Analysis of 221 joint crisis plans for people with diagnoses of psychotic disorders and at least one psychiatric admission in the past two years, in England’s CRIMSON randomized controlled trial, finds that “Most service users requested full involvement in decisions about their care, clear and consistent treatment plans, access to familiar clinicians who knew them well, and to be treated with respect and compassion. Some service users requested hospitalisation, but the majority preferred alternatives. The most frequently preferred intervention was care by a home treatment team.” The researchers conclude that “Joint crisis planning (JCP) resulted in service users making choices that were clinically reasonable. The technique employed by JCPs appeared to empower service users by engaging them in a productive dialogue with their clinicians.”
Farrelly, S., Brown, G., Rose, D., Doherty, E., et al; What service users with psychotic disorders want in a mental health crisis or relapse: thematic analysis of joint crisis plans. Social Psychiatry and Psychiatric Epidemiology. Online April, 2014. DOI: 10.1007/s00127-014-0869-1