eprintid: 10130833 rev_number: 14 eprint_status: archive userid: 608 dir: disk0/10/13/08/33 datestamp: 2021-07-07 13:23:21 lastmod: 2021-09-22 22:04:15 status_changed: 2021-07-07 13:23:21 type: article metadata_visibility: show creators_name: Chilman, N creators_name: Morant, N creators_name: Lloyd-Evans, B creators_name: Wackett, J creators_name: Johnson, S title: Twitter Users' Views on Mental Health Crisis Resolution Team Care Compared With Stakeholder Interviews and Focus Groups: Qualitative Analysis ispublished: pub divisions: UCL divisions: B02 divisions: C07 divisions: D79 keywords: Twitter, acute care, crisis resolution team, home treatment team, mental health, qualitative, severe mental illness, social media note: This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Mental Health, is properly cited. The complete bibliographic information, a link to the original publication on https://mental.jmir.org/, as well as this copyright and license information must be included. abstract: BACKGROUND: Analyzing Twitter posts enables rapid access to how issues and experiences are socially shared and constructed among communities of health service users and providers, in ways that traditional qualitative methods may not. OBJECTIVE: To enrich the understanding of mental health crisis care in the United Kingdom, this study explores views on crisis resolution teams (CRTs) expressed on Twitter. We aim to identify the similarities and differences among views expressed on Twitter compared with interviews and focus groups. METHODS: We used Twitter's advanced search function to retrieve public tweets on CRTs. A thematic analysis was conducted on 500 randomly selected tweets. The principles of refutational synthesis were applied to compare themes with those identified in a multicenter qualitative interview study. RESULTS: The most popular hashtag identified was #CrisisTeamFail, where posts were principally related to poor quality of care and access, particularly for people given a personality disorder diagnosis. Posts about CRTs giving unhelpful self-management advice were common, as were tweets about resource strains on mental health services. This was not identified in the research interviews. Although each source yielded unique themes, there were some overlaps with themes identified via interviews and focus groups, including the importance of rapid access to care. Views expressed on Twitter were generally more critical than those obtained via face-to-face methods. CONCLUSIONS: Traditional qualitative studies may underrepresent the views of more critical stakeholders by collecting data from participants accessed via mental health services. Research on social media content can complement traditional or face-to-face methods and ensure that a broad spectrum of viewpoints can inform service development and policy. date: 2021-06-29 date_type: published official_url: https://doi.org/10.2196/25742 oa_status: green full_text_type: pub language: eng primo: open primo_central: open_green verified: verified_manual elements_id: 1873448 doi: 10.2196/25742 pii: v8i6e25742 lyricists_name: Johnson, Isabella lyricists_name: Lloyd-Evans, Brynmor lyricists_name: Morant, Nicola lyricists_id: ISJOH12 lyricists_id: BLLOY83 lyricists_id: NMORA50 actors_name: Flynn, Bernadette actors_id: BFFLY94 actors_role: owner full_text_status: public publication: JMIR Mental Health volume: 8 number: 6 article_number: e25742 event_location: Canada citation: Chilman, N; Morant, N; Lloyd-Evans, B; Wackett, J; Johnson, S; (2021) Twitter Users' Views on Mental Health Crisis Resolution Team Care Compared With Stakeholder Interviews and Focus Groups: Qualitative Analysis. JMIR Mental Health , 8 (6) , Article e25742. 10.2196/25742 <https://doi.org/10.2196/25742>. Green open access document_url: https://discovery.ucl.ac.uk/id/eprint/10130833/1/PDF%20%284%29.pdf