Double helix of research and practice - developing a practice model for crisis resolution and home treatment through participatory action research

摘要

Over the last five years Crisis Resolution/Home Treatment (CR/HT) teams have been established in Norway. These teamsnprovide an alternative to in-patient acute care services offering assessment as well as direct care. This paper addresses anmethod of examining the nature of practice models that are being developed in a CR/HT team incorporating the philosophynof open dialogue and the open lifeworld approach. The overall design of this research is action research applying ancooperative inquiry perspective. Multistage focus group interviews are used as a method for generating data, followed bynphenomenologicalu0002hermeneutic approach in analyzing the data. Three themes were identified: (a) ‘‘keeping the dialoguenopen’’ referring to the emphasis of openness in dialogues and opening up for a variety of perspectives on what’s going on; (b)n‘‘tolerance of uncertainty’’ referring to the need to accept and deal with uncertainty and multiplicity; and (c) ‘‘nurturingneveryday life issues’’ referring to the emphasis on illustrating clinical situations in detail through remaking of stories. The on-ngoing co-processes of research and practice was a double helix that links the happenings in the practice with the findings innthe research revealing the knowledge in practice and further developing that knowledge.