Joint Crisis Plan in Mental Health Settings: A Reflective Process More than an Intervention Tool?
2024

Evaluating the Joint Crisis Plan in Mental Health Settings

Sample size: 57 publication 10 minutes Evidence: moderate

Author Information

Author(s): Goulet Marie-Hélène, Sergerie-Richard Sophie, Dostie Mathieu, Drouin Jean-Simon, Vigneault Luc, Genest Christine

Primary Institution: Université de Montréal

Hypothesis

The study hypothesizes that the Joint Crisis Plan (JCP) will reduce the use of coercion and improve the violence prevention climate in psychiatric settings.

Conclusion

The results support the integration of the JCP into patient care pathways, promoting patient empowerment and reducing coercion.

Supporting Evidence

  • 84.8% of surveyed individuals believe the JCP would meet a critical need in care settings.
  • Healthcare providers reported a moderate change in the violence prevention climate after JCP implementation.
  • Qualitative findings indicated a tension between inpatients valuing the reflective process and providers focusing on technical aspects.

Takeaway

The Joint Crisis Plan helps patients express their treatment preferences, which can make their care more humane and reduce the need for forceful measures.

Methodology

A pilot mixed-methods study involving individual interviews and pre–post analysis of seclusion and restraint use.

Potential Biases

Potential bias due to healthcare providers' awareness of the project affecting their perceptions.

Limitations

The study could not collect the total number of JCPs completed, and the awareness of the project may have biased results.

Participant Demographics

Participants included 57 healthcare providers and inpatients, with varied ages and diagnoses.

Statistical Information

P-Value

0.035

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.3390/healthcare12242532

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