Crisis resolution and home treatment
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Crisis resolution and home treatment. Fiona Winstanley. Case study. Jamie - full time student Had previous counselling for anxiety Represented to counselling services with low mood and suicidal thoughts Had a couple of sessions with counselling service and was advised to see GP

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Crisis resolution and home treatment

Crisis resolution and home treatment.

Fiona Winstanley


Case study

Case study

Jamie - full time student

Had previous counselling for anxiety

Represented to counselling services with low mood and suicidal thoughts

Had a couple of sessions with counselling service and was advised to see GP

GP Referred to CRHT


Crht opinion

CRHT opinion

  • Having suicidal thoughts daily about jumping off a bridge, or hanging or drowning himself

  • Minimal protective factors

  • Some biological symptoms, some lack of motivation, less sleep but otherwise going to lectures and looking after himself, still in contact with family and friends and continued social activities

  • No drugs alcohol , mum had depression, father unwell

  • Admitted to service had 3 week admission


Outcome

outcome

  • Jamie commenced on antidepressant

  • Alternate day contact to assess risk

  • Education and anxiety management

  • Decrease in suicidal thoughts

  • Treatment commenced

  • Approached tutor

  • Engaging with counselling services and GP

  • Discharged from CRHT after 3 weeks


Why crht risk

Why CRHT - risk

Having daily suicidal thoughts

No protective factors

Had started to test out suicidal plan – had stood at the bridge

Willing to engage

Hadn’t accessed services at early stages


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