Crisis plans in mental health: A scoping review Cassivi, Christine; Sergerie‐Richard, Sophie; Saint‐Pierre, Benoît ...
International journal of mental health nursing,
October 2023, Letnik:
32, Številka:
5
Journal Article
Recenzirano
Odprti dostop
Crisis situations are frequent among people with mental health disorders. Several interventions have been developed to act in prevention, including crisis plans recognized as particularly effective ...in reducing coercive measures. In the literature, several models of crisis plans are proposed with similar aims and contents. Based on the methodology proposed by the Joanna Briggs Institute, a scoping review was conducted to map the state of knowledge on crisis plans in adult mental health settings. The literature search conducted on six databases (CINAHL, PubMed, Medline, EMBASE, PsychINFO and Cochrane) yielded 2435 articles. Of these, 122 full‐text articles were assessed for eligibility, and 78 met the inclusion criteria. Studies were critically appraised using the Joanna Briggs Institute appraisal tools, and data were extracted by two independent reviewers. Content analysis identified a typology of crisis plans: (1) the legal crisis plan and (2) the formal crisis plan. Five modalities were identified for its completion: the sections, the moment, the completion steps, the people involved and the training of key actors. Most identified outcomes are consistent with the main purpose of the intervention, which is crisis prevention. However, the most identified outcomes focused on the service user's recovery and indicated that crisis plans could provide an opportunity to operationalize recovery in mental healthcare, thus suggesting an evolution in the aim of the intervention. Future research should further focus on the modalities of crisis plans to guide the implementation in clinical practice.
Suicidalno ponašanje vodeći je uzrok ozljeđivanja i smrtnosti svih dobnih skupina u svijetu. Policijski službenici često se susreću s osobama koje prijete oduzimanjem vlastitog života. Službenici ...koji su educirani, odnosno specijalizirani za takva postupanja i čije se intervencije u najvećem postotku odnose upravo na postupanja prema potencijalnim počiniteljima samoubojstva jesu policijski pregovarači. Krizno pregovaranje jedan je od najučinkovitijih policijskih alata koji se i u praksi i prema istraživanjima kontinuirano i dosljedno pokazuje kao vrlo uspješan način rješavanja različitih kriznih intervencija – uključujući i pokušaje samoubojstva. Cilj ovog rada jest predstavljanje djelovanja policijskih pregovarača u situacijama pokušaja samoubojstava. U radu su prikazane osnovne tehnike i strategija postupanja prema potencijalnim počiniteljima samoubojstva, kao i karakteristike pregovarača te upozoravajući znakovi u ponašanju počinitelja. Opisana su i dva primjera iz prakse te prijedlozi unapređenja policijskog pregovaranja u Hrvatskoj.
Purpose This paper aims to discuss current work and further steps of the psychological hotline launched by the National Psychological Association of Ukraine (NPA), along with a call for action to ...mental health professionals worldwide. Design/methodology/approach This paper describes the training and support of the NPA’s hotline staff as well as reflections on the hotline’s work from June 2022 to April 2023. Findings With broad international support, the NPA’s psychological hotline currently operates in 21 countries providing psychological assistance and referrals to other service providers within Ukraine and abroad. The authors propose further steps of its work, including international collaboration. Originality/value Providing citizens of Ukraine with broad public access to evidence-based remote psychological support through NPA’s hotlines is a high priority considering the war’s negative impact on mental health diverse and the limited capacity of the state mental health system.
Does too much competition in banking hurt society? What policies can best protect and stabilize banking without stifling it? Institutional responses to such questions have evolved over time, from ...interventionist regulatory control after the Great Depression to the liberalization policies that started in the United States in the 1970s. The global financial crisis of 2007-2009, which originated from an oversupply of credit, once again raised questions about excessive banking competition and what should be done about it. 'Competition and Stability in Banking' addresses the critical relationships between competition, regulation, and stability, and the implications of coordinating banking regulations with competition policies.
O objetivo do estudo foi conhecer a visão da equipe de enfermagem sobre o atendimento à crise psíquica em uma unidade de emergência de um Pronto-Socorro. Trata-se de um estudo de abordagem ...qualitativa que utilizou, como técnica para coleta de dados, a aplicação de entrevistas semiestruturadas com dois enfermeiros e três técnicos de enfermagem que trabalhavam na unidade de emergência durante o turno da manhã e tarde. A análise dos dados foi orientada a partir da análise de conteúdo com formação das seguintes categorias temáticas, que permitiram a melhor visualização dos resultados: o conceito de crise para a equipe do pronto-socorro e as diferentes expressões do sofrimento e os recursos terapêuticos para o enfrentamento e a minimização dos encargos da crise. Evidenciou-se que a equipe de enfermagem costuma justificar as dificuldades de atendimento à crise psíquica pela falta de tempo, inadequação do espaço físico e despreparo da mesma.El presente estudio tuvo como objetivo conocer la visión del equipo de enfermería sobre la atención a la crisis psíquica en una unidad de urgencias. Se trata de un estudio de abordaje cualitativo que utilizó, como técnica de recolección de datos, entrevistas semiestructuradas. Participaron de la investigación dos enfermeras y tres técnicos de enfermería que trabajaban en la unidad de urgencias durante las mañanas y las tardes. El análisis de datos fue orientado a partir de las siguientes temáticas: el concepto de crisis para el equipo de una unidad de urgencias y las diferentes expresiones del sufrimiento y los recursos terapéuticos para el enfrentamiento y disminución de los encargos de la crisis. Suele justificar las dificultades de atención a la crisis por la falta de tiempo, inadecuación de espacio físico y la falta de preparación de la misma.This study was aimed at finding out the nursing staff's view about psychic crisis care in an emergency room unit. This is a qualitative study that used the application of semi-structured interviews as data collecting technique. Five nursing professionals that worked in the emergency room during the morning and afternoon shifts participated in the research. Data analysis was conducted based on the discussion of the following categories: concept of crisis for the emergency room team and the different suffering expressions and therapeutic resources to face and minimize the crisis' burdens. Professionals usually justify their difficulties on treating a psychic crisis due to lack of time, space and proper training.
Facing an unprecedented situation, we have provided mental health support for health care professionals working in hospitals that tend to COVID-19 patients. During the first wave of COVID-19, our ...primary support was to help ensure their safety and security. We also acted as a liaison between staff members and their organizations. Through our experiences, we ascertained that we should conduct support activities corresponding to a crisis. Moreover, a perspective of community psychology, which considers organizations as systems, is valuable in developing effective interventions to preserve sound relationships between staff members and their organizations.
Introduction Vives, Xavier
Competition and Stability in Banking,
08/2016
Book Chapter
This book explores the relationship between competition and stability in the banking sector as well as the policy consequences for regulation and competition policy. It asks whether excessive ...competition has helped the overexpansion of credit, mostly in the real estate sector, that is at the base of the 2007–2009 crisis, and whether excessive competition has destabilized the financial system. It examines whether competition policy is needed in the banking sector, and if so, how it has to interact with regulation. It also considers the implications for the regulatory financial policy and the institutional architecture of competition policy. The book provides an up-to-date review of the theory and empirics of banking competition and its relationship with stability, and incorporates the analysis of modern market-based banking, systemic risk, and macroprudential regulation. It also explains how crisis interventions have interacted with competition policy and the role that the latter should have in a crisis.
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