Evidence map›Paper›PMID 40936463›Full record

ArticleBJPsych open2025

'A community in crisis': staff qualitative experiences of NHS and third sector mental healthcare in England.

Laura Sambrook, Jason C McIntyre, Rajan Nathan, Jackie Tait, Peter Ashley-Mudie, Matthew Humphreys, Peter Wilson, Pooja Saini

Abstract read
In one paragraph

Article in BJPsych open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

8 authors.

Laura SambrookResearch Associate, School of Psychology, Liverpool John Moores University, UK.ORCID https://orcid.org/0000-0002-4798-9536
Jason C McIntyreSenior Lecturer in Psychology, School of Psychology, Liverpool John Moores University, UK.ORCID https://orcid.org/0000-0002-5601-524X
Rajan NathanForensic Psychiatrist, Cheshire and Wirral Partnership NHS Foundation Trust, Chester, UK.ORCID https://orcid.org/0000-0003-2780-6170
Jackie TaitLived Experience Volunteer, School of Psychology, Liverpool John Moores University, UK.
Peter Ashley-MudieLived Experience Volunteer, Liverpool John Moores University, UK.
Matthew HumphreysBusiness and Project Manager, Cheshire and Wirral Partnership NHS Foundation Trust, Chester, UK.
Peter WilsonConsultant Psychiatrist, Cheshire and Wirral Partnership NHS Foundation Trust, Chester, UK.
Pooja SainiProfessor in Suicide and Self-Harm Prevention, School of Psychology, Liverpool John Moores University, UK.ORCID https://orcid.org/0000-0002-4981-7914

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMore people than ever are receiving support for mental health issues, and instances of suicide continue to grow. Although mental health funding has increased, UK government figures evidence that the National Health Service (NHS) does not have the resources required to respond to such growth in demand. The experiences of staff working in mental health services can offer insight into the efficacy of current provision and assist in service evaluation; however, research examining this issue outside of the COVID-19 pandemic, and in the context of community mental health, is lacking.

aimsWe aimed to explore the perspectives of staff working in a variety of mental health services in North-West England, to elucidate the current standard of care provided and highlight areas for improvement.

methodOne-to-one interviews were conducted with 26 staff members as part of a qualitative grounded theory analysis.

resultsFindings portrayed a community in crisis, consisting of the following themes: stabilisation not recovery, inefficient pathways and barriers to collaboration.

conclusionsNHS services are struggling to meet the mental health needs of the population, resulting in lengthy waiting times for therapy, a lack of intervention-focused care and an over-reliance on the third sector. While crisis cafés are provided at low cost and result in satisfaction, policy-makers must ensure that these receive adequate funding and do not become overburdened. Staff reported that collaboration between clinical and non-clinical services would improve care pathways and reduce strain on the NHS, but judgemental attitudes and inflexible service development must be challenged to achieve this.

Indexed as

community mental healthgrounded theoryMental healthqualitative researchthird sector

Identifiers

PMID40936463
PMCPMC12451547

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.