title: [Implementation of joint-crisis plans--a study of health care users and professionals].
abstract: OBJECTIVE
  To study effects of the implementation of joint-crisis plans (JCP) on health-care users and professionals.
  
  
  METHODS
  The first 3 years of the implementation of JCP were followed with structured interviews with health-care users and professionals. Legal and administrative complications were documented.
  
  
  RESULTS
  36 of 44 subjects with JCP were assessed. Most of them had learned of JCP through other users or self-help. 55 % had prior experience with compulsory treatment. Better communication and self-determination were main goals of JCP. A relevant change in hospital treatment through JCP was not observed. Only few professionals had made direct experience with JCP. They valued JCP mildly positive. No legal and administrative complications were documented.
  
  
  CONCLUSIONS
  Only a small minority of users signed JCP. JCP were easily employed and improved communication and self-determination.
authors.affiliation: Krankenhaus Martha-Maria Halle-Dölau gGmbH, Akademisches Lehrkrankenhaus der Martin-Luther-Universität Halle-Wittenberg, Kempten.
authors.forename: Juliane
authors.initials: J
authors.lastname: Grätz
authors.forename: Peter
authors.initials: P
authors.lastname: Brieger
mesh_terms: D000328:Adult; D003134:Commitment of Persons with Psychiatric Disorders / Q000331:legislation & jurisprudence; D003156:Community Mental Health Services / Q000331:legislation & jurisprudence / Q000458:organization & administration; D003299:Cooperative Behavior; D003419:Crisis Intervention / Q000331:legislation & jurisprudence / Q000458:organization & administration*; D005260:Female; D005858:Germany; D006284:Health Plan Implementation / Q000331:legislation & jurisprudence / Q000458:organization & administration*; D006801:Humans; D033183:Interdisciplinary Communication; D008297:Male; D008875:Middle Aged; D019964:Mood Disorders / Q000523:psychology / Q000534:rehabilitation*; D009497:Neurotic Disorders / Q000523:psychology / Q000534:rehabilitation*; D010043:Outcome and Process Assessment, Health Care; D010348:Patient Care Team / Q000331:legislation & jurisprudence / Q000458:organization & administration*; D010359:Patient Readmission; D026684:Personal Autonomy; D010554:Personality Disorders / Q000523:psychology / Q000534:rehabilitation*; D010817:Physician-Patient Relations; D011618:Psychotic Disorders / Q000523:psychology / Q000534:rehabilitation*; D012917:Social Adjustment; D012949:Social Work, Psychiatric / Q000331:legislation & jurisprudence / Q000458:organization & administration*; D013405:Suicide / Q000523:psychology; D013406:Suicide, Attempted / Q000517:prevention & control / Q000523:psychology; D000092864:Suicide Prevention