Voluntary Sector Review
An international journal of third sector research, policy and practice

The provision of comprehensive crisis intervention by a charitable organisation: findings from a realist evaluation

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  • 1 University of Otago (Wellington), , New Zealand
  • | 2 Te Herenga Waka – Victoria University of Wellington, , New Zealand
  • | 3 University of Otago (Wellington), , New Zealand
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Public and academic discussion about the needs of people experiencing suicidality and psychological distress is focused on the improvement and expansion of clinical services. The potential of non-clinical, voluntary organisations providing comprehensive support is overlooked. This article reports findings from a realist evaluation of a charitable organisation in New Zealand that provides crisis respite. Two phases of data collection and analysis enabled the development of a programme theory explaining how respite supports people experiencing suicidality and distress. Data from interviews, participant observation, document analysis and a focus group were examined using thematic analysis. The study identified key outcomes of this respite service, along with the contextual factors and mechanisms that explain how these outcomes were generated. This study demonstrates the effectiveness of respite and the benefits of crisis services operating as charitable organisations. The apparent advantages of volunteerism are discussed in the context of a trend towards professionalisation in crisis intervention.

  • Astbury, B. and Leeuw, F.L. (2010) Unpacking black boxes: mechanisms and theory building in evaluation, American Journal of Evaluation, 31(3): 36381. doi: 10.1177/1098214010371972

    • Search Google Scholar
    • Export Citation
  • Baillie, L. (2015) Promoting and evaluating scientific rigour in qualitative research, Nursing Standard, 29(46): 3642. doi: 10.7748/ns.29.46.36.e8830

    • Search Google Scholar
    • Export Citation
  • Billis, D. and Glennerster, H. (1998) Human services and the voluntary sector: towards a theory of comparative advantage, Journal of Social Policy, 27(1): 7998. doi: 10.1017/S0047279497005175

    • Search Google Scholar
    • Export Citation
  • Boscarato, K., Lee, S., Kroschel, J., Hollander, Y., Brennan, A. and Warren, N. (2014) Consumer experience of formal crisis‐response services and preferred methods of crisis intervention, International Journal of Mental Health Nursing, 23(4): 28795. doi: 10.1111/inm.12059

    • Search Google Scholar
    • Export Citation
  • Braun, V. and Clarke, V. (2006) Using thematic analysis in psychology, Qualitative Research in Psychology, 3(2): 77101. doi: 10.1191/1478088706qp063oa

    • Search Google Scholar
    • Export Citation
  • Bruffaerts, R., Demyttenaere, K., Hwang, I., Chiu, W.T., Sampson, N., Kessler, R.C., Alonso, J., Borges, G., de Girolamo, G., de Graaf, R. et al. (2011) Treatment of suicidal people around the world, The British Journal of Psychiatry, 199(1): 6470. doi: 10.1192/bjp.bp.110.084129

    • Search Google Scholar
    • Export Citation
  • Caplan, G. (1990) Loss, stress, and mental health, Community Mental Health Journal, 26(1): 2748. doi: 10.1007/BF00752675

  • Chiu, M., Vigod, S., Rahman, F., Wilton, A.S., Lebenbaum, M. and Kurdyak, P. (2018) Mortality risk associated with psychological distress and major depression: a population-based cohort study, Journal of Affective Disorders, 234 (July): 11723. doi: 10.1016/j.jad.2018.02.075

    • Search Google Scholar
    • Export Citation
  • Clarke, D.E., Dusome, D. and Hughes, L. (2007) Emergency department from the mental health client’s perspective, International Journal of Mental Health Nursing, 16(2): 12631. doi: 10.1111/j.1447-0349.2007.00455.x

    • Search Google Scholar
    • Export Citation
  • Coppersmith, D.D.L., Nada-Raja, S. and Beautrais, A.L. (2017) An examination of suicide research and funding in New Zealand 2006–16: implications for new research and policies, Australian Health Review, 42(3): 35660. doi: 10.1071/AH16189

    • Search Google Scholar
    • Export Citation
  • Elliott, M. (2017) People’s Mental Health Report Wellington, NZ: ActionStation.

  • Golan, N. (1978) Treatment in Crisis Situations, New York, NY: Free Press.

  • James, R.K. (2016) Crisis intervention, in J.C. Norcross, G.R. VandenBos, D.K. Freedheim and R. Krishnamurthy (eds) APA Handbook of Clinical Psychology: Applications and Methods, Washington, DC: American Psychological Association, pp 387407.

    • Search Google Scholar
    • Export Citation
  • James, R.K. and Gilliland, B.E. (2017) Crisis Intervention Strategies, Boston, MA: Cengage Learning.

  • Joffe, H. (2012) Thematic analysis, in D. Harper and A.R. Thompson (eds) Qualitative Research Methods in Mental Health and Psychotherapy, Chichester: Wiley-Blackwell, pp 20923.

    • Search Google Scholar
    • Export Citation
  • Kleespies, P.M. (2009) Behavioral Emergencies: An Evidence-based Resource for Evaluating and Managing Risk of Suicide, Violence, and Victimization, Washington, DC: American Psychological Association.

    • Search Google Scholar
    • Export Citation
  • Klevan, T., Karlsson, B. and Ruud, T. (2017) “At the extremities of life” – service user experiences of helpful help in mental health crises, American Journal of Psychiatric Rehabilitation, 20(2): 87105. doi: 10.1080/15487768.2017.1302370

    • Search Google Scholar
    • Export Citation
  • Lewis, J., Ritchie, J., Ormston, R. and Morrell, G. (2014) Generalising from qualitative research, in J. Ritchie, J. Lewis, C. McNaughton Nicholls and R. Ormston (eds) Qualitative Research Practice: A Guide for Social Science Students and Researchers, London: SAGE Publications, pp 34766.

    • Search Google Scholar
    • Export Citation
  • Linehan, M. (1993) Cognitive-behavioral Treatment of Borderline Personality Disorder, New York, NY: Guilford Press.

  • Macmillan, R. (2013) ‘Distinction’ in the third sector, Voluntary Sector Review, 4(1): 3954. doi: 10.1332/204080513X661572

  • Mark, M.M., Henry, G.T. and Julnes, G. (1998) A realist theory of evaluation practice, New Directions for Evaluation, 1998(78): 332. doi: 10.1002/ev.1098

    • Search Google Scholar
    • Export Citation
  • Maxwell, J.A. (2012) A Realist Approach for Qualitative Research, Thousand Oaks, CA: SAGE Publications.

  • Maxwell, J.A. (2017) The validity and reliability of research: a realist perspective, in D. Wyse, L.E. Suter, E. Smith and N. Selwyn (eds) The BERA/SAGE Handbook of Educational Research, London: SAGE Publications, pp 11640.

    • Search Google Scholar
    • Export Citation
  • McGee, R.K. (1974) Crisis Intervention in the Community, Baltimore, MD: University Park Press.

  • Merton, R.K. (1968) Social Theory and Social Structure, New York, NY: Free Press.

  • Miles, M.B., Huberman, A.M. and Saldaña, J. (2014) Qualitative Data Analysis: A Methods Sourcebook, Thousand Oaks, CA: SAGE Publications.

    • Search Google Scholar
    • Export Citation
  • Mirriam-Webster (no date) respite, www.merriam-webster.com/dictionary/respite.

  • Naghavi, M. (2019) Global, regional, and national burden of suicide mortality 1990 to 2016: systematic analysis for the Global Burden of Disease Study 2016, BMJ, 364(194): 111.

    • Search Google Scholar
    • Export Citation
  • Newbigging, K., Rees, J., Ince, R., Mohan, J., Joseph, D., Ashman, M., Norden, B., Dare, C., Bourke, S. and Costello, B. (2020) The contribution of the voluntary sector to mental health crisis care: a mixed-methods study, Health Services and Delivery Research, 8(29): 1199. doi: 10.3310/hsdr08290

    • Search Google Scholar
    • Export Citation
  • Novak, J.D. and Gowin, D.B. (1984) Learning How to Learn, Cambridge: Cambridge University Press.

  • Pawson, R. (2006) Evidence-based Policy: A Realist Perspective, London: SAGE Publications.

  • Pawson, R. and Tilley, N. (1997) Realistic Evaluation, London: SAGE Publications.

  • Pawson, R. and Tilley, N. (2004) Realist Evaluation, London: Cabinet Office.

  • Puleo, S. and McGlothlin, J. (2010) Overview of crisis intervention, in L.R. Jackson-Cherry and B.T. Erford (eds) Crisis Intervention and Prevention, Upper Saddle River, NJ: Pearson, pp 124.

    • Search Google Scholar
    • Export Citation
  • Roberts, A.R. and Ottens, A.J. (2005) The seven-stage crisis intervention model: a road map to goal attainment, problem solving, and crisis resolution, Brief Treatment and Crisis Intervention, 5(4): 32936. doi: 10.1093/brief-treatment/mhi030

    • Search Google Scholar
    • Export Citation
  • Salter, K.L. and Kothari, A. (2014) Using realist evaluation to open the black box of knowledge translation: a state-of-the-art review, Implementation Science, 9(115): 114. doi: 10.1186/1748-5908-9-1

    • Search Google Scholar
    • Export Citation
  • Seidman, I. (2006) Interviewing as Qualitative Research: A Guide for Researchers in Education and the Social Sciences, New York, NY: Teachers College Press.

    • Search Google Scholar
    • Export Citation
  • Sheppard, R., Deane, F.P. and Ciarrochi, J. (2018) Unmet need for professional mental health care among adolescents with high psychological distress, Australian & New Zealand Journal of Psychiatry, 52(1): 5967.

    • Search Google Scholar
    • Export Citation
  • Singh, P., Chakravarthy, B., Yoon, J., Snowden, L. and Bruckner, T.A. (2019) Psychiatric‐related revisits to the emergency department following rapid expansion of community mental health services, Academic Emergency Medicine, 26(12): 133645. doi: 10.1111/acem.13812

    • Search Google Scholar
    • Export Citation
  • Szasz, T. (1982) On the legitimacy of psychiatric power, Metamedicine, 3(3): 31524. doi: 10.1007/BF00900933

  • Taylor, T.L., Hawton, K., Fortune, S. and Kapur, N. (2009) Attitudes towards clinical services among people who self-harm: systematic review, The British Journal of Psychiatry, 194(2): 10410. doi: 10.1192/bjp.bp.107.046425

    • Search Google Scholar
    • Export Citation
  • Thomas, P. and Bracken, P. (2004) Critical psychiatry in practice, Advances in Psychiatric Treatment, 10(5): 36170. doi: 10.1192/apt.10.5.361

    • Search Google Scholar
    • Export Citation
  • Turecki, G., Brent, D.A., Gunnell, D., O’Connor, R.C., Oquendo, M.A., Pirkis, J. and Stanley, B.H. (2019) Suicide and suicide risk, Nature Reviews Disease Primers, 5(1): 122. doi: 10.1038/s41572-019-0121-0

    • Search Google Scholar
    • Export Citation
  • Walsh, J. (2013) Theories for Direct Social work Practice, Stamford, CT: Cengage Learning.

  • Yeager, K.R. and Roberts, A.R. (2016) Bridging the past and present to the future of crisis intervention and crisis management, in K.R. Yeager and A.R. Roberts (eds) Crisis Intervention Handbook: Assessment, Treatment, and Research, Oxford: Oxford University Press, pp 335.

    • Search Google Scholar
    • Export Citation
  • 1 University of Otago (Wellington), , New Zealand
  • | 2 Te Herenga Waka – Victoria University of Wellington, , New Zealand
  • | 3 University of Otago (Wellington), , New Zealand

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