eprintid: 10179598
rev_number: 6
eprint_status: archive
userid: 699
dir: disk0/10/17/95/98
datestamp: 2023-10-25 13:32:26
lastmod: 2023-10-25 13:32:26
status_changed: 2023-10-25 13:32:26
type: article
metadata_visibility: show
sword_depositor: 699
creators_name: Foye, Una
creators_name: Appleton, Rebecca
creators_name: Nyikavaranda, Patrick
creators_name: Lyons, Natasha
creators_name: Dare, Ceri
creators_name: Lynch, Chris
creators_name: Persaud, Karen
creators_name: Ahmed, Nafiso
creators_name: Stuart, Ruth
creators_name: Schlief, Merle
creators_name: Huong, Xia
creators_name: Sevdalis, Nick
creators_name: Sheridan-Rains, Luke
creators_name: Rojas-Garcia, Antonio
creators_name: Stefan, Martin
creators_name: Clark, Jeremy
creators_name: Simpson, Alan
creators_name: Johnson, Sonia
creators_name: Lloyd-Evans, Brynmor
title: 'Beyond places of safety' - a qualitative study exploring the implementation of mental health crisis care innovations across England
ispublished: pub
divisions: UCL
divisions: B02
divisions: C07
divisions: D79
divisions: FH7
keywords: Clinician, Crisis care, Qualitative, Staff
note: © 2023 BioMed Central Ltd. his article is licensed under a Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/).
abstract: BACKGROUND: Mental 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. METHODS: Using 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. RESULTS: Key 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. CONCLUSION: There 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.
date: 2023
date_type: published
official_url: https://doi.org/10.1186/s12913-023-10058-w
oa_status: green
full_text_type: pub
language: eng
primo: open
primo_central: open_green
verified: verified_manual
elements_id: 2097946
doi: 10.1186/s12913-023-10058-w
medium: Electronic
pii: 10.1186/s12913-023-10058-w
lyricists_name: Johnson, Isabella
lyricists_name: Lyons, Natasha
lyricists_name: Appleton, Rebecca
lyricists_name: Ahmed, Nafiso
lyricists_id: ISJOH12
lyricists_id: NLYON70
lyricists_id: RAPPL21
lyricists_id: NAHME38
actors_name: Flynn, Bernadette
actors_id: BFFLY94
actors_role: owner
full_text_status: public
publication: BMC Health Services Research
volume: 23
number: 1
article_number: 1106
event_location: England
citation:        Foye, Una;    Appleton, Rebecca;    Nyikavaranda, Patrick;    Lyons, Natasha;    Dare, Ceri;    Lynch, Chris;    Persaud, Karen;                                                 ... Lloyd-Evans, Brynmor; + view all <#>        Foye, Una;  Appleton, Rebecca;  Nyikavaranda, Patrick;  Lyons, Natasha;  Dare, Ceri;  Lynch, Chris;  Persaud, Karen;  Ahmed, Nafiso;  Stuart, Ruth;  Schlief, Merle;  Huong, Xia;  Sevdalis, Nick;  Sheridan-Rains, Luke;  Rojas-Garcia, Antonio;  Stefan, Martin;  Clark, Jeremy;  Simpson, Alan;  Johnson, Sonia;  Lloyd-Evans, Brynmor;   - view fewer <#>    (2023)    'Beyond places of safety' - a qualitative study exploring the implementation of mental health crisis care innovations across England.                   BMC Health Services Research , 23  (1)    , Article 1106.  10.1186/s12913-023-10058-w <https://doi.org/10.1186/s12913-023-10058-w>.       Green open access   
 
document_url: https://discovery.ucl.ac.uk/id/eprint/10179598/1/s12913-023-10058-w.pdf