Experiences of Service Users with Psychosis and Crisis Teams: A Scoping Review

Abstract

Deinstitutionalization in North America led to increased community mental health crises, prompting the development of Crisis Teams (CTs). Nursing plays a vital role for these teams, which specialize in crisis intervention. Service users with psychosis are frequent users of CT services, yet their experiences remain under-explored. The aim of this scoping review study was to explore the experiences of individuals with psychosis during interactions with CTs. A scoping review was the methodological approach for this study. Crisis theory was the theoretical framework and twenty-six articles met inclusion criteria. Findings from these articles were divided into three main themes: 1) service user, 2) carer, 3) healthcare professional. Service users and carers were mostly satisfied, though some found their experiences were stigmatizing and traumatizing. Both highlighted the need for better communication and compassion from CTs. Professionals reported high stress and educational gaps. Understanding these experiences could identify gaps and make care improvements.