Monday, 1 April 2013

Mental Health

Introduction

Since November 2011 I cast off been on placement as a third year savant mental health cheer within a Crisis Resolution and Home Treatment team (CRHT). The concept of crisis resolution is not new and dates back to the mid(prenominal) 1960s trough the work of the concepts forefather Garald Caplan in the linked States of America (Caplan, 1964). However we have only relatively of late seen the development of a significant fall of these teams in the UK with the performance of the National Service Framework for Mental wellness (DH, 1999). The NSF (DH, 1999) depict that CRHT teams should provide intensive support at home for individuals experiencing an keen mental health crisis. They aim to reduce twain the number and the length of hospital admissions and ease the pressure on inpatient units (DH, 1999).
In the main my experience as a student nurse within the CRHT team has been a positive oneness and only(a) however during time spent discussing CRHTs effectiveness with both mental health practitioners and service substance abusers alike, one common complaint seems to prevail. CRHT teams particularly in inner city areas cover wide catchment areas and have large caseloads. The knock on effect of this is that continuity of staff visits can be passing difficult to maintain.

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In my experience mental health practitioners have complained that this creates barriers in therapeutic relationship building whilst service users complain that see different practitioners on each visit makes them determine uncomfortable and at times each visit turns into a replica of the previous as staff are unaware of the clients history.
Through a literature review of CRHT teams in the joined Kingdom my research has found that studies from the Sainsbury Centre for Mental Health (2006), University of Leeds (2007) and the National Audit Office (2007) have highlighted service user concerns similar to those expressed to me. These studies stressed that CRHT service users felt that seeing the same practitioners all...If you want to get a full essay, holy order it on our website: Ordercustompaper.com



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