Exploring patients' experience of peer-supported open dialogue and standard care following a mental health crisis: qualitative 3-month follow-up study

BJPsych Open

article

Sailaa Sunthararajah¹  Katherine Clarke⁴  Russell Razzaque²  Marta Chmielowska²  Benjamin Brandrett³  Stephen Pilling³ 

[1] Institute of Psychiatry, Psychology and Neuroscience, King's College London;Research and Development, Goodmayes Hospital, North East London NHS Foundation Trust;and Department of Clinical, Educational and Health Psychology, University College London;Department of Clinical, Educational and Health Psychology, University College London;and Institute of Health and Wellbeing, University of Glasgow

关键词: Qualitative research;    patients;    crisis care;    open dialogue;    mental health services;   

DOI  :  10.1192/bjo.2022.542

学科分类：计算机科学（综合）

来源: Canadian Society For Pharmaceutical Sciences (Csps).

【 摘 要 】

Background Experience of crisis care may vary across different care models.AimsTo explore the experience of care in standard care and ‘opendialogue’ (a peer-supported community service focused on opendialogue and involving social networks for adults with a recentmental health crisis) 3 months after a crisis.MethodWe conducted semi-structured interviews with 11 participants(6 received open dialogue; 5 received treatment as usual (TAU))in a feasibility study of open dialogue and analysed the data usinga three-step inductive thematic analysis to identify themesthat (a) were frequently endorsed and (b) represented theexperiences of all participants.ResultsFour themes emerged: (a) feeling able to rely on and accessmental health services; (b) supportive and understanding familyand friends; © having a choice and a voice; and (d) confusion andmaking sense of experiences. Generally, there was a divergencein experience across the two care models. Open dialogue participants often felt able to rely on and access services and involvetheir family and friends in their care. TAU participants describeda need to rely on services and difficulty when it was not met,needing family and friends for support and wanting them to bemore involved in their care. Some participants across both caremodels experienced confusion after a crisis and describedbenefits of sense-making.ConclusionsUnderstanding crisis care experiences across different caremodels can inform service development in crisis and continuingmental healthcare services.

【 授权许可】

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