M Ådnanes1, J Cresswell-Smith2, L Melby3, H Westerlund4, L Šprah5, R Sfetcu6, C Straßmayr7, V Donisi8. 1. SINTEF Digital, Dept of Health Research, PO Box 4760 Torgarden, 7465 Trondheim, Norway. Electronic address: marian.adnanes@sintef.no. 2. National Institute for Health and Welfare (THL), Mental Health Unit, Helsinki, Finland. Electronic address: johanna.cresswell-smith@thl.fi. 3. SINTEF Digital, Dept of Health Research, Trondheim, Norway. Electronic address: line.melby@sintef.no. 4. Competence Centre for Experiential Knowledge and Service Development, Trondheim, Norway. Electronic address: hewes70@hotmail.com. 5. Research Centre of the Slovenian Academy of Sciences and Arts, Sociomedical Institute, Ljubljana, Slovenia. Electronic address: lilijana.sprah@guest.arnes.si. 6. National School of Public Health, Management and Professional Development, Bucharest; 2. Faculty of Psychology and Educational Sciences, Bucharest, Romania. Electronic address: raluca.sfetcu@hotmail.com. 7. IMEHPS. Research - Forschungsinstitut für Sozialpsychiatrie, Vienna, Austria. Electronic address: christa.strassmayr@imehps.at. 8. Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy. Electronic address: valeria.donisi@univr.it.
Abstract
OBJECTIVE: Psychiatric rehospitalisation is often seen as a negative outcome in terms of healthcare quality and cost, as well as potentially hindering the process of recovery. The purpose of our study was to explore psychiatric rehospitalisation from a service-user perspective, paying attention to how rehospitalisation can be avoided. METHOD: Eight focus groups, including a total of 55 mental health service users, were conducted in six European countries (Austria, Finland, Italy, Norway, Romania, and Slovenia). The results were analysed using systematic text condensation. RESULTS: All participants had been in touch with mental health services for at least one year, and had experienced more than one psychiatric hospitalisation. Participants emphasised the importance of discharge planning and psychoeducation both during and after the hospital stay, as well as the benefits of structured plans, coping strategies, self-monitoring techniques, and close contact with local community services.Social contacts and meaningful activities were also considered to be critical, as was support from peers and family members. CONCLUSION: Efforts to avoid psychiatric rehospitalisation should include actions that support a functional day-to-day life, improve coping strategies, and build on cross-sectoral collaboration. PRACTICE IMPLICATIONS: The study emphasises the need for psychoeducational and psychosocial interventions, starting already during the inpatient stay.
OBJECTIVE:Psychiatric rehospitalisation is often seen as a negative outcome in terms of healthcare quality and cost, as well as potentially hindering the process of recovery. The purpose of our study was to explore psychiatric rehospitalisation from a service-user perspective, paying attention to how rehospitalisation can be avoided. METHOD: Eight focus groups, including a total of 55 mental health service users, were conducted in six European countries (Austria, Finland, Italy, Norway, Romania, and Slovenia). The results were analysed using systematic text condensation. RESULTS: All participants had been in touch with mental health services for at least one year, and had experienced more than one psychiatric hospitalisation. Participants emphasised the importance of discharge planning and psychoeducation both during and after the hospital stay, as well as the benefits of structured plans, coping strategies, self-monitoring techniques, and close contact with local community services.Social contacts and meaningful activities were also considered to be critical, as was support from peers and family members. CONCLUSION: Efforts to avoid psychiatric rehospitalisation should include actions that support a functional day-to-day life, improve coping strategies, and build on cross-sectoral collaboration. PRACTICE IMPLICATIONS: The study emphasises the need for psychoeducational and psychosocial interventions, starting already during the inpatient stay.
Authors: Pieter J Rohrbach; Alexandra E Dingemans; Eric F van Furth; Philip Spinhoven; Joost R van Ginkel; Stephanie Bauer; M Elske van den Akker-Van Marle Journal: Int J Eat Disord Date: 2022-06-23 Impact factor: 5.791