, and stored in line with the JISC fair dealing guidelines (available here) for educational and not-for-profit activities provided that• the authors, title and full bibliographic details of the item are cited clearly when any part of the work is referred to verbally or in the written form Accessible summaryWhat is known about the subject? This paper describes Crisis Resolution/Home Treatment (CRHT) teams, which are part of mental health services in the UK. CRHT is expected to assist individuals in building resilience, and work within a recovery approach. What this paper adds to existing knowledge?This paper arises from an interview with one individual, Dale, as part of a larger study exploring service users' experiences of CRHT. It adds to the body of narrative knowledge in CRHT through Dale's co-authorship of this paper, reflecting on his original interview four years later, with co-authors providing critical interpretation of his experience, in turn supported by cognate literature. What are the implications for practice?Implications for practice are considered, themselves mediated through Dale's own descriptions of how CRHT interventions impacted upon him. These impacts are analysed with respect to three themes: Resilience, Recovery and Power.It is centrally contended that clinicians need to more clearly comprehend three core matters.Firstly, what resilience 'is' for service users as well as the complex process through which these individuals move in developing resilience. Secondly, the distinction that service users might make between 'recovery' and 'functionality', and how this in turn can impact on individuals both in personal and socio-economic sense. Finally, the mechanics of power within CRHT contexts, and how these interpersonal dynamics can affect the relationship between service user and clinician in practice.

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Section: Resultsmentioning

confidence: 97%

“…The team in this case recognized that CRHT teams need to engage with people's lives and not view their role as simply being there to ‘treat an illness’ (Middleton et al . ). In relation to power during the narrative, Dale was able to use an analogy to explain this:…”

Section: Data Collection and Analysismentioning

confidence: 97%

‘Dale’: an interpretative phenomenological analysis of a service user's experience with a crisis resolution/home treatment team in the United Kingdom

Nelson

Miller

Ashman

2016

Psychiatric Ment Health Nurs

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“…This study shows that a combination of quantitative and qualitative methods provides new knowledge of a fragmented and much‐debated concept (Middleton et al . ; Morgan ; Rallis & Rossman ). Across ACT and recovery research, there seems to be a difference in choice of methods.…”

Section: Discussionmentioning

confidence: 99%

“…The concept's dichotomy is reflected in recovery research, with qualitative and quantitative methods respectively (Middleton et al . ). A third meaning is the concept of social recovery, in which the individual is viewed in a social context.…”

Section: Introductionmentioning

confidence: 97%

Recovery concept in a Norwegian setting to be examined by the assertive community treatment model and mixed methods

Lofthus

Westerlund²,

Bjørgen³

et al. 2016

Int J Mental Health Nurs

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Recovery is a crucial concept in the mental health field. The research of recovery is split into the categories of personal, social and clinical recovery. The purpose of this study was to explore the fragmented concept of recovery in light of assertive community treatment (ACT) in Norway. The study has a mixed methods design with a pragmatic approach. The Questionnaire about the Process of Recovery and open-ended questions posed to 70 participants from 12 ACT teams in Norway, gathered by the "Users interview users" method, are combined with interviews or focus groups with eight of these participants. Surprisingly those under a community treatment order (CTO) report the highest degree of personal recovery. The qualitative material shows that the service users interpreted the concept of recovery differently than researchers and professionals. The ACT service users highlighted three important elements: flexible treatment, medication and access to a car. They emphasized the necessity for basic needs to be met in order to experience a meaningful recovery process, and these basic needs may be of even greater importance to those under CTOs. Their experiences should imply a greater emphasis on securing basic needs such as secure housing, sounder finances and access to the normal benefits offered by society.KEY WORDS: assertive community treatment, basic needs, mixed methods, questionnaire about the process of recovery, recovery.

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“…Despite half a century of intensive biomedical research, contemporary medical treatments for depression and psychosis are no more effective than their 1950s predecessors. There is still no understanding of why they work when they do, and many now attribute much of their efficacy to an enhanced placebo effect [25]. Put under the spotlight of extensive review and meta-analysis, the efficacy of psychological treatments appears to reflect more the ability of the therapist to form a supportive alliance with their client, than it does any specific technical skill they might bring to the consulting room [26,27].…”

Section: Therapy As a Pathway To Happinessmentioning

confidence: 99%

Sociological Conceptions of Happiness and its Implications for Psychotherapy and Public Policy

Shaw

Middleton²

2015

J Nurs Care

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This paper critiques the usefulness of cognitive-behavioural therapy, which is often seen as a means of redressing the loss of community and friendship networks within society. Therapy in this context they runs the danger of becoming an Iatrogenesis at worst and just another `technology of mood' at best. In this paper we develop the critiques made elsewhere and provide a more nuanced argument that considers a wider range of psychological therapies. While all psychological therapies operate at an individual level, there are wide differences in the epistemological stances taken by differing therapeutic schools. Cognitive-behavioural therapy focuses on the idea of dysfunctional thinking within the individual, psychoanalytic therapy focuses upon developmental legacies, whereas person-centred therapy focuses on currently active social influences. In this form one to one therapy can be a route to change which is compatible with our sociological critique. However, the broader criticism that psychological therapies attempt to compensate for breakdowns in friendship and social networks remains. Furthermore reviews of psychotherapeutic outcome data and qualitative enquiry both point to the experience of authentic relationship rather than psychotherapeutic technique as the major determinant of outcome. Preventing social dislocation rather than trying to repair it post hoc should be the goal.

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The dodo bird verdict and the elephant in the room: A service user-led investigation of crisis resolution and home treatment

Cited by 20 publications

References 1 publication

‘Dale’: an interpretative phenomenological analysis of a service user's experience with a crisis resolution/home treatment team in the United Kingdom

‘Dale’: an interpretative phenomenological analysis of a service user's experience with a crisis resolution/home treatment team in the United Kingdom

Recovery concept in a Norwegian setting to be examined by the assertive community treatment model and mixed methods

Sociological Conceptions of Happiness and its Implications for Psychotherapy and Public Policy

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