From admission to discharge in mental health services: a qualitative analysis of service user involvement

Wright, Nicola and Rowley, Emma and Chopra, Arun and Gregoriou, Kyriakos and Waring, Justin (2015) From admission to discharge in mental health services: a qualitative analysis of service user involvement. Health Expectations . pp. 1-10. ISSN 1369-7625

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Abstract

Background: User involvement and recovery are now widely used terms within the mental health policy, research and practice discourse. However, there is a question mark about the impact these ideas have in everyday practice. Of interest is the degree of involvement in key transitions of care. In particular admission to and discharge from acute inpatient mental health wards.

Objective: To explore the nature of service user involvement in the admission and discharge process into and out of acute inpatient mental health care.

Design: A qualitative study using focus groups.

Setting and Participants: One acute, inpatient mental health ward was the focus of the study. Seven uni-professional focus group interviews were conducted with ward staff, community staff and service users (total number of participants = 52). Conventional, thematic qualitative techniques were used to analyse the data.

Results: The data analysed and presented in this article relates to the loss of the service user voice at the key transition points into and out of acute inpatient care. Due to the lack of resources (inpatient beds and community care follow up) the role service users could play was diminished. In their narratives clinical staff associated the person with the process and used language which dehumanised the individual.

Conclusion: Service users experience numerous care transitions into and out of hospital. As there is the potential for these encounters to have a lasting negative effect, the importance of ensuring service users have a voice in what is happening to them is crucial.

Item Type: Article
Additional Information: This is the peer reviewed version of the following article: Wright, N., Rowley, E., Chopra, A., Gregoriou, K. and Waring, J. (2015), From admission to discharge in mental health services: a qualitative analysis of service user involvement. Health Expectations. doi: 10.1111/hex.12361 which has been published in final form at http://onlinelibrary.wiley.com/doi/10.1111/hex.12361/full This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.
Keywords: Care transitions, Mental Health, Service User Involvement
Schools/Departments: University of Nottingham UK Campus > Faculty of Social Sciences > Nottingham University Business School
University of Nottingham UK Campus > Faculty of Medicine and Health Sciences > School of Health Sciences
Identification Number: https://doi.org/10.1111/hex.12361
Depositing User: Golberg, Mr Adam
Date Deposited: 11 Feb 2016 08:59
Last Modified: 17 Sep 2016 03:32
URI: http://eprints.nottingham.ac.uk/id/eprint/28512

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