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Outpatient commitment in mental health services from a municipal view
Maria Løvsletten1, Tonje Lossius Husum2, Arild Granerud3
1Innlandet Hospital Trust, Division Psykisk Helsevern, Postboks 104, NO-2381 Brumunddal, Norway; Faculty of Public Health, Inland Norway University of Applied Science, Elverum, Norway; Helsam, Universitet I, Oslo, Norway.
Background:
Outpatient commitment (OC) is a legal decision for compulsory mental health care when the patient stays in his or her own home. Municipal health-care workers have a key role for patients with OC decision, but little is known about how the legislation system with OC works from the municipality's point of view.
Method:
The present study has a quantitative descriptive design using an electronic questionnaire sent to health-care workers in the municipalities that participated. The study included health-care workers from the mental health services in two counties in Norway who have experience with psychosis and OC decisions.
Results:
There were 230 people who received the questionnaire. The sample consisted of various health professionals from both small and large municipalities.The results show which tasks they have in follow-up of patients in the municipalities.
Conclusion:
From the municipality's point of view, there are no significant differences in follow-up for patients with or without an OC decision, apart from conversations about medication. An individual plan is rarely used to facilitate follow-up, although this is the statutory right of patients with OC decisions. The health-care workers lack knowledge and education about the OC scheme. The cooperation between municipalities and the specialist health-care services is not clearly defined.
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