IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v18y2021i7p3352-d523301.html
   My bibliography  Save this article

User Involvement in the Handover between Mental Health Hospitals and Community Mental Health: A Critical Discourse Analysis

Author

Listed:
  • Kim Jørgensen

    (The Research Collaboration Psychiatric Centre, University of Copenhagen, DK-3400 Hillerød, Denmark)

  • Tonie Rasmussen

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

  • Morten Hansen

    (FACT Team 1, Psychiatric Outpatient Clinic Nørrebro Griffenfeldsgade, 46-2200 Copenhagen, Denmark)

  • Kate Andreasson

    (The Research Collaboration Psychiatric Centre, University of Copenhagen, DK-3400 Hillerød, Denmark)

  • Bengt Karlsson

    (Faculty of Health and Social Sciences, Department of Health, Social and Welfare Studies, Center for Mental Health and Substance Abuse, University of South-Eastern Norway, 3679 Notodden, Norway)

Abstract

Introduction: This study aimed to explore how healthcare professionals and users could perceive user involvement in the handover between mental health hospitals and community mental healthcare, drawing on the discourse analysis framework from Fairclough. Methods: A qualitative research design with purposive sampling was adopted. Five audio-recorded focus group interviews with nurses, users and other health professionals were explored using Fairclough’s discourse analysis framework. Ethical approval: The study was designed following 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. Results: This study has shown how users can be subject to paternalistic control despite the official aims that user involvement should be an integral part of the care and treatment offered. As evidenced in discussions by both health professionals and the users themselves, the users were involved in plans with the handover on conditions determined by the health professionals who were predominantly focused on treating diseases and enabling the users to live a life independent of professional help. Conclusions: Our results can contribute to dealing with the challenges of incorporating user involvement as an ideology in the handover between mental health hospitals and community mental health. There is a need to start forming a common language across sectors and, jointly, for professionals and users to draw up plans for intersectoral care.

Suggested Citation

  • 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.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:7:p:3352-:d:523301
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/18/7/3352/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/18/7/3352/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. 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.
    2. 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.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Kim Jørgensen & Mathias Hansen & Trine Groth Andersen & Morten Hansen & Bengt Karlsson, 2023. "Healthcare Professionals’ Experiences with Patient Participation in a Mental Healthcare Centre: A Qualitative Study," IJERPH, MDPI, vol. 20(3), pages 1-11, January.
    2. Kim Jørgensen & Morten Hansen & Bengt Karlsson, 2022. "Recovery-Oriented Practices in a Mental Health Centre for Citizens Experiencing Serious Mental Issues and Substance Use: As Perceived by Healthcare Professionals," IJERPH, MDPI, vol. 19(16), pages 1-12, August.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Kim Jørgensen & Mathias Hansen & Trine Groth Andersen & Morten Hansen & Bengt Karlsson, 2023. "Healthcare Professionals’ Experiences with Patient Participation in a Mental Healthcare Centre: A Qualitative Study," IJERPH, MDPI, vol. 20(3), pages 1-11, January.
    2. Trude Klevan & Rose-Marie Bank & Marit Borg & Bengt Karlsson & Vibeke Krane & Esther Ogundipe & Randi Semb & Mona Sommer & Rolf Sundet & Knut Tore Sælør & Siw Heidi Tønnessen & Hesook Suzie Kim, 2021. "Part I: Dynamics of Recovery: A Meta-Synthesis Exploring the Nature of Mental Health and Substance Abuse Recovery," IJERPH, MDPI, vol. 18(15), pages 1-24, July.
    3. Kim Jørgensen & Tonie Rasmussen & Morten Hansen & Kate Andreasson, 2021. "Recovery-oriented intersectoral care between mental health hospitals and community mental health services: An integrative review," International Journal of Social Psychiatry, , vol. 67(6), pages 788-800, September.
    4. 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.
    5. 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.
    6. 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.
    7. 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.
    8. Kim Jørgensen & Morten Hansen & Bengt Karlsson, 2022. "Recovery-Oriented Practices in a Mental Health Centre for Citizens Experiencing Serious Mental Issues and Substance Use: As Perceived by Healthcare Professionals," IJERPH, MDPI, vol. 19(16), pages 1-12, August.
    9. 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.
    10. Kim Jørgensen & Kate Andreasson & Tonie Rasmussen & Morten Hansen & Bengt Karlsson, 2022. "Recovery-Oriented Cross-Sectoral Network Meetings between Mental Health Hospital Professionals and Community Mental Health Professionals: A Critical Discourse Analysis," IJERPH, MDPI, vol. 19(6), pages 1-14, March.
    11. Calvin Swords & Stan Houston, 2023. "Exploring the Evidence for the Paradigms of Recovery and Social Work Converging in Mental Health Service Delivery Worldwide: Reflections from an Irish Case Study," IJERPH, MDPI, vol. 20(15), pages 1-14, July.
    12. Jacob M. Nielsen & Niels Buus & Lene L. Berring, 2023. "Mental Health Recovery in Social Psychiatric Policies: A Reflexive Thematic Analysis," IJERPH, MDPI, vol. 20(12), pages 1-9, June.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:18:y:2021:i:7:p:3352-:d:523301. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.