Really there because they care’
The importance of service users’ interpretations of staff motivations at a crisis intervention service in New Zealand
Bibliographic Data
| ID | 12290291 |
|---|---|
| Authors | Rowan Magill (0000-0003-4608-8290, Suicide and Mental Health Research Group University of Otago (Wellington) Wellington New Zealand, corresponding author), Gabrielle Jenkin (0000-0001-7901-8876, Suicide and Mental Health Research Group University of Otago (Wellington) Wellington New Zealand), Sunny Colling (0000-0002-5486-1194, School of Health Te Herenga Waka—Victoria University of Wellington Wellington New Zealand) |
| Year | 2021 |
| Volume | 30 |
| Issue | 5 |
| Pages | e1756-e1764 |
| Publication date | 2021-10-11 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Health & Social Care in the Community (JOURNAL) |
| Journal identifiers | ISSN: 0966-0410 • E-ISSN: 1365-2524 |
| Publisher | Wiley (PUBLISHER • GB) |
| DOI | 10.1111/hsc.13603 |
| PMID | 34633720 |
| OpenAlex | W3207688362 |
| Language | EN |
| Citations received | 2 |
| References cited | 27 |
Crisis intervention services for people experiencing psychological distress and suicidal ideation are frequently described by the people accessing them as failing to meet their needs. This paper reports a prominent finding from a realist evaluation of Taranaki Retreat-a charitable, non-clinical organisation in New Zealand, which offers free respite for people experiencing acute distress. Using qualitative methods, the study aimed to move beyond vague notions regarding the helpfulness of respite, to a deeper understanding of the contextual factors and mechanisms which generate outcomes for such an intervention. Participant observation, focus groups with staff, semi-structured interviews with service users, and analysis of service users' case notes were conducted over a six-month period in 2018. The most prominent finding from the study related to 'genuine care'-care which is interpreted by the recipient as being motivated by a genuine desire to help. We present this finding as to the central mechanism in a wider programme theory developed through the realist evaluation study. We also present five key features of the care participants were offered at Taranaki Retreat which contributed to their common interpretation regarding the motivations behind this care. Upon considering the centrality of this mechanism we conclude that, in designing crisis interventions, greater consideration should be given to how the intervention can demonstrate genuine care. Having highlighted the ways in which the structure of charitable organisations appears conducive for interpretations of genuine care, we further conclude that the provision of comprehensive crisis intervention by charitable organisations should be further explored and supported
Business · Crisis intervention · Distress · Helpfulness · Interpretation (philosophy · Intervention (counseling · Participant observation · Political science · Psychological intervention · Psychotherapist · Public relations · Qualitative research · Respite care · Service (business · Social science · Sociology · Medicine · Mental Health Treatment and Access · Migration, Health and Trauma · Nursing · Psychiatric care and mental health services · Psychology · Social Psychology
| Unique citing works | 2 |
|---|---|
| Citations per year | 0,5 |
| Citation span | 2022 - 2024 (3) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 2 |