Can crisis planning reduce repeat sectioning? FINCH feasibility trial

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FINCH trial of 80 people showed crisis planning intervention was feasible to deliver in NHS settings. Results leaned towards fewer repeat detentions, but study not designed to prove effectiveness.

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Thinking outside the box: alternatives to standard inpatient mental health care

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Amber Jarvis summarises a new typology of alternatives to standard inpatient care produced by the NIHR Policy Research Unit in Mental Health, which suggests there are multiple alternatives to ‘traditional’ inpatient mental health care, which planners and commissioners should consider.

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Brief admission during crisis for people diagnosed with borderline personality disorder

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Dan Warrender publishes his debut elf blog on a recent systematic review, which suggests that brief admission as a crisis management tool is acceptable and can be effective for people with ‘borderline personality disorder’.

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Crisis cafés: so much more than a cuppa

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Nicola Clibbens and Daisy Mbwanda write about Crisis Cafés – a novel form of community-based crisis alternative, and a recent small-scale interview study, which provides the first evidence on their UK implementation.

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Wide variance in the use of coercion in children and young people’s inpatient services

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John Baker reflects on a recent review on rates and risk factors of coercion in inpatient child and adolescent mental health services.

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Are crisis responses for children and young people effective?

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Beth Cumber summarises the CAMH‐Crisis project – a large systematic review exploring crisis response interventions for children and young people, with a focus on effectiveness, lived experiences and service organisation.

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What crisis and acute mental health care is available to those with a ‘personality disorder’ diagnosis?

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Keir Harding finds little published evidence to support people with ‘personality disorder’ diagnoses when they are in crisis.

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Intensive home treatment in crisis: a randomised controlled trial from the Netherlands

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Lucy Maconick and Sonia Johnson appraise a recent trial conducted in Amsterdam, which finds that intensive home treatment substantially reduces the use of hospital beds in acute psychiatry, without compromising patient safety.

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Waiting for the verdict: service user experiences of Mental Health Act assessment

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Elena Opie considers a qualitative study exploring the experiences of vulnerable individuals being assessed under the Mental Health Act.

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Mental health apps for people in crisis: helpful or harmful?

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Wouter van Ballegooijen summarises a review of the ‘best apps’ for mental health, which finds very little support for people experiencing a mental health crisis.

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