Outpatient commitment in mental health services from a municipal view

Løvsletten, Maria; Husum, Tonje Lossius; Granerud, Arild; Haug, Elisabeth

doi:10.1016/j.ijlp.2020.101550

Cited by 2 publications

(2 citation statements)

References 26 publications

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“…A decrease in help from the healthcare system after a CTO has ended has been confirmed in other studies [ 8 , 9 ], and this may have made the participants worry that the change in the law would make the threshold for coercion too high if the patient’s condition deteriorated. One study found that healthcare personnel believe that CTOs makes a difference for patients’ rights and facilitate adequate care provision [ 37 ].…”

Section: Discussionmentioning

confidence: 99%

Capacity-based legislation in Norway has so far scarcely influenced the daily life and responsibilities of patients’ carers: a qualitative study

Wergeland

Fause

Weber³

et al. 2023

BMC Psychiatry

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Background When capacity-based mental health legislation was introduced in Norway in 2017, there was concern about the consequences of change in the law for patients’carer whose community treatment order was revoked as a result of being assessed as having capacity to consent. The concern was that the lack of a community treatment order would increase carers’ responsibilities in an already challenging life situation. The aim of this study is to explore carers’ experiences of how their responsibility and daily life were affected after the patient’s community treatment order was revoked based on capacity to consent. Method We conducted individual in-depth interviews from September 2019 to March 2020 with seven carers of patients whose community treatment order was revoked following assessment of capacity to consent, based on the change in the legislation. The transcripts were analysed with inspiration from reflexive thematic analysis. Results The participants had little knowledge about the amended legislation, and three out of seven did not know about the change at the time of the interview. Their responsibility and daily life were as before, but they felt that the patient was more content, without relating this to the change in the law. They had found that coercion was necessary in certain situations, which made them worry whether the new legislation would make it more difficult to use coercion. Conclusion The participating carers had little or no knowledge of the change in the law. They were involved in the patient’s everyday life as before. The concerns prior to the change about a worse situation for carers had not affected them. On the contrary, they found that their family member was more satisfied with life and the care and treatment provided. This may suggest that the intention of the legislation to reduce coercion and increase autonomy was fulfilled for these patients, without resulting in any significant change in carers’ lives and responsibilities.

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Section: Discussionmentioning

confidence: 99%

Capacity-based legislation in Norway has so far scarcely influenced the daily life and responsibilities of patients’ carers: a qualitative study

Wergeland

Fause

Weber³

et al. 2023

BMC Psychiatry

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“…За кордоном працюють нові, сучасні, соціальні методи надання медичної допомоги пацієнтам з психічними розладами. Акцент робиться на інноваційні заходи щодо лікування вдома за допомогою мультидисциплінарних бригад (на сьогодні в Україні діє лише одна така бригада), в амбулаторних умовах; при гострих станах у денних відділеннях, лікування в громаді (накази про ліку-вання в громаді), які націлені на безперервність надання допомоги шляхом підвищення навичок самокерування пацієнтів і задля зменшення витрат на охорону здоров'я (утримання пацієнтів у стаціонарних умовах) [13,14,16,18]. Також велика увага приділяється реабілітації пацієнтів з розладами психіки та поведінки в будьякому форматі лікування, включаючи тих, які не мають постійного міста проживання [10].…”

Section: вступunclassified

Hygienic substantiation of measures to optimize living conditions and rehabilitation in new types of institutions for patients with mental disorders

Чорна¹,

Гуменюк²,

Sydorchuk³

et al. 2021

Rep. of Vinnytsia Nation. Med. Univ.

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Annotation. In contrast to Ukraine, psychosocial rehabilitation in European countries today is gaining considerable popularity for the socialization and reintegration of patients with mental disorders, for their more adaptive self-improvement. The article analyzes the experience in the EU in the latest, modern, psychosocial methods of providing medical care/rehabilitation to patients with mental disorders to improve patient self-management skills, personal reintegration, development of adaptive properties, self-improvement and to reduce health care costs. Hygienic substantiation of measures to optimize living conditions and treatment and rehabilitation process for patients with mental and behavioral disorders. To perform the tasks in the sociological study involved 92 people – relatives of patients with mental disorders using a specially designed questionnaire: “A method of determining the quality of medical care by relatives of a psychiatric patient and the relationship “doctor-relative””. The survey had conducted in January 2020 before the start of quarantine on COVID-19 and the beginning of the second phase of medical reform in the field of psychiatry. The work used content analysis of domestic and foreign scientific sources, bibliosemantic, analytical, and statistical research methods. It has found that the most significant problems faced by patients in providing them with psychiatric care, according to relatives, are the inconsistency of sanitary and hygienic conditions of patients in psychiatric hospitals – 62.6%, low quality of care – 37.3% and inattentive attitude on the part of medical staff – 34.7%. A sociological survey of relatives of patients with mental and behavioral disorders found that patients are referring for treatment only in critical conditions. Treatment of patients with mental and behavioral disorders nowadays, it is necessary to introduce a comprehensive approach, not just psychopharmacological drugs. To do this, each patient must individually develop psychosocial rehabilitation methods: training in music therapy, communication, motivation, sports training, bibliotherapy, art therapy, animal therapy, training to improve social adaptation, activation of independence, as is done in the EU.

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Outpatient commitment in mental health services from a municipal view

Cited by 2 publications

References 26 publications

Capacity-based legislation in Norway has so far scarcely influenced the daily life and responsibilities of patients’ carers: a qualitative study

Capacity-based legislation in Norway has so far scarcely influenced the daily life and responsibilities of patients’ carers: a qualitative study

Hygienic substantiation of measures to optimize living conditions and rehabilitation in new types of institutions for patients with mental disorders

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