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'Really there because they care': The importance of service users' interpretations of staff motivations at a crisis intervention service in New Zealand.
- Source :
- Health & Social Care in the Community; Sep2022, Vol. 30 Issue 5, pe1756-e1764, 9p
- Publication Year :
- 2022
-
Abstract
- Crisis intervention services for people experiencing psychological distress and suicidal ideation are frequently described by the people accessing them as failing to meet their needs. This paper reports a prominent finding from a realist evaluation of Taranaki Retreat—a charitable, non‐clinical organisation in New Zealand, which offers free respite for people experiencing acute distress. Using qualitative methods, the study aimed to move beyond vague notions regarding the helpfulness of respite, to a deeper understanding of the contextual factors and mechanisms which generate outcomes for such an intervention. Participant observation, focus groups with staff, semi‐structured interviews with service users, and analysis of service users' case notes were conducted over a six‐month period in 2018. The most prominent finding from the study related to 'genuine care'—care which is interpreted by the recipient as being motivated by a genuine desire to help. We present this finding as to the central mechanism in a wider programme theory developed through the realist evaluation study. We also present five key features of the care participants were offered at Taranaki Retreat which contributed to their common interpretation regarding the motivations behind this care. Upon considering the centrality of this mechanism we conclude that, in designing crisis interventions, greater consideration should be given to how the intervention can demonstrate genuine care. Having highlighted the ways in which the structure of charitable organisations appears conducive for interpretations of genuine care, we further conclude that the provision of comprehensive crisis intervention by charitable organisations should be further explored and supported. [ABSTRACT FROM AUTHOR]
- Subjects :
- RESEARCH
COMPUTER software
PATIENT participation
HEALTH services accessibility
COUNSELING
MOTIVATION (Psychology)
SELF-evaluation
RESEARCH methodology
MEDICAL care
INTERVIEWING
CONCEPTUAL structures
QUALITATIVE research
MENTAL depression
COMMUNICATION
ETHNIC groups
ANXIETY
THEMATIC analysis
ENDOWMENTS
PSYCHOLOGICAL distress
CRISIS intervention (Mental health services)
MENTAL health services
Subjects
Details
- Language :
- English
- ISSN :
- 09660410
- Volume :
- 30
- Issue :
- 5
- Database :
- Complementary Index
- Journal :
- Health & Social Care in the Community
- Publication Type :
- Academic Journal
- Accession number :
- 158480028
- Full Text :
- https://doi.org/10.1111/hsc.13603