Recovery orientation in mental health inpatient settings: Inpatient experiences?

Anna Kristine Waldemar; Bente Appel Esbensen; Lisa Korsbek; Lone Petersen; Sidse Arnfred

doi:10.1111/inm.12434

Recovery orientation in mental health inpatient settings: Inpatient experiences?

Anna Kristine Waldemar, Bente Appel Esbensen, Lisa Korsbek, Lone Petersen, Sidse Arnfred

Department of Clinical Medicine

14 Citations (Scopus)

Abstract

Offering mental health treatment in line with a recovery-oriented practice has become an objective in the mental health services in many countries. However, applying recovery-oriented practice in inpatient settings seems challenged by unclear and diverging definitions of the concept in and the organization of these settings. In Denmark, educational and organizational efforts have been made to organize inpatient services with a recovery-oriented approach. Hence, we aimed to explore whether and how these efforts are reflected in the inpatients' experiences of their care and treatment. Semi-structured interviews were conducted with 14 inpatients from two mental health inpatient wards using an interview guide based on factors from the Recovery Self-Assessment. Qualitative content analysis was applied in the analysis. Six themes covering the participants' experiences were identified. The participants felt accepted and protected in the ward and found comfort in being around other people but missed talking and engaging with health professionals. They described limited choice and influence on the course of their treatment, and low information levels regarding their treatment, which they considered to consist predominantly of medication. Furthermore, they described feeling continuously observed and assessed from a distance by health professionals. Like the sparse previous research among inpatients, the results highlight ambivalent experiences of health professionals' support and ward structure as well as the medical treatment hegemony. As such, the educational and organizational efforts of introducing recovery-oriented practices in the wards seemed not very well reflected in the participants' experiences of their stay.

Original language	English
Journal	International Journal of Mental Health Nursing
Volume	27
Issue number	3
Pages (from-to)	1177-1187
ISSN	1445-8330
DOIs	https://doi.org/10.1111/inm.12434
Publication status	Published - Jun 2018

Keywords

Adolescent
Adult
Denmark
Female
Hospitals, Psychiatric
Humans
Inpatients/psychology
Interviews as Topic
Male
Mental Disorders/psychology
Middle Aged
Remission Induction/methods
Young Adult

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1111/inm.12434

Cite this

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title = "Recovery orientation in mental health inpatient settings: Inpatient experiences?",

abstract = "Offering mental health treatment in line with a recovery-oriented practice has become an objective in the mental health services in many countries. However, applying recovery-oriented practice in inpatient settings seems challenged by unclear and diverging definitions of the concept in and the organization of these settings. In Denmark, educational and organizational efforts have been made to organize inpatient services with a recovery-oriented approach. Hence, we aimed to explore whether and how these efforts are reflected in the inpatients' experiences of their care and treatment. Semi-structured interviews were conducted with 14 inpatients from two mental health inpatient wards using an interview guide based on factors from the Recovery Self-Assessment. Qualitative content analysis was applied in the analysis. Six themes covering the participants' experiences were identified. The participants felt accepted and protected in the ward and found comfort in being around other people but missed talking and engaging with health professionals. They described limited choice and influence on the course of their treatment, and low information levels regarding their treatment, which they considered to consist predominantly of medication. Furthermore, they described feeling continuously observed and assessed from a distance by health professionals. Like the sparse previous research among inpatients, the results highlight ambivalent experiences of health professionals' support and ward structure as well as the medical treatment hegemony. As such, the educational and organizational efforts of introducing recovery-oriented practices in the wards seemed not very well reflected in the participants' experiences of their stay.",

keywords = "Adolescent, Adult, Denmark, Female, Hospitals, Psychiatric, Humans, Inpatients/psychology, Interviews as Topic, Male, Mental Disorders/psychology, Middle Aged, Remission Induction/methods, Young Adult",

author = "Waldemar, {Anna Kristine} and Esbensen, {Bente Appel} and Lisa Korsbek and Lone Petersen and Sidse Arnfred",

note = "{\textcopyright} 2018 Australian College of Mental Health Nurses Inc.",

year = "2018",

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doi = "10.1111/inm.12434",

language = "English",

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pages = "1177--1187",

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T1 - Recovery orientation in mental health inpatient settings

T2 - Inpatient experiences?

AU - Waldemar, Anna Kristine

AU - Esbensen, Bente Appel

AU - Korsbek, Lisa

AU - Petersen, Lone

AU - Arnfred, Sidse

PY - 2018/6

Y1 - 2018/6

N2 - Offering mental health treatment in line with a recovery-oriented practice has become an objective in the mental health services in many countries. However, applying recovery-oriented practice in inpatient settings seems challenged by unclear and diverging definitions of the concept in and the organization of these settings. In Denmark, educational and organizational efforts have been made to organize inpatient services with a recovery-oriented approach. Hence, we aimed to explore whether and how these efforts are reflected in the inpatients' experiences of their care and treatment. Semi-structured interviews were conducted with 14 inpatients from two mental health inpatient wards using an interview guide based on factors from the Recovery Self-Assessment. Qualitative content analysis was applied in the analysis. Six themes covering the participants' experiences were identified. The participants felt accepted and protected in the ward and found comfort in being around other people but missed talking and engaging with health professionals. They described limited choice and influence on the course of their treatment, and low information levels regarding their treatment, which they considered to consist predominantly of medication. Furthermore, they described feeling continuously observed and assessed from a distance by health professionals. Like the sparse previous research among inpatients, the results highlight ambivalent experiences of health professionals' support and ward structure as well as the medical treatment hegemony. As such, the educational and organizational efforts of introducing recovery-oriented practices in the wards seemed not very well reflected in the participants' experiences of their stay.

AB - Offering mental health treatment in line with a recovery-oriented practice has become an objective in the mental health services in many countries. However, applying recovery-oriented practice in inpatient settings seems challenged by unclear and diverging definitions of the concept in and the organization of these settings. In Denmark, educational and organizational efforts have been made to organize inpatient services with a recovery-oriented approach. Hence, we aimed to explore whether and how these efforts are reflected in the inpatients' experiences of their care and treatment. Semi-structured interviews were conducted with 14 inpatients from two mental health inpatient wards using an interview guide based on factors from the Recovery Self-Assessment. Qualitative content analysis was applied in the analysis. Six themes covering the participants' experiences were identified. The participants felt accepted and protected in the ward and found comfort in being around other people but missed talking and engaging with health professionals. They described limited choice and influence on the course of their treatment, and low information levels regarding their treatment, which they considered to consist predominantly of medication. Furthermore, they described feeling continuously observed and assessed from a distance by health professionals. Like the sparse previous research among inpatients, the results highlight ambivalent experiences of health professionals' support and ward structure as well as the medical treatment hegemony. As such, the educational and organizational efforts of introducing recovery-oriented practices in the wards seemed not very well reflected in the participants' experiences of their stay.

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KW - Inpatients/psychology

KW - Interviews as Topic

KW - Male

KW - Mental Disorders/psychology

KW - Middle Aged

KW - Remission Induction/methods

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Recovery orientation in mental health inpatient settings: Inpatient experiences?

Abstract

Keywords

UN SDGs

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