Decision-making in crisis resolution and home treatment teams: The AWARE framework

Article


Lombardo, C., Santos, Mónica, Van Bortell, T., Croos, Robert, Arensman, Ella and Kar Ray, Manaan 2019. Decision-making in crisis resolution and home treatment teams: The AWARE framework. BJPsych Bulletin. 43 (2), pp. 61-66.
AuthorsLombardo, C., Santos, Mónica, Van Bortell, T., Croos, Robert, Arensman, Ella and Kar Ray, Manaan
Abstract

Aims and method

The aim of the study is to improve patient safety by identifying factors influencing gatekeeping decisions by crisis resolution and home treatment teams. A theoretical sampling method was used to recruit clinicians. Semi-structured interviews to elicit various aspects of clinical decision-making were carried out. The transcripts were thematically analysed using a grounded theory approach.
Results

Patient needs (safety and treatment) was the primary driver behind decisions. The research also revealed that information gathered was processed using heuristics. We identified five key themes (anxiety, weighting, agenda, resource and experience), which were constructed into an acronym ‘AWARE’.
Clinical implications

AWARE provides a framework to make explicit drivers for decision-making that are often implicit. Incorporating these drivers into reflective practice will help staff be more mindful of undue influences and result in improved clinical decisions.

JournalBJPsych Bulletin
Journal citation43 (2), pp. 61-66
ISSN2056-4708
Year2019
PublisherCambridge University Press
Publisher's version
License
Supplemental file
Digital Object Identifier (DOI)doi:10.1192/bjb.2018.94
Web address (URL)https://doi.org/10.1192/bjb.2018.94
Publication dates
Online19 Nov 2018
PrintApr 2019
Publication process dates
Deposited09 Nov 2018
Accepted19 Oct 2018
Accepted19 Oct 2018
Copyright information© 2018 The authors
LicenseCC BY-NC-ND 4.0
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https://repository.uel.ac.uk/item/8441x

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