ArticleHealthcare (Basel, Switzerland)2024
Joint Crisis Plan in Mental Health Settings: A Reflective Process More than an Intervention Tool?
Article in Healthcare (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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.
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Who cites it
1 citing paper in PubMed.
- Whose voice is heard? Mental health professionals' involvement, epistemic injustice, and the ethics of psychiatric advance directives.Frontiers in psychiatry · 2026Review
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Authors and funding
6 authors.
Funding
Abstract
BACKGROUND/
objectivesCoercion in mental health is challenged, prompting reduction interventions. Among those, the Joint Crisis Plan (JCP), which aims to document individuals' treatment preferences in case of future de-compensation, regardless of the potential loss of discernment, has been identified as a key path to study. Identified challenges related to its implementation highlight the need to adapt this intervention to the local context. Considering that in Quebec (Canada), the JCP is not widely used, but the scientific literature supports its adoption and corroborates its potential impact on reducing coercion, this study evaluates the feasibility, acceptability, and preliminary outcomes of the JCP among psychiatric and forensic inpatient settings.
methodsA pilot mixed-methods study was conducted through 16 individual interviews with inpatients and healthcare providers, combined with a pre-post analysis of seclusion and restraint use and the violence prevention climate (VPC) based on healthcare providers' (n = 57) and inpatients' perspectives (n = 53).
resultsAlthough the challenging implementation of the JCP complicated the evaluation of its effects on seclusion and restraint use, a moderate change (
conclusionsThe results support the integration of the JCP into patient care pathways, as it provides a tool to amplify patients' voices, promote patient empowerment, facilitate open dialog on alternatives to coercion, and foster more collaborative and humane mental health care.
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