How do patients with severe mental diagnosis cope in everyday life - a qualitative study comparing patients’ experiences of self-referral inpatient treatment with treatment as usualReport as inadecuate




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BMC Health Services Research

, 14:347

Organization, structure and delivery of healthcare

Abstract

BackgroundSeveral hospitals in Norway provide short self-referral inpatient treatment to patients with severe mental diagnosis. No studies have compared the experiences of patients who have had the opportunity to self-refer to inpatient treatment with patients who have received treatment as usual. This qualitative study was nested within a randomised controlled trial investigating the effect of self-referral to inpatient treatment. The aim was to explore how patients with severe mental diagnosis coped four months after signing a contract for self-referral, as compared to patients receiving treatment as usual.

MethodsData was collected using qualitative individual interviews with patients with severe mental diagnosis, conducted four months after being randomised either to a contract for self-referral intervention group or to treatment as usual control group.

ResultsTwenty-five patients participated in interviews - 11 from the intervention group and 14 from the control group. Results four months after randomisation showed that patients with a contract for self-referral appeared to have more confidence in strategies to cope with mental illness and to apply more active cognitive strategies. Patients with a contract also expressed less resignation, hopelessness and powerlessness than patients without a contract. In addition, patients with a contract seemed to be closer to the ideal of living a -normal- life and being a -normal- person.

ConclusionThe results indicate that the patients who had a contract for self-referral had come further in the recovery process and should possibly be better off during treatment.

KeywordsMental health services Self-referral Mental illness Psychiatry Psychosis Bipolar disorder Electronic supplementary materialThe online version of this article doi:10.1186-1472-6963-14-347 contains supplementary material, which is available to authorized users.

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Author: Marit B Rise - Gretha H Evensen - Inger Elise O Moljord - Marit Rø - Dagfinn Bjørgen - Lasse Eriksen

Source: https://link.springer.com/



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