Experiences of intensive home treatment for a mental health crisis during the perinatal period: A UK qualitative study.

作者: Luisa Rubio , Billie Lever Taylor , Nicola Morant , Sonia Johnson

DOI: 10.1111/INM.12774

关键词:

摘要: Some women with severe perinatal mental health difficulties in England are cared for by acute home treatment services, known as Crisis Resolution Teams (CRTs), which provide short-term home-based adults experiencing a crisis. Intensive has been trialed number of countries, but it is not how well suited to the needs women. This qualitative study aimed explore and practitioners experience provision intensive problems. Semi-structured interviews were conducted who had received period (n = 15), focus groups held working CRTs or specialist services (3 groups, n = 25). Data analysed thematically. Women commonly found problematic, intrusive heavily risk-focused, poor staff continuity little tailoring context. However, valued emotional support when provided, particularly focus, sometimes based on sharing their own experiences. also appreciated avoiding hospital admission, choice was often limited. Practitioners reported lack training among CRT described women's needs. Currently, treatment, offered CRTs, may be difficulties. Findings suggest need develop community crisis responses that better tailored this population.

参考文章(21)
Odette Megnin-Viggars, Iona Symington, Louise M. Howard, Stephen Pilling, Experience of care for mental health problems in the antenatal or postnatal period for women in the UK: a systematic review and meta-synthesis of qualitative research Archives of Womens Mental Health. ,vol. 18, pp. 745- 759 ,(2015) , 10.1007/S00737-015-0548-6
R. E. Kendell, J. C. Chalmers, C. Platz, Epidemiology of puerperal psychoses British Journal of Psychiatry. ,vol. 150, pp. 662- 673 ,(1987) , 10.1192/BJP.150.5.662
Sonia Johnson, Crisis resolution and home treatment teams: An evolving model Advances in Psychiatric Treatment. ,vol. 19, pp. 115- 123 ,(2013) , 10.1192/APT.BP.107.004192
Virginia Braun, Victoria Clarke, Using thematic analysis in psychology Qualitative Research in Psychology. ,vol. 3, pp. 77- 101 ,(2006) , 10.1191/1478088706QP063OA
Hind Khalifeh, Catherine Murgatroyd, Mona Freeman, Sonia Johnson, Helen Killaspy, Home Treatment as an Alternative to Hospital Admission for Mothers in a Mental Health Crisis: A Qualitative Study Psychiatric Services. ,vol. 60, pp. 634- 639 ,(2009) , 10.1176/PS.2009.60.5.634
Alan Stein, Rebecca M Pearson, Sherryl H Goodman, Elizabeth Rapa, Atif Rahman, Meaghan McCallum, Louise M Howard, Carmine M Pariante, Effects of perinatal mental disorders on the fetus and child The Lancet. ,vol. 384, pp. 1800- 1819 ,(2014) , 10.1016/S0140-6736(14)61277-0
Rebecca A. Carpenter, Derek K. Tracy, Home treatment teams: what should they do? A qualitative study of patient opinions Journal of Mental Health. ,vol. 24, pp. 98- 102 ,(2015) , 10.3109/09638237.2015.1019046
Jessica Heron, Naomi Gilbert, Clare Dolman, Sonal Shah, Ines Beare, Sarah Dearden, Nicola Muckelroy, Ian Jones, Jonathan Ives, Information and support needs during recovery from postpartum psychosis Archives of Women's Mental Health. ,vol. 15, pp. 155- 165 ,(2012) , 10.1007/S00737-012-0267-1
Louise M. Howard, Katherine Hunt, The needs of mothers with severe mental illness: a comparison of assessments of needs by staff and patients. Archives of Womens Mental Health. ,vol. 11, pp. 131- 136 ,(2008) , 10.1007/S00737-008-0006-9
Louise M Howard, Emma Molyneaux, Cindy-Lee Dennis, Tamsen Rochat, Alan Stein, Jeannette Milgrom, Non-psychotic mental disorders in the perinatal period The Lancet. ,vol. 384, pp. 1775- 1788 ,(2014) , 10.1016/S0140-6736(14)61276-9