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Improving Therapeutic Relationships

Joint Crisis Planning for Individuals With Psychotic Disorders

Bibliographic Data

ID4668698
AuthorsSimone Farrelly (0000-0001-8991-6178, King’s College London, London, United Kingdom, corresponding author), Helen Lester (The University of Birmingham, Birmingham, United Kingdom), Diana Rose (0000-0002-5707-2633, King’s College London, London, United Kingdom), Max Birchwood (0000-0002-7476-0171, University of Warwick, Coventry, United Kingdom), Max Marshall (University of Manchester, Manchester, United Kingdom), Waquas Waheed (0000-0002-0756-2263, University of Manchester, Manchester, United Kingdom), R Claire Henderson (King’s College London, London, United Kingdom), George Szmukler (0000-0001-5053-3073, King’s College London, London, United Kingdom), Graham Thornicroft (0000-0003-0662-0879, King’s College London, London, United Kingdom)
Year2015
Volume25
Issue12
Pages1637-1647
Publication date2015-12-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueQualitative Health Research (JOURNAL)
Journal identifiersISSN: 1049-7323 • E-ISSN: 1552-7557
PublisherSAGE Publications Inc (PUBLISHER)
DOI10.1177/1049732314566320
PMID25583956
OpenAlexW2052490661
LanguageEN
Citations received9
References cited24

Outcomes for individuals with psychosis remain far from acceptable. Recently, prominent psychiatrists have called for an improved understanding of the impact of social contexts, and how social contexts might influence the development and maintenance of mental health problems. A key social context for individuals with psychosis is the therapeutic relationship. As part of a trial of joint crisis planning in England, this qualitative study aimed to determine the mechanism through which joint crisis planning might affect the therapeutic relationship. Results suggest that routine processes in mental health care are affected by policy and organizational requirements for risk mitigation-aspects that undermine person-centered approaches. In contrast, strong therapeutic relationships are characterized by individualized care and reliable and respectful treatment. The Joint Crisis Plan intervention partially succeeded in reducing contextual influences on routine role enactments, facilitating the demonstration of respect and improving the therapeutic relationship

Health care · Mental health · Political science · Psychiatry · Psychotherapist · Social environment · Therapeutic relationship · Mental Health and Patient Involvement · Mental Health Treatment and Access · Psychiatric care and mental health services · Psychology

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Unique citing works9
Citations per year0,9
Citation span2016 - 2026 (11)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 9
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