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Crisis Resolution: A Service Response to Mental Distress

机译：解决危机：对精神困扰的服务回应

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Crisis Resolution Teams (CRTs) along with other specialist mental health teams (Early Intervention and Assertive Outreach) have emerged as a definite service direction in secondary mental health services and are firmly embedded in mental health policy. This article draws on quantitative data which was collected during a small research study involving 27 interviews with staff in a CRT in a mental health trust in the North West of England. The borough which the CRT serves is largely urban. In terms of ethnicity, the BME (black, minority and ethnic) population makes up approximately 10 per cent of the majority white population according to the operational guidelines for this CRT. The article focuses on the nature of crisis in people presenting to the CRT, the range of interventions which individuals received in the service and the element of their intervention that staff viewed as the most significant. The CRT dealt with a constituency of people presenting with wide-ranging difficulties experiencing a mental health crisis but who could not be described as having a 'severe' mental illness. The response to individuals experiencing distress privileged medical-type interventions above social-type interventions. The study questions the validity of targeting those people experiencing severe mental illnesses for CRT services, the appropriateness of medically influenced interventions for individuals in crisis and the relevance of professional function and skill mix in these teams.
机译：危机解决团队（CRT）与其他专业的心理健康团队（早期干预和断言外联）已经成为次级心理健康服务中一个确定的服务方向，并已牢固地融入心理健康政策中。本文使用的量化数据是在一项小型研究中收集的，该研究包括对英格兰西北部精神卫生信托基金中CRT员工的27次访谈。 CRT服务的行政区主要是市区。在种族方面，根据该CRT的操作指南，BME（黑人，少数民族和种族）人口约占大多数白人人口的10％。本文重点介绍了向CRT展示人员的危机性质，个人在服务中接受的干预范围以及工作人员认为最重要的干预元素。 CRT处理的是一群在心理健康危机中遇到各种困难的人，但这些人不能被描述为患有“严重”精神疾病。对遭受苦难的个人的反应要优先于社会型干预措施。该研究质疑针对那些患有严重精神疾病的人提供CRT服务的有效性，对处于危机中的个人进行医学干预的适当性以及这些团队中专业职能和技能组合的相关性。

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