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"Poor crisis services - again"

About: Camden and Islington NHS Foundation Trust

(as a service user),

I want to echo what others here have said: Crisis line workers as well as crisis team workers who come to my home have often told me when in suicidal distress,that it is my choice to kill myself or not.

I am under the Personality Disorder team and have a diagnosis of borderline personality disorder. 

It is a diagnosis given mostly to women. It is like being told you are hysterical and overreact and should just get a grip. And that asking for help is manipulative. 

Getting back to the crisis line , in my experience they only operate until about 9pm then absolutely no one picks up the phone and it goes to a voicemail or a mobile or an answerphone. I don't think I have ever been called back until the next day when rung at night and this is all before coronavirus shut down mental health appointments and services. 

The crisis line during the daytime hours have told me it is my responsibility if I kill myself and not theirs and then slammed the phone down. Other workers repeatedly say after 5 minutes that they have been talking to me for 5 minutes now and what did I want? To talk to someone kind would have been an answer if I had the spoons to think .To talk to someone who talked through my crisis plan which they can access on their screen and try support me in following if I had the spoons to think. To talk to someone who acted like my life mattered.

The other thing they like to say ,and this is their latest get out clause to not speak to their own patients, is why don't I ring the Samaritans instead of them? Well, how about because it is your job to support severely mentally unwell people when they are suicidal and to try and help make the situation better and safer through planning safety strategies. That is not the job of the Samaritans who are a listening service and who can be very supportive but who I will have already tried.

I am on service user groups feeding back to the Trust and these responses on here on this site and elsewhere and what I have said, is said by many. I think it is a problem across many areas but I don't live in many areas I live under the care of this trust and I can't choose where I go for mental health support.

 10% of those with my diagnosis die by suicide. Do I think the crisis team and line should be dismantled? Absolutely. I am not sure they shouldn't exist at all but what we need are all night crisis cafes that the MH Trust is not allowed near and employ people who care on a crisis line. Crisis cafes led by service users and those with lived experience because these workers and their managers who haven't intervened for years, don't care and worse, believe severe mental illness and suicidal crisis is some sort of behavioural issue that requires punishment. 

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Responses

Response from Simon Africanus Rowe, Patient Experience Lead, Camden and Islington NHS FT 3 years ago
We have made a change
Simon Africanus Rowe
Patient Experience Lead,
Camden and Islington NHS FT
Submitted on 22/10/2020 at 17:40
Published on Care Opinion on 23/10/2020 at 13:02


We are sorry to hear you have not had a positive experience with Camden and Islington NHS Foundation Trust’s Crisis Single Point of Access (CSPA) as you explained in your review which was published on the Care Opinion website on 27/08/20. Thank you for taking the time to provide us with feedback. We have taken your concerns seriously and apologise that your experience of our service did not match the high standards we aim to achieve.

The Camden & Islington Crisis Resolution Teams (CRT) operate a Crisis Single Point of Access service, 24 hours a day, Monday to Sunday, 365 days per year to support our residents in a mental health crisis that may require urgent referral into the Crisis Resolution Team.

During the day (8am to 8:50pm) and particularly during peak hours when demand is greater we ensure there is greater staffing resource to respond to calls. Only staff who work in crisis services are permitted to work in the Crisis single point of access enabling callers to speak directly to a health professional.

We recognise there is increased demand on our night service and for this reason we have now increased staffing on at night to enable improved call handling, less calls to voicemail and a better patient experience which is our overall aim. Our technology for our night service as of the 5th October has now been improved and we will now also be able to record calls as we do during the daytime service. All calls to the Crisis Single Point of Access are recorded for learning and development purposes and so we are able to understand quickly if service users have had a poor experience with our service.

It is not acceptable for a CRT clinician to respond in the way you have described in your feedback. The clinician’s aim is to provide space for the caller to express concerns, risk assess, work together on developing coping mechanisms and agree a safe plan moving forward. The CRT Clinician will either accept a referral to the CRT or make recommendations; which may sometimes include the suggestion to call the Samaritans for additional support.

If the caller is under the care of a specialist service and calling in working hours then the clinician may recommend in the first instance to call the Duty Line of their community service. We work jointly with our community teams and request they also develop a care plan with the patient on how to access support when in crisis. Clinicians may refer to this care plan when on the call and follow through the recommendations as advised by the service users own team or worker.

Due to the current pandemic this has affected the opening of Crisis Cafés in our locality, however we are in communications with our partners about how we can work together to support our residents in need.

We would be keen to speak with you directly about your experience with Crisis Single Point of Access and apologise for any undue distress caused.

If you would like to discuss your experience please email Feedback@Candi.nhs.uk who will direct you to the relevant manager.

Many Thanks

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