@article{ref1,
title="A study of 'crisis cards' in a community psychiatric service",
journal="Acta psychiatrica Scandinavica",
year="1999",
author="Sutherby, K. and Szmukler, G. I. and Halpern, A. and Alexander, M. and Thornicroft, G. and Johnson, C. and Wright, S.",
volume="100",
number="1",
pages="56-61",
abstract="OBJECTIVE: 'Crisis cards' state patients' treatment details and preferences in anticipation of a later occasion when the patient might be too ill to express them directly. We assessed the feasibility of introducing 'crisis cards', or a collaborative form of them, 'joint crisis plans', into a sectorized community psychiatric service. METHOD: All patients with a psychosis and at high risk of crisis were invited to participate. Follow-up examined patients' satisfaction and how the cards were used. RESULTS: In total, 106 eligible patients were identified and offered a card, and 40% agreed to participate. Patients with an affective psychosis, past suicide attempts and less frequent admissions were over-represented among those who agreed to take part. Patients chose to include a wide range of information. For participants, admissions fell by 30% in the follow-up year. CONCLUSION: Crisis cards serve both a 'manifest', practical function (to provide important information when the patient is too ill to do so) and a 'latent' psychological one (positive effects on the patient's attitude to self, their illness and treatment, and their relationship with the clinical team).<p /><p>Language: en</p>",
language="en",
issn="0001-690X",
doi="10.1111/j.1600-0447.1999.tb10914.x",
url="http://dx.doi.org/10.1111/j.1600-0447.1999.tb10914.x"
}