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"Crisis care from crisis team"

About: Camden and Islington NHS Foundation Trust

My experience of the crisis team has been so awful. A few years ago when I was referred to them a member of the crisis team came into my flat, stayed less than five minutes, told me it was my fault I'd been raped, that God still loves you and then they left me sobbing and completely distraught. I wrote feedback at the time to the manager but no one contacted me or had anything to say about the way she treated me. I thought after that I would never use them again.

However to avoid being sectioned I agreed to work with them. They arrive, spend less than five minutes in my flat and go through a tick box check list - appetite, sleep, suicidal ideation, but don't care about what your answers are. I tried to tell them how acutely suicidal I've been feeling, but they said because I haven't attempted suicide this time I am "low risk" even though I've had several previous very serious suicide attempts in the past which were nearly fatal. Instead of supporting me with suicide prevention, it feels invalidating and like they almost want you to attempt suicide to prove that you are actually suicidal, never mind if the consequences are fatal.

There are often only male staff on the crisis line at night and for a woman who has been raped talking to a man isn't going to help. Also they only want to know your personal information to log you called, they don't let you talk about feelings or what is going on for you. Have a bath, go for a walk (even if it is 2am) and take medication are the three stock responses to anything you say. Sometimes just a short conversation and someone listening with some compassion and care would be helpful. Any contact I've had with the crisis line has been literally less than a 5 minute phone call.

I think that all crisis line staff need to do Samaritans or similar training as it feels like there is a huge lack of compassion, listening skills or empathy. Tick box check lists and paperwork aren't helpful. Asking someone if they have plans to kill themselves as they are already walking out the door isn't helpful. Telling someone that because they haven't actually killed themselves yet, means they are doing well isn't helpful.

If someone is asking a crisis team for help it is because they need help. Don't invalidate, or refuse to offer support because someone hasn't yet attempted suicide, especially if their last suicide attempt was nearly fatal and resulted in long-term damage. Surely prevention of suicide should be the aim and helping support someone before it gets that bad.

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Responses

Response from Camden and Islington NHS Foundation Trust 6 years ago
Camden and Islington NHS Foundation Trust
Submitted on 24/10/2017 at 11:13
Published on Care Opinion on 27/10/2017 at 16:45


Thank you for taking the time to write a review, comments from service users are vital in improving quality of care and to help us develop our service.

We are sorry that you did not have a positive experience with the Crisis Team. You stated that a member of the team did not spend adequate time with you during the visit, made inappropriate comments about the sexual abuse you experienced and there was no contact from the manager when you raised this. I would like to assure you that this not acceptable or standard practice within the crisis teams. We ensure to spend sufficient time with service users during all contacts. Any form of unprofessionalism is unacceptable and is managed in line with trust policy.

You mentioned that your contact with the Crisis Call Centre has left you feeling unsupported and unsafe. At night the service is more limited with less staff on duty than during day time periods. I can appreciate how speaking to a male worker when you have experienced sexual abuse in the past can be unhelpful. There are usually two night workers on so in future if you are answered by a male worker please request to speak to a female worker instead.

You also stated that you did not find generic advice helpful and that some questions can seem quite systematic. In response to this, we need to acquire demographic details in order to maximise our electronic patient record system. There is likely to be historic information on the patient record system which would guide the clinician in supporting you at the time.

There is also an on-going core skills reflection session for the Crisis Call Centre which supports staff on how to provide therapeutic telephone support to service users. Here at the Crisis Resolution Team (CRT), we pride ourselves on being able to offer support to service users 24 hours per day. Therefore I would urge you to access the service when required and hope that you have a better experience going forward.

Without more detail we are unable to fully investigate what happened and thus are not able to speak directly with the staff involved. However, I encourage you to get in contact with me directly. I am happy to meet with you to discuss your experience further.

My contact details are:
Lorraine Mazwi
Clinical Team Manager
South Camden Crisis Resolution Teams
Email: lorraine.mazwi2@candi.nhs.uk
Crisis Call Centre number – 020 3317 6333

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