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