{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T15:38:56Z","timestamp":1785253136299,"version":"3.55.0"},"reference-count":84,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2024,2,12]],"date-time":"2024-02-12T00:00:00Z","timestamp":1707696000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psychiatric Ment Health Nurs"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>Accessible Summary<\/jats:title><jats:sec><jats:title>What is known on the subject?<\/jats:title><jats:p>\n<jats:list list-type=\"bullet\">\n\n<jats:list-item><jats:p>The term \u2018complex emotional needs\u2019 (CEN) is used here to describe people with difficulties and needs that are often associated with the diagnostic label of \u2018personality disorder\u2019.<\/jats:p><\/jats:list-item>\n\n<jats:list-item><jats:p>People with CEN might use out of hours services such as emergency departments and Crisis Resolution\/Home Treatment (CRHT) teams more often when experiencing a mental health crisis.<\/jats:p><\/jats:list-item>\n\n<jats:list-item><jats:p>Very little is understood about the experiences of both those receiving, and those delivering care, for people with CEN within CRHT settings.<\/jats:p><\/jats:list-item>\n<\/jats:list>\n<\/jats:p><\/jats:sec><jats:sec><jats:title>What this paper adds to existing knowledge?<\/jats:title><jats:p>\n<jats:list list-type=\"bullet\">\n\n<jats:list-item><jats:p>There are differences between priorities for those delivering and those receiving care within CRHT settings. CRHT staff members are likely to focus more upon those aspects of their role relating to risk issues. managing resources, anxieties and the expectations of others. Service users, meanwhile, focus upon the caring relationship, wanting staff to listen to them, and to feel supported and reassured.<\/jats:p><\/jats:list-item>\n\n<jats:list-item><jats:p>In the papers reviewed, service users experiencing CEN did not always feel \u2018listened to\u2019 or \u2018taken seriously\u2019 especially in relation to risk issues and decision\u2010making.<\/jats:p><\/jats:list-item>\n<\/jats:list>\n<\/jats:p><\/jats:sec><jats:sec><jats:title>What are the implications for practice?<\/jats:title><jats:p>\n<jats:list list-type=\"bullet\">\n\n<jats:list-item><jats:p>Relating the findings to mental health nursing and CEN within the context of CRHT, to better understand the person experiencing a mental health crisis, mental health nurses need to focus more upon the person and when making decisions around their care and must be aware of the potential for power imbalances.<\/jats:p><\/jats:list-item>\n\n<jats:list-item><jats:p>Collaborative \u2018sense\u2010making\u2019 in relation to a person's risk behaviours may help.<\/jats:p><\/jats:list-item>\n<\/jats:list>\n<\/jats:p><\/jats:sec><jats:sec><jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>A growing body of qualitative evidence focusing upon the experiences of care within Crisis Resolution\/Home Treatment (CRHT) is emerging; however, a firm evidence base regarding both the giving and receiving of care for those with complex emotional needs (CEN) in this context is yet to be established.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>A qualitative evidence synthesis was used to develop a comprehensive understanding of how crisis care for people with CEN is experienced by both those giving and receiving care, within the context of CRHT.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Findings from 19 research papers considering both clinician and service users' experiential accounts of CRHT were synthesised using meta\u2010ethnography.<\/jats:p><\/jats:sec><jats:sec><jats:title>Findings<\/jats:title><jats:p>Both the giving and receiving of care within a CRHT context was experienced across four related meta\u2010themes: \u2018contextual\u2019, \u2018functional\u2019, \u2018relational\u2019 and \u2018decisional\u2019.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Service user accounts focused upon relational aspects, highlighting a significance to their experience of care. Meanwhile, clinicians focused more upon contextual issues linked to the management of organisational anxieties and resources. For those with CEN, a clinician's focus upon risk alone highlighted power differentials in the caring relationship.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>There is a need for nurses to connect with the experience of the person in crisis, ensuring a better balance between contextual issues and relational working.<\/jats:p><\/jats:sec><\/jats:sec>","DOI":"10.1111\/jpm.13033","type":"journal-article","created":{"date-parts":[[2024,2,12]],"date-time":"2024-02-12T10:49:09Z","timestamp":1707734949000},"page":"788-802","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Care giving and receiving for people with complex emotional needs within a crisis resolution\/home treatment setting: A qualitative evidence synthesis"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9076-1481","authenticated-orcid":false,"given":"Michael","family":"Haslam","sequence":"first","affiliation":[{"name":"School of Nursing &amp; Midwifery University of Central Lancashire (UCLan)  Preston Lancashire United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4099-2812","authenticated-orcid":false,"given":"Gary","family":"Lamph","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery Keele University  Keele Staffordshire United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2153-2781","authenticated-orcid":false,"given":"Emma","family":"Jones","sequence":"additional","affiliation":[{"name":"School of Nursing &amp; Midwifery University of Central Lancashire (UCLan)  Preston Lancashire United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Wright","sequence":"additional","affiliation":[{"name":"School of Nursing &amp; Midwifery University of Central Lancashire (UCLan)  Preston Lancashire United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,2,12]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/xeb.0000000000000055"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471\u20102288\u20108\u201021"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjb.2021.86"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/jpm.12276"},{"key":"e_1_2_9_7_1","volume-title":"Meeting the challenge, making a difference: Working effectively to support people with personality disorder in the community","author":"Bolton W.","year":"2014"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18062892"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1192\/pb.bp.112.039933"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.3109\/09638237.2015.1019046"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.2196\/25742"},{"issue":"15","key":"e_1_2_9_12_1","article-title":"Explanation of context, mechanisms and outcomes in adult community mental health crisis care: The MH\u2010CREST realist evidence synthesis. 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