Our Wished‐for Responses: Recommendations for Creating a Lived and Embodied Sense of Safety During Mental Health Crisis
Abstract Background Medical interventions have a place in crisis support; however, narrow biomedical and risk‐driven responses negatively impact people seeking crisis care. With increasing shifts towards involving people with lived experience (service users) in designing services, foregrounding peop...
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| Format: | Article |
| Language: | English |
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Wiley
2024-06-01
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| Series: | Health Expectations |
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| Online Access: | https://doi.org/10.1111/hex.14122 |
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| _version_ | 1849329144043667456 |
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| author | Helena Roennfeldt Bridget Elizabeth Hamilton Nicole Hill Calista Castles Helen Glover Louise Byrne Cath Roper |
| author_facet | Helena Roennfeldt Bridget Elizabeth Hamilton Nicole Hill Calista Castles Helen Glover Louise Byrne Cath Roper |
| author_sort | Helena Roennfeldt |
| collection | DOAJ |
| description | Abstract Background Medical interventions have a place in crisis support; however, narrow biomedical and risk‐driven responses negatively impact people seeking crisis care. With increasing shifts towards involving people with lived experience (service users) in designing services, foregrounding people's desired responses is critical. Accordingly, the aim of the study was to explore the wished‐for crisis responses from the perspective of people who have experienced crisis and accessed crisis care. Method Using a hermeneutical phenomenological approach, in‐depth interviews were conducted to determine the desired crisis responses of 31 people who self‐reported experiencing mental health crises and accessed crisis services at ED, phone lines and/or crisis alternatives. Results The findings identified wished‐for responses that gave a felt and embodied sense of their own safety influenced by a human‐to‐human response, emotional holding, a place of safety and choice within holistic care. For such responses to be possible, participants identified organising principles, including recognising crisis as meaningful and part of our shared human experience, understanding risk as fluid and a whole‐of‐community responsibility for responding to crises. Conclusion This paper proposes how insights from people who have experienced crises can be translated into more beneficial crisis care. Patient or Consumer Contribution Most authors are in identified lived experience roles. The first author engaged with participants during the recruitment and interviews and was explicit regarding their lived experience. Service users were involved as advisors, providing input throughout the study. |
| format | Article |
| id | doaj-art-05667df321724d35a771b508bb9371e0 |
| institution | Kabale University |
| issn | 1369-6513 1369-7625 |
| language | English |
| publishDate | 2024-06-01 |
| publisher | Wiley |
| record_format | Article |
| series | Health Expectations |
| spelling | doaj-art-05667df321724d35a771b508bb9371e02025-08-20T03:47:21ZengWileyHealth Expectations1369-65131369-76252024-06-01273n/an/a10.1111/hex.14122Our Wished‐for Responses: Recommendations for Creating a Lived and Embodied Sense of Safety During Mental Health CrisisHelena Roennfeldt0Bridget Elizabeth Hamilton1Nicole Hill2Calista Castles3Helen Glover4Louise Byrne5Cath Roper6Centre for Mental Health Nursing, Department of Nursing University of Melbourne Melbourne AustraliaCentre for Mental Health Nursing, Department of Nursing University of Melbourne Melbourne AustraliaDepartment of Social Work University of Melbourne Melbourne AustraliaMenzies Health Institute Queensland Griffith University Brisbane AustraliaCentre for Disability Research and Policy (CDRP) University of Sydney Melbourne AustraliaSchool of Management RMIT University Melbourne Victoria AustraliaCentre for Mental Health Nursing, Department of Nursing University of Melbourne Melbourne AustraliaAbstract Background Medical interventions have a place in crisis support; however, narrow biomedical and risk‐driven responses negatively impact people seeking crisis care. With increasing shifts towards involving people with lived experience (service users) in designing services, foregrounding people's desired responses is critical. Accordingly, the aim of the study was to explore the wished‐for crisis responses from the perspective of people who have experienced crisis and accessed crisis care. Method Using a hermeneutical phenomenological approach, in‐depth interviews were conducted to determine the desired crisis responses of 31 people who self‐reported experiencing mental health crises and accessed crisis services at ED, phone lines and/or crisis alternatives. Results The findings identified wished‐for responses that gave a felt and embodied sense of their own safety influenced by a human‐to‐human response, emotional holding, a place of safety and choice within holistic care. For such responses to be possible, participants identified organising principles, including recognising crisis as meaningful and part of our shared human experience, understanding risk as fluid and a whole‐of‐community responsibility for responding to crises. Conclusion This paper proposes how insights from people who have experienced crises can be translated into more beneficial crisis care. Patient or Consumer Contribution Most authors are in identified lived experience roles. The first author engaged with participants during the recruitment and interviews and was explicit regarding their lived experience. Service users were involved as advisors, providing input throughout the study.https://doi.org/10.1111/hex.14122crisiscrisis alternativescrisis phone linescrisis servicesemergency department |
| spellingShingle | Helena Roennfeldt Bridget Elizabeth Hamilton Nicole Hill Calista Castles Helen Glover Louise Byrne Cath Roper Our Wished‐for Responses: Recommendations for Creating a Lived and Embodied Sense of Safety During Mental Health Crisis Health Expectations crisis crisis alternatives crisis phone lines crisis services emergency department |
| title | Our Wished‐for Responses: Recommendations for Creating a Lived and Embodied Sense of Safety During Mental Health Crisis |
| title_full | Our Wished‐for Responses: Recommendations for Creating a Lived and Embodied Sense of Safety During Mental Health Crisis |
| title_fullStr | Our Wished‐for Responses: Recommendations for Creating a Lived and Embodied Sense of Safety During Mental Health Crisis |
| title_full_unstemmed | Our Wished‐for Responses: Recommendations for Creating a Lived and Embodied Sense of Safety During Mental Health Crisis |
| title_short | Our Wished‐for Responses: Recommendations for Creating a Lived and Embodied Sense of Safety During Mental Health Crisis |
| title_sort | our wished for responses recommendations for creating a lived and embodied sense of safety during mental health crisis |
| topic | crisis crisis alternatives crisis phone lines crisis services emergency department |
| url | https://doi.org/10.1111/hex.14122 |
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