‘Don’t abandon me’: Young people’s experiences of child and adolescent psychiatric inpatient care supporting recovery described in blogs

Wallström, Rebecca; Lindgren, Eva; Gabrielsson, Sebastian

doi:10.1111/inm.12787

Cited by 7 publications

(21 citation statements)

References 41 publications

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“…Increased autonomy and freedom closely align with the definition of person-centered care within the context of psychiatry [ 30 ]. Adolescents in the present study emphasized the value of being listened to and believed in when seeking BA, supporting these aspects as important for recovery [ 31 ]. Parallels may be drawn to principles of recovery as a personal process of receiving support to develop self-management strategies and enhance motivation, rather than aiming for clinical outcomes [ 10 , 32 , 33 , 34 ].…”

Section: Discussionsupporting

confidence: 61%

‘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

Lindkvist

Westling

Eberhard

et al. 2021

IJERPH

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Evidence is lacking on how to manage imminent suicidality in adolescents with self-harm. Brief Admission by Self-referral (BA) is a crisis-management intervention, developed for adults with self-harm at risk for suicide. Structured, individualized and based on responsible autonomy, BA aims to provide a respite while minimizing negative effects of hospitalization. This qualitative interview study illuminates adolescents’ experiences of BA, adapted for this target group. Nineteen adolescents aged 14 to 19 years, described BA as helpful for timely rest and recovery to save themselves from impulses to self-harm. The individual contract, which is a prerequisite for access to BA, was perceived to give access to professional support in a safe environment, also among adolescents not using their contract. Being trusted with responsibility to self-admit was also hard work with struggles of self-doubt. Challenges included experiencing distrust from staff and fear of not being able to abstain from self-harm, which BA is conditioned upon. However, this condition was also perceived to induce self-motivation and growth. BA appeared well-adapted to the target group, fulfilling needs of predictability, autonomy, and opportunity for recovery to prevent self-harm. Suggestions for improvement included continually informing staff about important features of BA. To further evaluate benefits and challenges of BA, future research may evaluate clinical and health-economic outcomes and perspectives from parents and caregivers.

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Section: Discussionsupporting

confidence: 61%

‘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

Lindkvist

Westling

Eberhard

et al. 2021

IJERPH

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“…To support youth mental health recovery, psychiatric-mental health nurses need to contribute to developing inpatient care (Wallstr€ om et al 2021). Nurses are expected to take the lead in the development of person-centred, recovery-oriented psychiatric care (Cleary et al 2017;Gabrielsson et al 2020).…”

Section: Discussionmentioning

confidence: 99%

Constrained nursing: Nurses’ and assistant nurses’ experiences working in a child and adolescent psychiatric ward

Söderberg

Looi

Gabrielsson

2021

Int J Mental Health Nurs

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The role of nurses and nursing in CAP inpatient care is unclear, and nurses are at risk of moral distress due to having to deal with complex demands while lacking organizational support. This study aimed to describe nurses’ and assistant nurses’ experiences working in child and adolescent psychiatric inpatient care. Eight nurses and seven assistant nurses working in a child and adolescent ward in Sweden participated in the study. Data were collected in 2019 using semi‐structured qualitative interviews and subject to qualitative content analysis. Results describe nurses’ and assistant nurses’ experiences of child and adolescent psychiatric inpatient care in one theme, Constrained nursing, and four categories: Striving to be there for children and parents; Finding a way to manage work; Depending on others; Lacking nursing leadership. Findings suggest that good, person‐centred and recovery‐oriented nursing practice can exist in CAP inpatient care but remain unrecognized and lacking support due to unclear roles and responsibilities and lack of nursing leadership. This study is reported in accordance with the COREQ guidelines.

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“…[1][2][3] With the rising cost of healthcare and the recognition that separation from home and family life is not necessarily optimal in respect to stabilization and recovery. Further, there has always been some level of social discomfort and stigma 4,5 associated with hospitalizing children for mental disorders, 6 hence providing at home service is a step closer to a more recovery-focused treatment and support. At home care to some extent circumvents the transitional difficulties of navigating both admission and discharge from an inpatient unit 7 aligning with aspects of family preservation in relation to child and youth crisis and optimal development.…”

Section: Introductionmentioning

confidence: 99%

A New Acute-At-Home Child and Adolescent Clinical Service: Evaluation of Impact

Khalfan

Coventry

Cawthorpe

2022

Psychiatry Investig

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Objective An Acute at Home (AAH) clinical service was implemented to reduce emergency and inpatient admissions to the regional tertiary child and adolescent mental health system. This paper examines describes the served the population and impact on emergency and inpatient admissions.Methods Analysis of re-admission rates for those enrolled before and after the May 2019 implementation of the AAH service in comparison over the same time period to an unexposed comparison group. In addition the groups were compared on clinical and demographic variables comparing those exposed and those not exposed to the AAH service.Results The results indicated that the AAH group experienced reduced rates of readmission and lengths of stay post-exposure. Family composition, sex, seven Adverse Childhood Experience survey items, and nine Western Canada Waitlist Child Mental Health Priority Criteria Score items distinguished those exposed to AAH compared to those who were not. Thirteen of 19 independent variables indicated greater pathology in the AAH group with less likelihood of potential of danger to self.Conclusion The present results indicate a substantial benefit of the AAH service via reducing readmissions and lengths of stay. The quantitative measures warrant a careful qualitative examination of the AAH processes along with ongoing monitoring of the program’s effect.

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‘Don’t abandon me’: Young people’s experiences of child and adolescent psychiatric inpatient care supporting recovery described in blogs

Cited by 7 publications

References 41 publications

‘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

‘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

Constrained nursing: Nurses’ and assistant nurses’ experiences working in a child and adolescent psychiatric ward

A New Acute-At-Home Child and Adolescent Clinical Service: Evaluation of Impact

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