The efficacy of crisis planning in mental health services is contested. As recovery and self-management are core to Early Intervention in Psychosis (EIP) services and the Care Programme Approach (CPA), the views of EIP practitioners of the most useful aspects of crisis planning can inform this vital aspect of practice. We conducted a mixed methods study using a national cross-sectional survey (n = 70) and semi-structured interviews (n = 12) with EIP practitioners in England in 2019. Data were analysed using non-parametric tests and thematic analysis. A Joint Crisis Plan (JCP) template was used as a benchmark to judge current practice by (Sutherby et al., 1999; Henderson et al., 2004; Thornicroft et al., 2013). The most useful crisis plan themes identified by practitioners included early warning signs, triggers and helpful treatments, although not all elements were considered useful. Additionally, the interviews identified that collaboration with clients, carers and other services; personalisation; and self-management were all considered important in effective crisis planning. The practitioners also identified barriers to effective crisis planning, such as the electronic records system, lack of time and lack of available service provision. The research highlighted the important aspects of EIP and was significant in impacting the service and wider EIP network further. While crisis planning is a significant part of EIP, it does not appear to be consistently applied in practice. Fully implementing collaborative crisis planning in EIP services may require changes to policy, practice and local systems to ensure that crisis planning is as effective as possible.

中文翻译：

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从业者对精神病服务早期干预中危机计划的意见：一项混合方法研究

心理健康服务中危机计划的有效性受到质疑。由于康复和自我管理是精神病早期干预 (EIP) 服务和护理计划方法 (CPA) 的核心，因此 EIP 从业者对危机计划最有用方面的观点可以为实践的这一重要方面提供信息。我们使用全国横断面调查 ( n  = 70) 和半结构化访谈 ( n = 12) 与 2019 年英国的生态产业园从业者。使用非参数检验和专题分析对数据进行了分析。联合危机计划 (JCP) 模板被用作判断当前实践的基准（Sutherby 等人，1999 年；Henderson 等人，2004 年；Thornicroft 等人，2013 年）。从业者确定的最有用的危机计划主题包括早期预警信号、触发因素和有用的治疗方法，尽管并非所有元素都被认为是有用的。此外，访谈确定了与客户、护理人员和其他服务的合作；个性化；和自我管理都被认为在有效的危机规划中很重要。从业者还发现了有效危机规划的障碍，例如电子记录系统、时间不足和缺乏可用的服务提供。该研究强调了 EIP 的重要方面，对于进一步影响服务和更广泛的 EIP 网络具有重要意义。虽然危机规划是生态产业园的重要组成部分，但它似乎并没有在实践中得到一致应用。在生态产业园服务中全面实施协作危机规划可能需要改变政策、实践和当地系统，以确保危机规划尽可能有效。