Emergency care to 'persons with confused behavior': Lived experiences of, and collaboration between, police and members of a mobile crisis team - A hermeneutic-phenomenological study.

Autor:	Daggenvoorde TH; Center for Bipolar Disorders, Dimence Group, Deventer, The Netherlands.; Radboud Institute for Health Sciences IQ Healthcare, Radboud University Medical Center, Nijmegen, The Netherlands., van Eerden M; Mobile Crisis Team, Mediant, Enschede, The Netherlands., van den Heuvel SC; Center for Bipolar Disorders, Dimence Group, Deventer, The Netherlands., Gijsman HJ; Division of Emergency Mental Health Care, Dimence Group, Deventer, The Netherlands., Vermeulen H; Radboud Institute for Health Sciences IQ Healthcare, Radboud University Medical Center, Nijmegen, The Netherlands.; Faculty of Health and Social Studies, HAN University of Applied Sciences, Nijmegen, The Netherlands., Goossens PJ; Center for Bipolar Disorders, Dimence Group, Deventer, The Netherlands.; Faculty of Medicine and Health Sciences, Department of Public Health and Primary Care, University Centre for Nursing and Midwifery, Ghent University, Ghent, Belgium.
Jazyk:	angličtina
Zdroj:	The International journal of social psychiatry [Int J Soc Psychiatry] 2022 May; Vol. 68 (3), pp. 649-655. Date of Electronic Publication: 2021 Feb 10.
DOI:	10.1177/0020764021994606
Abstrakt:	Background: Police officers and members of a mobile crisis team (MCT) are the two actors who respond to nuisance in Dutch society related to 'persons with confused behavior' and serious violent incidents. Their collaboration creates tension and dissatisfaction about roles and responsibilities. Aim: To explore the lived experiences of, and collaboration between, police officers and members of a MCT. Methods: A hermeneutic-phenomenological study with unstructured in-depth interviews of eight police officers and eight members of a MCT. Findings: The main findings in this study are that in the emergency care of 'persons with confused behavior' two very different professions are forced to work together, and that this collaboration is quite challenging. It becomes clear that different visions and expectations cause frustration in the collaboration. Police want the participation of the MCT as soon as possible after they are called in. The MCT wants to be easily accessible for police and can identify the great diversity of problems adequately but cannot solve all problems. There are shortcomings in adequate follow-up care provided by other health-care facilities. Conclusion: It turns out that it is extremely important for police officers that members of the MCT explain to them why a crisis assessment has a certain outcome. The exposed frictions and stagnation in the collaboration should be discussed openly as part of the process in order to acknowledge this and resolve it together. A recently started project called 'street triage', in which the police and MCT work together as one team and give a joint response, seems to remove a lot of the friction and stagnation. Further studies are needed to explore the effects of street triage by testing the validity of the hypothesis that street triage can close the gap between the two professions.
Databáze:	MEDLINE
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