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17 - Responding to diversity in home treatment

from Section 3 - Current practice

Published online by Cambridge University Press:  13 August 2009

By
Danny Antebi ,
Waquas Waheed ,
Sonia Johnson  and
Lisa Marrett
Edited by
Sonia Johnson ,
Justin Needle ,
Jonathan P. Bindman  and
Graham Thornicroft
Danny Antebi
Affiliation:
consultant psychiatrist and clinical director
Waquas Waheed
Affiliation:
consultant psychiatrist with the crisis resolution and home treatment team at Accrington
Sonia Johnson
Affiliation:
University College, London
Lisa Marrett
Affiliation:
Diversity Training Lead for Avon and Wiltshire Mental Health Partnership Trust
Sonia Johnson
Affiliation:
University College London
Justin Needle
Affiliation:
City University London
Jonathan P. Bindman
Affiliation:
South London and Maudsley NHS Foundation Trust
Graham Thornicroft
Affiliation:
King's College London
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Summary

When patients are treated in their own homes rather than in an institutional setting, their social circumstances and identities are necessarily much more visible and salient. This offers very valuable opportunities to assess social determinants of the crises, to deliver interventions that are appropriate to clients' social and cultural needs and to engage the key members of their social networks in the management of their mental health problems. Considerable challenges accompany these opportunities. Home treatment clinicians cannot avoid having their own values and preconceptions challenged by the great range of ways of living and thinking that they will find among patients and their social networks, and adapting interventions so that they are appropriate to the full range of clients' values and social circumstances requires considerable imagination and sensitivity to diversity. In this chapter, we will explore the ways in which crisis resolution teams (CRTs) can try to respond effectively to clients' diverse needs. Our main focus will be on responding to ethnic, religious and cultural variations, but in the latter part of the chapter, we will also address gender-specific needs and home treatment for gay men and lesbians.

Ethnic diversity: background and current service provision

Migrants from Asia, Africa, eastern Europe and the Caribbean Islands permanently reside as ethnic minorities in many Western countries. Numbers both of asylum seekers and economic migrants have substantially increased, driven by wars and global political upheavals and by economic disparities.

Type
Chapter
Information
Crisis Resolution and Home Treatment in Mental Health , pp. 205 - 222
Publisher: Cambridge University Press
Print publication year: 2008

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