To read this content please select one of the options below:

A preliminary evaluation of Crisis Plus: a model for working with frequent users of psychiatric crisis and inpatient services

Ketan Ramesh Sonigra (Practitioner Psychologist at South London and Maudsley NHS Foundation Trust, London, UK)
Lucy McIvor (Assistant Psychologist at South London and Maudsley NHS Foundation Trust, London, UK)
James Payne-Gill (Lead Data Analyst at South London and Maudsley NHS Foundation Trust, London, UK)
Tim Smith (Deputy Lead for Inpatient Psychology at Berkshire Healthcare NHS Foundation Trust, Reading, UK)
Alison Beck (Director of Psychology and Psychotherapy at South London and Maudsley NHS Foundation Trust , London, UK)

Mental Health Review Journal

ISSN: 1361-9322

Article publication date: 16 June 2023

Issue publication date: 9 November 2023

72

Abstract

Purpose

There is a proportion of psychiatric service users whose needs are not met by existing models of care. This can lead to a reliance on acute and crisis services. These service users may be considered high intensity users (HIUs). The purpose of this research is to evaluate the Crisis Plus model, an intervention designed to better support HIUs in the community and reduce dependency on acute and crisis services.

Design/methodology/approach

Forty-seven HIUs were involved in Crisis Plus. The core intervention of Crisis Plus was an Anticipatory Management Plan (AMP), produced in collaboration with service users, their families and their care coordinators. AMPs were shared with relevant services and attached to electronic patient notes to ensure a uniform, psychologically informed approach to care.

Findings

HIU service use was compared pre and post-AMP. On average, number of inpatient admissions, number of days spent on the ward, accepted psychiatric liaison referrals and accepted home treatment team (HTT) referrals decreased significantly.

Practical implications

Crisis Plus has taken a collaborative, proactive approach to engage HIUs, their families and the services that care for them. Crisis interventions that emphasise collaborative working and service user agency are key.

Originality/value

The provision of dedicated psychological support to HIUs and their professional and personal network is crucial to reduce reliance on acute and crisis care. Crisis Plus is unique in that it instigates co-production and active consultation with HIUs and services to improve clinical outcomes, in addition to reducing NHS expenditure.

Keywords

Acknowledgements

This research was not supported by any external funding.

Ketan Ramesh Sonigra and Lucy McIvor are joint authors on paper.

Erratum: It has come to the attention of the publisher that the article, Sonigra, K. R., McIvor, L., Payne-Gill, J., Smith, T. and Beck, A. (2023), “A preliminary evaluation of Crisis Plus: a model for working with frequent users of psychiatric crisis and inpatient services”, Mental Health Review Journal, Vol. ahead-of-print No. ahead-of-print. https://doi.org/10.1108/MHRJ-05-2022-0031, incorrectly listed the first author’s name as “Ramesh Sonigra” in the citation XML. The error was introduced during the typesetting process and has now been corrected in the online version. The citation has been corrected to “Sonigra, K. R.”. The publisher sincerely apologises for this error and any inconvenience caused.

Citation

Sonigra, K.R., McIvor, L., Payne-Gill, J., Smith, T. and Beck, A. (2023), "A preliminary evaluation of Crisis Plus: a model for working with frequent users of psychiatric crisis and inpatient services", Mental Health Review Journal, Vol. 28 No. 4, pp. 350-361. https://doi.org/10.1108/MHRJ-05-2022-0031

Publisher

:

Emerald Publishing Limited

Copyright © 2023, Emerald Publishing Limited

Related articles