A study of 'crisis cards' in a community psychiatric service.

Abstract:

OBJECTIVE:'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. METHOD: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. RESULTS: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. CONCLUSION: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).

journal_name

Acta Psychiatr Scand

authors

Sutherby K,Szmukler GI,Halpern A,Alexander M,Thornicroft G,Johnson C,Wright S

doi

10.1111/j.1600-0447.1999.tb10914.x

subject

Has Abstract

pub_date

1999-07-01 00:00:00

pages

56-61

issue

1

eissn

0001-690X

issn

1600-0447

journal_volume

100

pub_type

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