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Implementation of a crisis resolution team service improvement programme: a qualitative study of the critical ingredients for success.
- Source :
- International Journal of Mental Health Systems; 5/4/2024, Vol. 18 Issue 1, p1-18, 18p
- Publication Year :
- 2024
-
Abstract
- Background: Crisis Resolution Teams (CRTs) offer home-based care for people in mental health crisis, as an alternative to hospital admission. The success of CRTs in England has been variable. In response to this, the CRT Optimization and RElapse prevention (CORE) study developed and trialled a 12-month Service Improvement Programme (SIP) based on a fidelity model. This paper describes a qualitative evaluation of the perspectives of CRT staff, managers, and programme facilitators. We identify barriers and facilitators to implementation, and mechanisms by which service improvements took place. Methods: Managers and staff from six purposively sampled CRTs were interviewed, as well as six facilitators who were employed to support the implementation of service improvement plans. Semi-structured focus groups and individual interviews were conducted and analysed using thematic analysis. Findings: A majority of participants viewed all components of the SIP as helpful in improving practice, although online resources were under-used. Perceived barriers to implementation centred principally around lack of staff time and ownership. Support from both senior staff and facilitators was essential in enabling teams to undertake the work associated with the SIP. All participating stakeholder groups reported that using the fidelity model to benchmark their CRT work to best practice and feel part of a 'bigger whole' was valuable. Conclusion: CRT staff, managers and programme facilitators thought that a structured service improvement programme helped to increase fidelity to a best practice model. Flexibility (from all stakeholders) was key to enable service improvement actions to be manageable within time- and resource-poor teams. [ABSTRACT FROM AUTHOR]
- Subjects :
- HOME care services
TEAMS in the workplace
HUMAN services programs
QUALITATIVE research
FOCUS groups
INTERPROFESSIONAL relations
RESEARCH funding
INTERVIEWING
EVALUATION of human services programs
CRISIS intervention (Mental health services)
JUDGMENT sampling
DESCRIPTIVE statistics
THEMATIC analysis
ATTITUDES of medical personnel
RESEARCH methodology
COMMUNICATION
QUALITY assurance
DATA analysis software
STAKEHOLDER analysis
Subjects
Details
- Language :
- English
- ISSN :
- 17524458
- Volume :
- 18
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- International Journal of Mental Health Systems
- Publication Type :
- Academic Journal
- Accession number :
- 177044024
- Full Text :
- https://doi.org/10.1186/s13033-024-00638-6