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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

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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
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
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:
DateEvent
June 2019Published
21 March 2019Available
7 January 2019Accepted
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:
Project/Grant IDRIOXX Funder NameFunder ID
UNSPECIFIED[NIHR] National Institute for Health Researchhttp://dx.doi.org/10.13039/501100000272
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