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Crisis intervention: the professionals' perspective: A questionnaire survey

  • Fernando Lazaro (a1), Elena Kulinskaya (a2) and Robert Tobiansky (a3)
Abstract
Aims and Method

To describe the attitudes of the professionals of a multi-disciplinary crisis intervention service (CIS) towards the service they provide. To establish whether there are differences in attitudes between the different professional disciplines involved. A questionnaire was mailed to all the professionals working in the Barnet CIS (n=94). Differences were analysed using the Kruskal–Wallis test.

Results

The overall response rate was 84%. Statistically significant differences were found between the different disciplines in 10 of the 37 questions (27%) on the questionnaire. Opinions differed most on issues of safety and acceptance of clinical responsibility.

Clinical Implications

Despite general ag reement on most issues, we found differences of opinion in important areas such as arrangements for team safety and clinical responsibility. These differences may create tensions within the multi-disciplinary groups and may influence the attitudes of professionals to crisis work. Measures need to be taken to address these issues in order to improve morale and staff satisfaction.

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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.
References
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Aguilera, D. & Messik, J. (1982) Crisis Intervention. Theory and Methodology (4th edn). Missouri, USA: Mosby.
Baldwin, B. A. (1978) A paradigm for the classification of emotional crises: implications for crisis intervention. American Journal of Orthopsychiatry, 48, 538551.
Hobbs, M. (1984) Crisis intervention in theory and practice: a selective review. British Journal of Medical Psychology, 57, 2334.
Keeble, P., Metcalfe, C., Riley, T., et al (1997) Cross purposes. Health Services Journal, 107, 2829.
Ratna, L. (1978) The Practice of Psychiatric Crisis Intervention. St Albans, Hertfordshire: Napsbury Hospital League of Friends.
Szmukler, G. I. (1987) The place of crisis intervention in psychiatry. Australian and New Zealand Journal of Psychiatry, 21, 2434.
Tyrer, P. (1998) Cost-effective or profligate community psychiatry? British Journal of Psychiatry, 172, 13.
Winter, D. A., Shivakumar, H., Brown, R. J., et al (1987) Explorations of a crisis intervention service. British Journal of Psychiatry, 151, 232239.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Crisis intervention: the professionals' perspective: A questionnaire survey

  • Fernando Lazaro (a1), Elena Kulinskaya (a2) and Robert Tobiansky (a3)
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