Wednesday, 22 February 2012

My Experiences of the Crisis Team


Everyone has different experiences of the crisis team that varies from area to area. I’ve had experiences with two crisis teams. One better than the other. My first experience of the crisis team was in the city where I studied at university. I had been arrested for criminal damage but because I had also self harmed I was taken to hospital where I was bailed under the agreement I see the crisis team. After treatment for my self-harm I was sent to the day ward to wait for the crisis team. I waited from roughly 7-8am until gone 5pm in the evening. The only reason I didn’t leave was because I didn’t know the way out of the hospital as I had never been there before. I just sat there all that time without being offered food or water while being really scared to leave. When this nurse from the crisis team finally came she asked me a few questions for about 10 minutes and that was it. I was sent home. My second experience was back in my hometown after being forced to leave university. I had taken an overdose and after getting discharged from hospital I saw the crisis team for 2 nights before being discharged from their care after seeing the psychiatrist. It was a neutral experience really, not particularly helpful but not especially negative.

My third experience of the crisis team was back in the city where I studied at university after restarting my degree the following year. It was absolutely shocking! I went to an appointment with my student counsellor who was concerned about me. After she couldn’t contact my CPN she got an emergency GP appointment and took me there herself for the GP to to phone the crisis team who said they would be in touch within two hours. My counsellor took me back to the office so she could keep an eye on me and we waited. In the end she couldn’t wait with me any longer and contacted the crisis team. The crisis team told my counsellor they were busy and that someone would see me before 10pm. It was now about 5pm. My counsellor reluctantly sent me home and I waited at home. I think it was about midnight when they finally came. My GP had referred me around 3pm.

                When they finally came it was pointless. I think they stayed around 10-15 minutes and were exceptionally unhelpful. The day after they came again, again only staying around 15 minutes in which time they laughed and joked with each other and told me I would feel better if I had a job. I was struggling to manage with university as it was, so getting a job was the last thing I should/could’ve done. After this unhelpful and anger provoking experience I told my CPN I would never see them again. After sometime and me being stubborn in the fact I would not see the crisis team my CPN at the time made an agreement that in times of distress I could contact the A&E liaison team (a.k.a the self-harm team) which operated separately from the crisis team. Their job was to basically see people in A&E after an episode of self-harm and make the necessary referrals. I had a much better experiences with them and had built up relationships with some of the nurses due to my frequent attendance at A&E.

                The following year things got way too much for me. My CPN who I had developed major attachment issues with was on annual leave. One night my head was such a mess and the only people available were the crisis team. I phoned them as I was desperate. What followed was my worst experience of the crisis team. It started off ok but then they just bluntly started asking really personal and triggering questions. Questions that were very sensitive and shouldn’t be asked  over the phone. I hung up and took it out on myself. What resulted was my worst ever episode of self harm. I went to hospital via ambulance and while there had to be looked after by police I was so messed up mentally. At one point I ended up being restrained by the police because i was so distressed. I was transferred from hospital to another hospital with a plastic surgery unit. From there I was admitted informally to a psychiatric unit. I still rightly or wrongly blame this on the crisis team and how they handled me that evening. Never in my life will I use the crisis team in that city again. I still have a strong hate for them over 2 years later.

                That hospital admission lead to me being sectioned for two years. Afterwards I moved back to my hometown. After being out of hospital a week and a half one of my CPNs said she wanted me to see the crisis team for extra support. Well now they had rebranded themselves to the intensive home based treatment team, I still refer to them as the crisis team because that is what they essentially are. I was apprehensive to say the least. I was not impressed to start with but their care became better and in the end I built up a good relationship with two of the workers over a three-four week period. The other nurses were not brilliant however and I found their visits pretty pointless and unhelpful.

                Again last week I was referred back to the crisis team. Again my experiences with those two workers has been good but not with the others. Last Friday when they came out to see me they told me they would call at 10am the next day. They didn’t and I ended up being stressed out all day waiting for their call. It finally came at 4.30ish and when they came out to see me it was pretty pointless. Today I met with one of the good workers and I had a really positive meeting. I feel she is the only person that understands me at the moment. I actually wish that she and the other worker were part of my regular care team.

                So experiences with the crisis team can be good but they can also be disastrously bad. I have heard so many times from people in different areas of the country of how bad crisis teams are. They do repeatedly let people down which is really quite bad as crisis teams are there to help people when they are at their worst and in most need. Quite often crisis teams can make things worse but on some occasions they can be helpful. It is all very hit and miss. I guess as a service any crisis team will never be perfect. I guess it is the nature of their service. What are your experiences of the crisis team?



Brokenmind


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