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

Author

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  • 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
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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 & 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.
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    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.

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