Understanding care delivery & receipt for people with complex emotional needs in CRHT settings.

What is it about?

Very little is understood about the experiences of both those receiving, and those delivering care for people with Complex Emotional Needs (CEN) within Crisis Resolution and Home Treatment (CRHT) settings. A review of the qualitative literature was undertaken in this area to further develop our understanding of how people experience the delivery and receiving of care within CRHT setting. It was found that there are differences between priorities for those delivering and those receiving care within CRHT settings. CRHT staff members are likely to focus more upon those aspects of their role relating to risk issues. managing resources, anxieties and the expectations of others. Service users, meanwhile, focus upon the caring relationship, wanting staff to listen to them, and to feel supported and reassured. In the papers reviewed, service users experiencing CEN did not always feel 'listened to' or 'taken seriously' especially in relation to risk issues and decision-making, especially if they had a diagnosis of personality disorder.

Featured Image

Photo by Chris Liverani on Unsplash

Photo by Chris Liverani on Unsplash

Why is it important?

It highlights that sometimes care might be lacking for those with CEN. To better understand the person experiencing a mental health crisis, mental health nurses need to focus more upon the person and when making decisions around their care and must be aware of the potential for power imbalances. Collaborative 'sense-making' in relation to a person's risk might help with this.