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Recovery-Oriented Intersectoral Care in Mental Health: As Perceived by Healthcare Professionals and Users

Author

Listed:
  • Kim Jørgensen

    (The Research Collaboration, Psychiatric Centre North Zealand, Dyrehavevej 48, DK-3400 Hilleroed, Denmark)

  • Tonie Rasmussen

    (Center for Quality and Development, Department of Social Health, Rudersdal Kommune, Stationsvej 36, 3460 Birkerød, Denmark)

  • Morten Hansen

    (Psychiatric Outpatient Clinic Nørrebro Griffenfeldsgade 46, 2200 Copenhagen, Denmark)

  • Kate Andreasson

    (The Research Collaboration, Psychiatric Centre North Zealand, Dyrehavevej 48, DK-3400 Hilleroed, Denmark)

  • Bengt Karlsson

    (Center for Mental Health and Substance Abuse, Department of Health, Social and Welfare Studies, Faculty of Health and Social Sciences, University of South-Eastern Norway, Postbox 7053, 3007 Drammen, Norway)

Abstract

This study aimed to explore how mental health professionals and users perceive recovery-oriented intersectoral care when comparing mental health hospitals and community mental healthcare. Methodological design: Five audio-recorded focus group interviews of nurses, other health professionals and users were explored using manifest and latent content analysis. Ethical issues and approval: The study was designed in accordance with the ethical principles of the Helsinki Declaration and Danish law. Each study participant in the two intersectoral sectors gave their informed consent after verbal and written information was provided. Findings: From the health professionals’ perspective, the main theme informed by subthemes and categories was formulated: ‘Recovery-oriented intersectoral care requires more coordination and desire for collaboration’. Two subthemes were subsequently formulated: ‘The users´ perspective of the centre’ and ‘Need for a common agenda and understanding of recovery-oriented intersectoral care’. From the users´ perspective, the main theme was formulated as: ‘Recovery-oriented intersectoral care in tension between medical- and holistically oriented care’. This theme was informed by two subthemes: ‘The users´ perspective is not in focus’ and ‘A trusting relationship and a holistic approach brings coherence’. Conclusions: This study reveals that health professionals want to work in a recovery-oriented manner in intersectoral care, but several challenges appear which make achieving this aim difficult. A common understanding of recovery and how it should be carried out in intersectoral care does not exist. Care decisions are primarily made paternalistically, where the users’ and relatives’ voices are ignored. In an attempt to create coherence across sectors, intersectoral network meetings have been established with health professionals from both sectors. However, the meetings are characterised by a lack of a clear purpose regarding the meeting structure and content, and users are only minimally involved. Our results can contribute to dealing with the challenges of incorporating recovery-oriented intersectoral care as an ideology in all psychiatric and municipal contexts and is, therefore, important for health professionals and users.

Suggested Citation

  • Kim Jørgensen & Tonie Rasmussen & Morten Hansen & Kate Andreasson & Bengt Karlsson, 2020. "Recovery-Oriented Intersectoral Care in Mental Health: As Perceived by Healthcare Professionals and Users," IJERPH, MDPI, vol. 17(23), pages 1-15, November.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:23:p:8777-:d:451407
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    References listed on IDEAS

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    1. Kim Jørgensen & Jeanette Praestegaard & Mari Holen, 2020. "The conditions of possibilities for recovery: A critical discourse analysis in a Danish psychiatric context," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(15-16), pages 3012-3024, August.
    2. Kim Jørgensen & Mette Bonde Dahl & Jesper Frederiksen, 2020. "Healthcare Professionals’ and Users’ Experiences of Intersectoral Care between Hospital and Community Mental Healthcare," IJERPH, MDPI, vol. 17(18), pages 1-15, September.
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    Citations

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    Cited by:

    1. Janne Brammer Damsgaard & Sanne Angel, 2021. "Living a Meaningful Life While Struggling with Mental Health: Challenging Aspects Regarding Personal Recovery Encountered in the Mental Health System," IJERPH, MDPI, vol. 18(5), pages 1-10, March.
    2. Kim Jørgensen & Tonie Rasmussen & Morten Hansen & Kate Andreasson & Bengt Karlsson, 2021. "User Involvement in the Handover between Mental Health Hospitals and Community Mental Health: A Critical Discourse Analysis," IJERPH, MDPI, vol. 18(7), pages 1-13, March.
    3. Janne Brammer Damsgaard & Anita Jensen, 2021. "Music Activities and Mental Health Recovery: Service Users’ Perspectives Presented in the CHIME Framework," IJERPH, MDPI, vol. 18(12), pages 1-14, June.
    4. Rose-Marie Lindkvist & Sofie Westling & Sophia Eberhard & Björn Axel Johansson & Olof Rask & Kajsa Landgren, 2021. "‘A Safe Place Where I Am Welcome to Unwind When I Choose to’—Experiences of Brief Admission by Self-Referral for Adolescents Who Self-Harm at Risk for Suicide: A Qualitative Study," IJERPH, MDPI, vol. 19(1), pages 1-15, December.

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