Working with Men in Crisis: A Psychological Framework for Crisis Intervention in Home Treatment Teams
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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.
KeywordsCrisis Intervention Suicidal Acute Threat Emotional Psychology Men Crisis resolution Home Treatment Team Men and suicide CBT intervention suicide
- 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
- 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
- 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.
- Clarke, I. (2015). The emotion focused formulation approach: bridging individual and team formulation. Clinical Psychology Forum, 275, 28–33.Google Scholar
- 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
- 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.
- 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
- Harris, R. (2009). Act made simple: An easy-to-read primer on acceptance and commitment therapy. Oakland, CA: New Harbinger Publications.Google Scholar
- Hollander, D., & Slater, M. S. (1994). Sorry no beds: A problem for acute psychiatric admissions. Psychiatrist, 18(9), 532–534.Google Scholar
- 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.
- 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
- Joiner, T. E. (2005). Why people die by suicide. Boston, MA: Harvard University Press.Google Scholar
- Linehan, M. M. (1993). Cognitive-behavioural treatment of borderline personality disorder. New York: Guildford Press.Google Scholar
- Lynch, T. R. (2018). Radically open dialectical behavior therapy: Theory and practice for treating disorders of overcontrol. Oakland, CA: New Harbringer Publications.Google Scholar
- Maslow, A., & Lewis, K. J. (1987). Maslow’s hierarchy of needs. Salenger Incorporated, 14, 987.Google Scholar
- 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
- 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
- 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.
- 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.
- 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.
- 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
- 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.
- 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
- 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
- Slaiku, K. A. (1990). Crisis intevention: A handbook for practice and research. Boston, MA: Allyn and Bacon, A Pearson Education Company.Google Scholar
- 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/.
- 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
- 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/.
- Sullivan, L. (2018). Demedicalising crisis resolution home treatment teams: A psychological intervention for acute care services. Clinical Psychology Forum, 310, 39–43.Google Scholar
- Van Dijk, S. (2012). DBT made simple: A step by step guide to dialectical behavior therapy. Oakland, CA: Harbinger.Google Scholar
- Wells, A. (2000). Emotional disorders and metacognition: Innovative cognitive therapy. Chichester, UK: Wiley.Google Scholar
- White, A. (2001). Report on the scoping study on men’s health. London: HMSO.Google Scholar