Who has been involved in this study? Mental Health Service Users and Carers Clinicians Academics

1. The Experience and findings from a collaborative research study about the experience of having a mental health crisis. Nottinghamshire Healthcare NHS Trust, Lincolnshire Partnership NHS Trust, University of Nottingham, University of Lincoln

2. Who has been involved in this study? • Mental Health Service Users and Carers • Clinicians • Academics • Professional Researchers Nottinghamshire Healthcare NHS Trust, Lincolnshire Partnership NHS Trust, University of Nottingham, University of Lincoln

3. What are the Mental Health Crisis Teams? Why did we need to do this research? Nottinghamshire Healthcare NHS Trust, Lincolnshire Partnership NHS Trust, University of Nottingham, University of Lincoln

4. Where is the study has taken place? • Throughout the whole of Nottinghamshire and Lincolnshire • All 9 CRHT teams • These range from Mansfield right over to Boston Nottinghamshire Healthcare NHS Trust, Lincolnshire Partnership NHS Trust, University of Nottingham, University of Lincoln

5. Study Design • 2 week census period September 2007 • 36 semi structured interviews • Anonymised demographic data • Stratified by gender and locality Nottinghamshire Healthcare NHS Trust, Lincolnshire Partnership NHS Trust, University of Nottingham, University of Lincoln

6. The interviews • By 2 trained Service User or carer Researchers • At local neutral venues/homes • Interviews according to the nine domains from the focus groups • Audio taped • 45 mins to one hour • Debriefing was given Nottinghamshire Healthcare NHS Trust, Lincolnshire Partnership NHS Trust, University of Nottingham, University of Lincoln

7. Findings: What helped Recovery? • Reassurance • Positive relationships (consistency, acceptance, understanding, listening and hearing, non judgemental) • Service user enabled and involved in recovery • Other factors: General practioners practical support access and flexibility Nottinghamshire Healthcare NHS Trust, Lincolnshire Partnership NHS Trust, University of Nottingham, University of Lincoln

8. Findings: What hindered recovery? • Negative attitudes and behaviour • Expectations prior to crisis support • Lack of continuity • Lack of appropriate/organised follow up Nottinghamshire Healthcare NHS Trust, Lincolnshire Partnership NHS Trust, University of Nottingham, University of Lincoln

9. The benefits for service user and carer interviewers? • Being involved in an exciting collaborative research venture at all levels • Helping to discover what the service users’ experience using the CRHT service • Learning new skills • Helping journeys of recovery Nottinghamshire Healthcare NHS Trust, Lincolnshire Partnership NHS Trust, University of Nottingham, University of Lincoln

10. Thank you must go to all who have been involved in this study. There are far too many to mention and everyone has been vital but a big thank you must go to all the participants and also the mental health research network, without their support this would not have been possible. Nottinghamshire Healthcare NHS Trust, Lincolnshire Partnership NHS Trust, University of Nottingham, University of Lincoln

11. Contacts Chief Investigator - Becky Shaw – bshawmh@inbox.com Principal Investigator for Notts – Hugh Middleton Principal Investigator for Lincs – Brian Ferguson Nottinghamshire Healthcare NHS Trust, Lincolnshire Partnership NHS Trust, University of Nottingham, University of Lincoln