Evidence map›Paper›PMID 37848927›Full record

ArticleBMC health services research2023

'Beyond places of safety' - a qualitative study exploring the implementation of mental health crisis care innovations across England.

Una Foye, Rebecca Appleton, Patrick Nyikavaranda, Natasha Lyons, Ceri Dare, Chris Lynch, Karen Persaud, Nafiso Ahmed, Ruth Stuart, Merle Schlief and 9 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC health services research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors.

Una FoyeNIHR Mental Health Policy Research Unit, Health Service and Population Research Department, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK. una.foye@kcl.ac.uk.
Rebecca AppletonNIHR Mental Health Policy Research Unit, Division of Psychiatry, University College London, London, UK.
Patrick NyikavarandaNIHR Mental Health Policy Research Unit Lived Experience Working Group, Division of Psychiatry, University College London, London, UK.
Natasha LyonsNIHR Mental Health Policy Research Unit, Division of Psychiatry, University College London, London, UK.
Ceri DareNIHR Mental Health Policy Research Unit Lived Experience Working Group, Division of Psychiatry, University College London, London, UK.
Chris LynchNIHR Mental Health Policy Research Unit Lived Experience Working Group, Division of Psychiatry, University College London, London, UK.
Karen PersaudNIHR Mental Health Policy Research Unit Lived Experience Working Group, Division of Psychiatry, University College London, London, UK.
Nafiso AhmedNIHR Mental Health Policy Research Unit, Division of Psychiatry, University College London, London, UK.
Ruth StuartNIHR Mental Health Policy Research Unit, Health Service and Population Research Department, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
Merle SchliefNIHR Mental Health Policy Research Unit, Division of Psychiatry, University College London, London, UK.
Xia HuongNIHR Mental Health Policy Research Unit, Health Service and Population Research Department, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
Nick SevdalisCentre for Implementation Science, Health Service and Population Research Department, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
Luke Sheridan-RainsNIHR Mental Health Policy Research Unit, Division of Psychiatry, University College London, London, UK.
Antonio Rojas-GarciaNIHR Mental Health Policy Research Unit, Division of Psychiatry, University College London, London, UK.
Martin StefanCentral Lakes Community Mental Health, Te Whatu Ora (Southern), Dunedin, New Zealand.
Jeremy ClarkMental Health Delivery Team, Department of Health and Social Care, London, UK.
Alan SimpsonNIHR Mental Health Policy Research Unit, Health Service and Population Research Department, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
Sonia JohnsonNIHR Mental Health Policy Research Unit, Division of Psychiatry, University College London, London, UK.
Brynmor Lloyd-EvansNIHR Mental Health Policy Research Unit, Division of Psychiatry, University College London, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMental health acute and crisis care consumes a large share of mental health budgets internationally but is often experienced as unsatisfactory and difficult to access. As a result, there is an increasing move towards developing innovative community crisis services, to improve patient experience and relieve pressure on inpatient and emergency services. This study aims to understand what helps and hinders the implementation of innovative mental health crisis care projects in England.

methodsUsing a qualitative approach, 18 interviews were conducted with crisis care service managers exploring their experiences and views of the development and implementation of their service developed with support from an English national capital funding programme. A framework analysis was conducted informed by implementation science.

resultsKey facilitators to implementation of innovative crisis services included bottom-up development, service user involvement, strong collaborative working, and leadership and management buy-in. Key barriers that affected the projects implementation included the complexities of crisis care, workforce challenges and resourcing issues.

conclusionThere is a recognised need to improve, update, and innovate current crisis care offers. Results from this study suggest that a range of models can help address the heterogenous needs of local populations and that new approaches can be implemented where they utilise a whole-systems approach, involving service users and relevant professional stakeholders beyond mental health services in planning and developing the service.

Indexed as

Emergency Medical ServicesMental Health ServicesEnglandHumansMental HealthQualitative ResearchClinicianCrisis careQualitativeStaff

Identifiers

PMID37848927
PMCPMC10583452

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.