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Experiences of inpatient mental health services : systematic review
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Staniszewska, Sophie, Mockford, Carole, Chadburn, Greg, Fenton, Sarah-Jane Hannah, Bhui, Kamaldeep, Larkin, Michael, Newton, Elizabeth, Crepaz-Keay, David, Griffiths, Frances and Weich, Scott (2019) Experiences of inpatient mental health services : systematic review. The British Journal of Psychiatry, 214 (6). pp. 329-338. doi:10.1192/bjp.2019.22 ISSN 1472-1465.
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Official URL: https://doi.org/10.1192/bjp.2019.22
Abstract
Background
In-patients in crisis report poor experiences of mental healthcare not conducive to recovery. Concerns include coercion by staff, fear of assault from other patients, lack of therapeutic opportunities and limited support. There is little high-quality evidence on what is important to patients to inform recovery-focused care.
Aims
To conduct a systematic review of published literature, identifying key themes for improving experiences of in-patient mental healthcare.
Method
A systematic search of online databases (MEDLINE, PsycINFO and CINAHL) for primary research published between January 2000 and January 2016. All study designs from all countries were eligible. A qualitative analysis was undertaken and study quality was appraised. A patient and public reference group contributed to the review.
Results
Studies (72) from 16 countries found four dimensions were consistently related to significantly influencing in-patients' experiences of crisis and recovery-focused care: the importance of high-quality relationships; averting negative experiences of coercion; a healthy, safe and enabling physical and social environment; and authentic experiences of patient-centred care. Critical elements for patients were trust, respect, safe wards, information and explanation about clinical decisions, therapeutic activities, and family inclusion in care.
Conclusions
A number of experiences hinder recovery-focused care and must be addressed with the involvement of staff to provide high-quality in-patient services. Future evaluations of service quality and development of practice guidance should embed these four dimensions.
| Item Type: | Journal Article | ||||||||
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| Alternative Title: | |||||||||
| Subjects: | R Medicine > RA Public aspects of medicine | ||||||||
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Other > Centre for Lifelong Learning Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Social Science & Systems in Health (SSSH) Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Warwick Research in Nursing |
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| Library of Congress Subject Headings (LCSH): | Mental health -- Patients -- Services for | ||||||||
| Journal or Publication Title: | The British Journal of Psychiatry | ||||||||
| Publisher: | Cambridge University Press | ||||||||
| ISSN: | 1472-1465 | ||||||||
| Official Date: | June 2019 | ||||||||
| Dates: |
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| Volume: | 214 | ||||||||
| Number: | 6 | ||||||||
| Page Range: | pp. 329-338 | ||||||||
| DOI: | 10.1192/bjp.2019.22 | ||||||||
| Status: | Peer Reviewed | ||||||||
| Publication Status: | Published | ||||||||
| Reuse Statement (publisher, data, author rights): | This article has been published in a revised form in The British Journal of Psychiatry http://doi.org/10.1192/bjp.2019.22. This version is free to view and download for private research and study only. Not for re-distribution, re-sale or use in derivative works. © copyright holder. | ||||||||
| Access rights to Published version: | Restricted or Subscription Access | ||||||||
| Copyright Holders: | © The Royal College of Psychiatrists 2019 | ||||||||
| Date of first compliant deposit: | 8 January 2019 | ||||||||
| Date of first compliant Open Access: | 21 September 2019 | ||||||||
| RIOXX Funder/Project Grant: |
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