Navigation Links
Study: 'Living Room' offers alternative treatment for emotional distress
Date:1/7/2014

CHICAGO Emergency departments may not be the best choice for persons suffering from severe mental illness or emotional distress. According to a new qualitative study by DePaul University School of Nursing researchers, persons in a mental health crisis may be better served in an alternative recovery-oriented, homelike environment instead of a traditional emergency department.

"Hospital emergency departments are not set up for people with emotional problems. Most people with emotional distress come from a chaotic environment and need a safe or calm space to receive proper attention and treatment," said Mona Shattell, a co-author on a paper published Jan. 7 in the journal Issues in Mental Health Nursing titled "A Recovery-Oriented Alternative to Hospital Emergency Departments For Persons in Emotional Distress: 'The Living Room.'" Shattell is an associate professor of nursing in DePaul's College of Science and Health where she also serves as associate dean for research and faculty development.

The DePaul research team interviewed 18 participants who spent time at The Living Room an outpatient, voluntary program for persons in emotional distress, operated by Turning Point Behavioral Health Care Center in the Chicago suburb of Skokie, and funded through the Illinois Department of Mental Health. The program, which is staffed with a licensed professional counselor, registered nurse and trained peer counselors, is in a space that is arranged and furnished like a living room in a person's home.

"As researchers and community partners, we were interested in the individual experience of The Living Room," wrote the authors. Those interviewed for the study included the professional clinical staff and peer counselors, as well as patients (referred to as "guests") who were in a crisis, suffering from self-reported psychiatric diagnoses ranging from depression to Asperger's syndrome.

"Participants in our study had experiences as either a person in emotional distress who went to an (emergency department) for help, or as a person who worked with persons in emotional distress in these settings," the authors wrote.

"The experiences of (emergency departments) for persons in emotional distress were characterized by feelings of insecurity, loneliness, intimidation, fear, and discomfort," the study noted. "Participants described feeling unsupported by (emergency department) staff."

"Most patients who came to The Living Room stayed for a few hours, received treatment or help, and left. What makes the space unique is that it is staffed with peer counselors who have experienced mental health issues and are specifically trained to treat the patients, who have responded well to that type of care because they see that recovery is possible," said Shattell, who specializes in mental health and treatment environments.

According to the study's findings, The Living Room helped people with emotional distress or mental illness address their crisis within the context of their life, which helped them utilize their own strengths by talking through problems, calming down and problem-solving to help their illness.

At The Living Room, guests reported being welcomed as "a fellow human being, not like a patient" and that the program was "a helping, not judging zone."

Specific interventions by The Living Room staff were cited in the study as being identified by guests as "helpful and caring." Those interventions included "being understanding, attentive and respectful, exploration of coping techniques, and use of a gentle, calming voice."

One guest, according to the findings, "valued the 'fresh opinions' that were offered in relation to her crisis while another found working with a peer counselor to identify the positive aspects of a negative situation to be helpful."

The study also indicated how scarce these types of treatment facilities were in the United States and how little research has been conducted concerning alternative crisis intervention treatment environments.

"Patients who were treated in The Living Room were able to successfully manage their emotional crises, which was less expensive, emotionally intensive or as intrusive as being treated in an emergency room," said Barbara Harris, assistant professor at DePaul's School of Nursing and another co-author of the study. "This doesn't mean that medical treatment is not needed, but sometimes, the emotional distress or crisis that results from the intersection of illness and life situations can be addressed without drastic medical intervention or hospitalization."

Findings from this qualitative study are being reviewed by other institutions in Illinois as a treatment option for a recovery-based alternative to hospital emergency departments for people in emotional distress. The conclusions drawn from the study are supported by empirical and anecdotal evidence that suggests that nonclinical care settings, such as The Living Room are perceived as helpful and positive.

"This study is vital to help raise awareness and to inform people suffering that there are other options when it comes to treating mental health," Shattell said. "We need more facilities like The Living Room to help provide the care and attention people with emotional distress need to fully recover."


'/>"/>

Contact: Jon Cecero
JCecero@depaul.edu
312-362-7640
DePaul University
Source:Eurekalert  

Related medicine news :

1. Study: Half of black males, 40 percent of white males arrested by age 23
2. New study: High mortality in Central Southern states most likely due to smoking
3. Embargoed study: New quality, payment initiative positively impacts pediatric care
4. World Health Organization study: Atrial fibrillation is a growing global health concern
5. Vanderbilt study: Ancient chemical bond may aid cancer therapy
6. Study: Majority of epilepsy surgery patients enjoy improvement in their physical and social well-being
7. ADHD study: Expensive training programs dont help kids grades, behavior
8. Study: Ureteral injury during robot-assisted prostate surgery
9. Study: Odds of rehospitalization of cognitively impaired varies by discharge destination
10. Mayo Clinic-led study: 2 drugs do not improve kidney function in acute heart failure patients
11. Regenstrief and IU study: Older adults with severe mental illness challenge healthcare system
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Study: 'Living Room' offers alternative treatment for emotional distress
(Date:3/23/2017)... ... March 23, 2017 , ... Ogden ... innovative patient - centric payment system, to expand its focus on patient care ... patient financial experience. , “At Ogden Clinic, we are working to become ...
(Date:3/23/2017)... ... 23, 2017 , ... Vortex Biosciences, provider of circulating tumor ... circulating tumor cells using microfluidic western blotting” in Nature Communications on March 23rd. ... to capture CTCs and a microfluidic single-CTC resolution Western blot from ...
(Date:3/22/2017)... ... March 22, 2017 , ... Sam ... insurance assistance, financial planning, and related services to residents of the region, is ... awareness of threatened species and wild lands. , Endangered Species International is committed ...
(Date:3/22/2017)... ... March 22, 2017 , ... Soriant recognizes that identifying savings ... Healthcare facilities across the country are always forced to focus on costs ... across the country, an efficient and quick way to estimate savings potential within ...
(Date:3/22/2017)... ... 2017 , ... Influence Health, the healthcare industry’s ... enabled Children’s Hospital of The King’s Daughters (CHKD) to achieve a 4:1 return ... a digital marketing approach, the 206-bed pediatric teaching hospital in Norfolk, Virginia, partnered ...
Breaking Medicine News(10 mins):
(Date:3/22/2017)... 2017 Serve You Rx Vermont, LLC, a wholly ... You), based in Milwaukee, Wisconsin , has ... in Middlebury, Vermont , from Pharmacy Health ... so it was perfect timing for this opportunity to present ... Serve You. "Like us, NEMOP has a high-touch service model, ...
(Date:3/22/2017)... Research and Markets has announced the addition of ... Pipeline Insight 2022" drug pipelines to their offering. ... Global ... report gives comprehensive insight on clinical and non-clinical aspects involved ... as main streamline drugs in the immunotherapy treatment. Report helps ...
(Date:3/22/2017)... Piramal Pharma Solutions (PPS), a ... special event to introduce the new and expanded manufacturing ... . The inaugural event was attended by Governor ... and Piramal Pharma Solutions CEO, Vivek Sharma ... ...
Breaking Medicine Technology: