{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T03:43:44Z","timestamp":1782791024426,"version":"3.54.5"},"reference-count":35,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T00:00:00Z","timestamp":1777248000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T00:00:00Z","timestamp":1777248000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100008795","name":"Manitoba Medical Services Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008795","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Scandinavian Caring Sciences"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Decisions around receiving hospital\u2010level care are complex; the addition of a virtual option introduces additional considerations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To develop a theoretical framework for the decision\u2010making process regarding in\u2010person or virtual\u2010based crisis stabilisation support.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Web\u2010based surveys emailed to all individuals admitted to in\u2010person and virtual Crisis Stabilisation Units between March 2022 and May 2023. Purposive sampling identified interview candidates based on use of the virtual service. A constructivist grounded theory approach started with analysis of the interviews and triangulated with survey data from in\u2010person service users.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Surveys (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u200976 in\u2010person users) and interviews (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u200921 virtual users) were analysed. The decision\u2010making framework highlighted clinical and safety risk, technological, environmental and systems factors within the clinical recommendation. The recommendation was either congruent or incongruent with the patient's desires leading to agreement or compromise through negotiation. Many patients viewed the virtual service as a good first step in care, while some continued to fear forced confinement.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Many patients are reluctant to accept in\u2010person crisis stabilisation, and the virtual option provides an acceptable alternative. Clinical recommendations should consider patient, environmental, and technological factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for Practice<\/jats:title>\n                    <jats:p>Clinicians must be willing to consider when virtual care may be an acceptable patient\u2010centred option.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/scs.70256","type":"journal-article","created":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T04:56:26Z","timestamp":1777352186000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Choosing Virtual Versus In\u2010Person Mental Health Crisis Care: A Theoretical Framework for the Decision\u2010Making Process From the Patient's Perspective"],"prefix":"10.1111","volume":"40","author":[{"given":"Angela","family":"Buchel","sequence":"first","affiliation":[{"name":"Department of Psychiatry University of Manitoba  Winnipeg Manitoba Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jocelyne","family":"Lemoine","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of Manitoba  Winnipeg Manitoba Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danielle Carignan","family":"Svenne","sequence":"additional","affiliation":[{"name":"Crisis Response Services Shared Health Manitoba  Winnipeg Manitoba Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James M.","family":"Bolton","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of Manitoba  Winnipeg Manitoba Canada"},{"name":"Crisis Response Services Shared Health Manitoba  Winnipeg Manitoba Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4194-6049","authenticated-orcid":false,"given":"Jennifer 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