A major question facing psychiatrists is how to treat psychosis effectively while maintaining patients' dignity, self respect and, as far as possible, their psychological and social functioning. The authors of this book have all been associated with the Arbours Crisis Centre in London, a facility where therapists and patients, or guests, live together in order to establish a space where extremes of distress can be tolerated, understood and ameliorated. This text discusses team, group and community settings for interventions, and the five stages a guest passes through when at the centre. It examines special provisions for guests who self-harm, describes the experiences of living and working in the centre, and provides specific examples of interventions at the centre. The effect of power and money is explored, with a focus on authority, staff relationships with guests, and cost effectiveness.
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