Skip to main content
×
×
Home

Crisis cards and self-help crisis initiatives

  • Kim Sutherby (a1) and George Szmukler (a1)
Extract

The concept of a ‘crisis card’ originated in the voluntary sector as an advocacy tool for use in mental health emergencies. This type of self-help initiative, and variations which include advance planning for mental health crises, are becoming more common, and have received Government and media attention (Brindle, 1993). The Health Committee's Fifth Report to the House of Commons (1993) on ‘Community Supervision Orders' included evidence given by Survivors Speak Out on the use of crisis cards or treatment contracts as an optional alternative to community supervision orders. Survivors Speak Out described how a user, “when in a rational state of mind, can set out in writing (on a crisis card) how they would like to be treated in circumstances when they are not the best judge of their own interests”. The Government's response was to encourage the informal use of crisis cards and the development of best practice and guidance on their use bearing in mind the central role of the user (Department of Health, 1993). They also recommended that ways of amending the law to provide for crisis cards to be legally effective should be examined. The Report of the Inquiry into the Care and Treatment of Christopher Clunis recommended that the Royal College of Psychiatrists should design a card for mentally ill people. This appeared to be a response to the identified need for improved provision of information, communication and liaison across geographical boundaries where necessary (Ritchie et al, 1994).

    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Crisis cards and self-help crisis initiatives
      Available formats
      ×
      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      Crisis cards and self-help crisis initiatives
      Available formats
      ×
      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      Crisis cards and self-help crisis initiatives
      Available formats
      ×
Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Corresponding author
Correspondence
Footnotes
Hide All

See editorial p. 3, this issue.

Footnotes
References
Hide All
Bewick, S. (1995) Playing crisis card for safety (letter). The Ferret The Newspaper for Caring Services in Kent 50.
Birchwood, M., Smith, J., MacMillan, F., et al (1989) Predicting relapse in schizophrenia: the development and implementation of an early signs monitoring system using patients and families as observers, a preliminary investigation. Psychological Medicine, 19, 649656.
Brindle, D. (1993) Card gives user say in treatment. Guardian, 8 July.
Department of Health (1993) Community Supervision Orders: Government Response to the Fifth Report from the Health Committee (Session 1992–1993). London: HMSO.
Essex, B., Doig, R. & Renshaw, J. (1990) Pilot study of records of shared care for people with mental illnesses. British Medical Journal 300, 14421446.
House of Commons Health Committee (1993) Health Committee Fifth Report to the House of Commons, Community Supervision Orders. London: HMSO.
Leader, A. (1995) Direct Power. Brighton: Pavilion Publishing.
Manic Depression Fellowship (1995) Inside Out: A Guide to Self Management of Manic Depression. Kingston Upon Thames: Manic Depression Fellowship.
Ritchie, J. H., Dick, D. & Lingham, R. (1994) The Report of the Inquiry into the Care and Treatment of Christopher Clunis. London: HMSO.
Sommerville, A. (1995) Remembrance of conversations past: oral advance statements about medical treatment. British Medical Journal 310, 16631665.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 9 *
Loading metrics...

Abstract views

Total abstract views: 22 *
Loading metrics...

* Views captured on Cambridge Core between 2nd January 2018 - 26th May 2018. This data will be updated every 24 hours.

Crisis cards and self-help crisis initiatives

  • Kim Sutherby (a1) and George Szmukler (a1)
Submit a response

eLetters

No eLetters have been published for this article.

×

Reply to: Submit a response


Your details


Conflicting interests

Do you have any conflicting interests? *