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- Title
Improving Therapeutic Relationships: Joint Crisis Planning for Individuals With Psychotic Disorders.
- Authors
Farrelly, Simone; Lester, Helen; Rose, Diana; Birchwood, Max; Marshall, Max; Waheed, Waquas; Henderson, R. Claire; Szmukler, George; Thornicroft, Graham
- Abstract
Outcomes for individuals with psychosis remain far from acceptable. Recently, prominent psychiatrists have called for an improved understanding of the impact of social contexts, and how social contexts might influence the development and maintenance of mental health problems. A key social context for individuals with psychosis is the therapeutic relationship. As part of a trial of joint crisis planning in England, this qualitative study aimed to determine the mechanism through which joint crisis planning might affect the therapeutic relationship. Results suggest that routine processes in mental health care are affected by policy and organizational requirements for risk mitigation—aspects that undermine person-centered approaches. In contrast, strong therapeutic relationships are characterized by individualized care and reliable and respectful treatment. The Joint Crisis Plan intervention partially succeeded in reducing contextual influences on routine role enactments, facilitating the demonstration of respect and improving the therapeutic relationship.
- Subjects
ENGLAND; FOCUS groups; PATIENT participation; PSYCHOSES; GROUNDED theory; PATIENT-centered care; INTERVIEWING; QUALITATIVE research; CONCEPTUAL structures; COMMUNICATION; PATIENT-professional relations; SOCIAL skills; MENTAL health services; CRISIS intervention (Mental health services); PSYCHOSOCIAL factors; ADULTS
- Publication
Qualitative Health Research, 2015, Vol 25, Issue 12, p1637
- ISSN
1049-7323
- Publication type
Article
- DOI
10.1177/1049732314566320