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Working with Men in Crisis: A Psychological Framework for Crisis Intervention in Home Treatment Teams

  • Luke SullivanEmail author
  • Christopher Whiteley
Chapter

Abstract

Crisis Resolution Home Treatment Teams (CRHTT’s) provide an alternative to hospital admission for people in acute mental health crises, including those who are suicidal. With men being at increased risk of suicide and more likely to present to services in the acute phase of illness, CRHTT’s may play an important role in helping to reduce the high rates of suicide in men. Furthermore, there is a growing need for effective psychological interventions in this setting. The following chapter provides an overview of a psychological model for crisis intervention (Sullivan in Clinical Psychology Forum 310: 39–43, 2018) refined to be gender sensitive to men who are suicidal and in crisis.

Keywords

Crisis Intervention Suicidal Acute Threat Emotional Psychology Men Crisis resolution Home Treatment Team Men and suicide CBT intervention suicide 

References

  1. Bar-Haim, Y., Lamy, D., Pergamin, L., Bakermans-Kranenburg, M. J., & Van Ijzendoorn, M. H. (2007). Threat-related attentional bias in anxious and nonanxious individuals: A meta-analytic study. Psychological Bulletin, 133(1), 1.CrossRefGoogle Scholar
  2. British Psychological Society. (2008). Division of clinical psychology briefing paper no 30: The role of psychologists working in Crisis Resolution Home Treatment (CRHT) Teams. London: The British Psychological Society.Google Scholar
  3. Buley, N., Copland, E., & Hodge, S. (2017). Home Treatment Accreditaiton Scheme (HTAS). Standards for home treatment teams (3rd ed.). London: Royal College of Psychiatrists.Google Scholar
  4. Burwell, R., & Shirk, S. (2007). Subtypes of rumination in adolescence: Associations among brooding, reflection, depressive symptoms, and coping. Journal of Clinical Child and Adolescent Psychology, 36, 56–65. Retrieved from http://ma.academia.edu/RebeccaBurwell/Papers/169898/Subtypes_of_Rumination_in_Adolescence_Associations_Between_Brooding_Reflection_Depressive_Symptoms_and_Coping.
  5. Cavanagh, J. T., Carson, A. J., Sharpe, M., & Lawrie, S. M. (2003). Psychological autopsy studies of suicide: A systematic review. Psychological Medicine, 33, 395–405.CrossRefGoogle Scholar
  6. Clarke, I. (2015). The emotion focused formulation approach: bridging individual and team formulation. Clinical Psychology Forum, 275, 28–33.Google Scholar
  7. Clarke, I., & Nicholls, H. (2018). Third wave CBT integration for individuals and teams. Abingdon: Routledge.CrossRefGoogle Scholar
  8. Clarke, I., & Wilson, H. (2009). Cognitive behaviour therapy for acute inpatient mental health units; working with clients, staff and the milieu. Oxford: Routledge.Google Scholar
  9. Department of Health and Social Care. (2012). Suicide prevention strategy for England. Retrieved from https://www.gov.uk/government/publications/suicide-prevention-strategy-for-england.
  10. Edwards, S., Tinning, L., Brown, J. S., Boardman, J., & Weinman, J. (2007). Reluctance to seek help and the perception of anxiety and depression in the United Kingdom: A pilot vignette study. The Journal of Nervous and Mental Disease, 195(3), 258–261.CrossRefGoogle Scholar
  11. Emslie, C., Ridge, D., Ziebland, S., & Hunt, K. (2007). Exploring men’s and women’s experiences of depression and engagement with health professionals: More similarities than differences? A qualitative interview study. BMC Family Practice, 8(1), 43.CrossRefGoogle Scholar
  12. Erikson, E. H. (1956). The problem of ego identity. Journal of the American Psychoanalytic Association, 4, 56–121.CrossRefGoogle Scholar
  13. Galdas, P. M., Cheater, F., & Marshall, P. (2005). Men and health help seeking behaviour: Literature review. Journal of Advanced Nursing, 49, 616–623.CrossRefGoogle Scholar
  14. Glover, G., Webb, M., & Evison, F. (2010). Improving access to psychological therapies: A review of the progress made by sites in the first roll-out year. Oxford, UK: North East Public Health Observatory.Google Scholar
  15. Harris, R. (2009). Act made simple: An easy-to-read primer on acceptance and commitment therapy. Oakland, CA: New Harbinger Publications.Google Scholar
  16. Hatzenbuehler, M. L., Bellatorre, A., Lee, Y., Finch, B., Muennig, P., & Fiscella, K. (2014). Structural stigma and all-cause mortality in sexual minority populations. Social Science and Medicine, 103, 33–41.CrossRefGoogle Scholar
  17. Hollander, D., & Slater, M. S. (1994). Sorry no beds: A problem for acute psychiatric admissions. Psychiatrist, 18(9), 532–534.Google Scholar
  18. Hong, R. Y. (2007). Worry and rumination: Differential associations with anxious and depressive symptoms and coping behaviours. Behaviour Research and Therapy, 45, 277–290. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/16635479.
  19. Hunt, I., Shaiyan R. M., While, D., Windfuhr, K., Shaw, J., Appleby, L., et al. (2014). Safety of patients under the care of crisis resolution home treatment services in England: A retrospective analysis of suicide trends from 2003 to 2011. The Lancet, 1, 135–141.  https://doi.org/10.1016/S2215-0366(14)70250-0.CrossRefGoogle Scholar
  20. Hunt, I. M., Appleby, L., & Kapur, N. (2016). Suicide under crisis resolution home treatment–A key setting for patient safety. BJPsych Bulletin, 40, 172–174.  https://doi.org/10.1192/pb.bp.115.051227.CrossRefGoogle Scholar
  21. Jacobsen, P., Peters, E., & Chadwick, P. (2016). Mindfulness-based crisis interventions for patients with psychotic symptoms on acute psychiatric wards (amBITION study): Protocol for a feasibility randomised controlled trial. Pilot and Feasibility Studies, 2(1), 43.CrossRefGoogle Scholar
  22. Joiner, T. E. (2005). Why people die by suicide. Boston, MA: Harvard University Press.Google Scholar
  23. Joiner, T. E., Ribeiro, J. D., & Silva, C. (2012). Nonsuicidal self-injury, suicidal behavior, and their co-occurrence as viewed through the lens of the interpersonal theory of suicide. Current Directions in Psychological Science, 21(5), 342–347.CrossRefGoogle Scholar
  24. Keown, P., Weic, S., Bhui, K. S., & Scott, J. (2011). Association between provision of mental illness beds and rate of voluntary admissions in the NHS in England 1988–2008: Ecological study. BMJ, 343, d3736.CrossRefGoogle Scholar
  25. Levant, R. F., Hall, R. J., Williams, C. M., & Hasan, N. T. (2009). Gender differences in alexithymia. Psychology of Men and Masculinity, 10(3), 190–203.  https://doi.org/10.1037/a0015652.CrossRefGoogle Scholar
  26. Linehan, M. M. (1993). Cognitive-behavioural treatment of borderline personality disorder. New York: Guildford Press.Google Scholar
  27. Lynch, T. R. (2018). Radically open dialectical behavior therapy: Theory and practice for treating disorders of overcontrol. Oakland, CA: New Harbringer Publications.Google Scholar
  28. MacLeod, C., Mathews, A., & Tata, P. (1986). Attentional bias in emotional disorders. Journal of Abnormal Psychology, 95(1), 15.CrossRefGoogle Scholar
  29. Maslow, A. H. (1943). A theory of human motivation. Psychological Review, 50(4), 370–396.CrossRefGoogle Scholar
  30. Maslow, A., & Lewis, K. J. (1987). Maslow’s hierarchy of needs. Salenger Incorporated, 14, 987.Google Scholar
  31. Mason, O. J., & Hargreaves, I. (2001). A qualitative study of mindfulness-based cognitive therapy for depression. British Journal of Medical Psychology, 74, 197–212.CrossRefGoogle Scholar
  32. Mathews, A., & MacLeod, C. (1994). Cognitive approaches to emotion and emotional disorders. Annual Review of Psychology, 45(1), 25–50.CrossRefGoogle Scholar
  33. Meltzer, H., Bebbington, P., Brugha, T., Farrell, M., Jenkins, R., & Lewis, G. (2003). The reluctance to seek treatment for neurotic disorders. International Review of Psychiatry, 15(1–2), 123–128.  https://doi.org/10.1080/0954026021000046038.CrossRefGoogle Scholar
  34. Mobini, S., & Grant, A. (2007). Clinical implications of attentional bias in anxiety disorders: An integrative literature review. Psychotherapy: Theory, Research, Practice, Training, 44(4), 450.Google Scholar
  35. Mogg, K., & Bradley, B. P. (1998). A cognitive-motivational analysis of anxiety. Behaviour Research and Therapy, 36(9), 809–848.CrossRefGoogle Scholar
  36. Murphy, S. M., Irving, C. B., Adams, C. E., & Waqar, M. (2015). Crisis intervention for people with severe mental illnesses. London: The Cochrane Library.Google Scholar
  37. NHS Information Centre. (2010). In-patients formally detained in hospitals under the mental health act 1983 and patients subjected to supervised community treatment, annual figures, England 2009/10. Retrieved from http://www.ic.nhs.uk/webfiles/publications/005_Mental_Health/inpatientdetmha0910/KP90_final_report.pdf.
  38. Nolen-Hoeksema, S. (2000). The role of rumination in depressive disorders and mixed anxiety/depressive symptoms. Journal of Abnormal Psychology, 109, 504–511. http://dx.doi.org/101037/10021-843X.109.3.504.
  39. Nolen-Hoeksema, S., Wisco, B. E., & Lyubomirsky, S. (2008). Rethinking rumination. Perspectives on Psychological Science, 3, 400–424. Retrieved from http://www.faculty.ucr.edu/~sonja/papers/NWL2008.pdf.
  40. O’Brien, R., Hunt, K., & Hart, G. (2005). “It’s caveman stuff, but that is to a certain extent how guys still operate”: Men’s accounts of masculinity and help seeking. Social Science and Medicine, 61, 503–516.Google Scholar
  41. O’Connor, R. C., & Nock, M. K. (2014). The psychology of suicidal behaviour. The Lancet Psychiatry, 1(1), 73–85.CrossRefGoogle Scholar
  42. Office of National Statistics. (2010). Patterns of specialist mental health service usage in England. Retrieved from http://neighbourhood.statistics.gov.uk/HTMLDocs/images/Mental-Health-Serviceusage-small-analysis1_tcm97-97434.pdf.
  43. Pleck, J. H. (1995). The gender role strain paradigm: An update. In R. F. Levant & W. S. Pollack (Ed.), A new psychology of men (pp. 11–32). New York: Basic Books.Google Scholar
  44. Seager, M., Sullivan, L., & Barry, J. (2014). Gender-related schemas and suicidality: Validation of the male and female traditional gender scripts questionnaires. New Male Studies—An International Journal, 3(3), 34–54.Google Scholar
  45. Slaiku, K. A. (1990). Crisis intevention: A handbook for practice and research. Boston, MA: Allyn and Bacon, A Pearson Education Company.Google Scholar
  46. SpeshulSnek. (2018). Does anyone else feel a sense of calm and peace when thinking about suicide? Online forum comment. Retrieved from https://www.reddit.com/r/SuicideWatch/comments/7qlcau/does_anyone_else_feel_a_sense_of_calm_and_peace/.
  47. Spring, B., & Neville, K. (2010). Evidence-based practice in clinical psychology. In D. H. Barlow (Ed.), The Oxford handbook of clinical psychology (pp. 128–149). New York: Oxford University Press.Google Scholar
  48. Stanley, B., & Brown, G. K. (2012). Safety planning interventions: A brief intervention to mitigate suicide risk. Cognitive Behavioural Practice, 19, 256–264.CrossRefGoogle Scholar
  49. Sullivan, L. (2011). Men, masculinity and male gender role socialisation: Implications for men’s mental health and psychological help seeking behaviour. D.Clin.Psych. thesis, Canterbury Christ Church University. Retrieved from http://create.canterbury.ac.uk/10199/.
  50. Sullivan, L. (2018). Demedicalising crisis resolution home treatment teams: A psychological intervention for acute care services. Clinical Psychology Forum, 310, 39–43.Google Scholar
  51. Sullivan, L., Camic, P. M., & Brown, J. S. (2015). Masculinity, alexithymia, and fear of intimacy as predictors of UK men’s attitudes towards seeking professional psychological help. British Journal of Health Psychology, 20(1), 194–211.CrossRefGoogle Scholar
  52. Van Dijk, S. (2012). DBT made simple: A step by step guide to dialectical behavior therapy. Oakland, CA: Harbinger.Google Scholar
  53. Wells, A. (2000). Emotional disorders and metacognition: Innovative cognitive therapy. Chichester, UK: Wiley.Google Scholar
  54. White, A. (2001). Report on the scoping study on men’s health. London: HMSO.Google Scholar

Copyright information

© The Author(s) 2019

Authors and Affiliations

  1. 1.Community Interest CompanyMen’s Minds MatterLondonUK
  2. 2.South London & Maudsley NHS Foundation TrustLondonUK

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