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Post-Incidence Reviews After Involuntary Admissions-A Qualitative Study of Users' and Professionals' Experiences
Irene Wormdahl1, Marit Helene Hem2, Marianne Borthen3
1Department of Diversity and Inclusion, NTNU Social Research, Trondheim, Norway.
Post-incident reviews after involuntary psychiatric admissions are valuable when flexible and integrated into primary mental health care. These reviews empower users and improve crisis plans, potentially preventing repeated involuntary admissions.
Area of Science:
- Psychiatry
- Mental Health Services Research
- Qualitative Health Research
Background:
- Involuntary psychiatric admissions present ethical challenges.
- Effective post-admission interventions are limited.
- Understanding user and practitioner experiences is crucial.
Purpose of the Study:
- To explore experiences and facilitation of post-incident reviews after involuntary admissions.
- To investigate the value of these reviews in primary mental health services.
Main Methods:
- Qualitative study using thematic analysis.
- Data collected via focus groups with service managers/practitioners and interviews with users.
- Inductive approach to data analysis.
Main Results:
- Reviews are most valuable when flexible, relationship-based, and integrated into routine practice.
- Reviews support user empowerment, mutual understanding, and improved crisis plans.
- Practitioners reported enhanced ethical awareness and organizational learning.
Conclusions:
- Post-incident reviews are feasible and meaningful in primary mental health care.
- Reviews may help prevent repeated involuntary admissions.
- Further research needed on implementation and effects on coercion rates.
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