A study of'crisis cards'in a community psychiatric service.
Crisis cards'state patients'treatment details and preferences in anticipation of a later occasion when the patient might be too ill to express them directly.
We assessed the feasibility of introducing'crisis cards'or a collaborative form of them, joint crisis plans'into a sectorized community psychiatric service.
All patients with a psychosis and at high risk of crisis were invited to participate.
Follow-up examined patients'satisfaction and how the cards were used.
In total, 106 eligible patients were identified and offered a card, and 40% agreed to participate.
Patients with an affective psychosis, past suicide attempts and less frequent admissions were over-represented among those who agreed to take part.
Patients chose to include a wide range of information.
For participants, admissions fell by 30% in the follow-up year.
Crisis cards serve both a'manifest'practical function (to provide important information when the patient is too ill to do so) and a'latent'psychological one (positive effects on the patient's attitude to self, their illness and treatment, and their relationship with the clinical team).
Mots-clés Pascal : Trouble psychiatrique, Urgence psychiatrique, Hospitalisation, Reconnaissance, Santé mentale, Royaume Uni, Europe, Homme
Mots-clés Pascal anglais : Mental disorder, Psychiatric emergency, Hospitalization, Recognition, Mental health, United Kingdom, Europe, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0349857
Code Inist : 002B18I09. Création : 14/12/1999.