Experiences of Mental Healthcare Reported by Individuals Diagnosed with Bipolar Disorder: An Italian Qualitative Study

Vallarino, Martine; Rapisarda, Filippo; Scott, Jan; Vecchi, Tomaso; Barbato, Angelo; D’Avanzo, Barbara

doi:10.1007/s10597-018-0311-3

Cited by 4 publications

(37 citation statements)

References 41 publications

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“…All included studies were qualitative. Eight of the studies used thematic analysis/general inductive approaches (Brophy et al, 2016a, 2016b; Gallop et al, 1999; Hughes et al, 2009; Murphy et al, 2017; Skelly et al, 2013; Smith, 1995; Vallarino et al, 2019), two studies used grounded theory (Lu et al, 2017; Wynn, 2004), and two studies used phenomenological approach (Ezeobele et al, 2014; Sambrano & Cox, 2013). In Bonner et al's (2002) study the transcripts of the interviews were analysed using the technique of Miles and Huberman (1984), and one study used Interpretative Phenomenological Analysis (Emrich et al, 2021).…”

Section: Resultsmentioning

confidence: 99%

“…In Bonner et al's (2002) study the transcripts of the interviews were analysed using the technique of Miles and Huberman (1984), and one study used Interpretative Phenomenological Analysis (Emrich et al, 2021). Ten studies gathered data through semi‐structured interviews (Bonner et al, 2002; Emrich et al, 2021; Ezeobele et al, 2014; Gallop et al, 1999; Hughes et al, 2009; Lu et al, 2017; Murphy et al, 2017; Sambrano & Cox, 2013; Vallarino et al, 2019; Wynn, 2004), three studies used focus groups (Skelly et al, 2013; Brophy et al, 2016a; Brophy et al, 2016b), and one study used group interviews (Smith, 1995). Fourteen of the studies recruited participants from either currently in inpatient mental healthcare or had previous experience of being admitted to inpatient mental healthcare.…”

Section: Resultsmentioning

confidence: 99%

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A qualitative synthesis of patients' experiences of re‐traumatization in acute mental health inpatient settings

Hennessy

Hunter

Grealish

2023

Psychiatric Ment Health Nurs

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Accessible summary What is known on the subject? Research indicates many people accessing mental healthcare have trauma history and often experience re‐traumatization in acute mental health inpatient settings. Treatment for trauma is not routinely explored as a treatment option in mental health inpatient settings and consequently mental health professionals do not draw connections between the person with trauma history and their presenting mental health problems. What this paper adds to existing knowledge? People in acute mental health inpatient units are not asked about their previous trauma histories on admission and their trauma history is not taken into consideration during interventions in particular coercive practices such as seclusion, restraint, forced medication, and involuntary admission. This paper provides an understanding on how to address trauma‐related issues within in‐patient settings and identifies practical examples of how to reduce the risk of re‐traumatization. What are the implications for practice? Staff induction and training development needs can be used to help mental health professionals to be more confident and competent in assessing and identifying the history of trauma so that they can improve recognition, provide post‐disclosure support, and avoid the potential for re‐traumatization for inpatients. Physical environments need to be welcoming, homely, and have comfortable furnishing. They also require adequate space for inpatients to move around freely and have a quiet space to go to de‐escalate themselves when required. Abstract Introduction Rates of re‐traumatization among mentally ill‐health patients have risen significantly over the past decade and clinical guidelines place mental health nurses at the heart of their care. Aim To gather, analyse, and synthesize the evidence on people's experiences on re‐traumatization in acute mental health inpatient settings. Method A systematic search for qualitative studies (CINAHL, MEDLINE, ASSIA, PsycINFO, and EMBASE) was conducted. Two authors independently assessed eligibility and appraised methodological quality using Joanna Briggs's quality appraisal tool and extracted data. The analysis followed the principles of interpretative synthesis. Results Fourteen papers were included for thematic synthesis. Three themes emerged: (1) Quality of staff interaction; (2) Specific interventions, (Sub‐theme nature of symptoms); and (3) Nature of the environment. Discussion Our findings demonstrate that patients are experiencing re‐traumatization in acute mental health inpatient settings and that there is little being done to prevent it from occurring. Implications for Practice This study is the first to analyse the factors that contribute to re‐traumatization and make recommendations to mental healthcare professionals to reduce the harmful practices in place in inpatient settings. It is suggested that training staff in trauma‐informed care and allowing patients to be experts in their own care can reduce the rates of re‐traumatization.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

A qualitative synthesis of patients' experiences of re‐traumatization in acute mental health inpatient settings

Hennessy

Hunter

Grealish

2023

Psychiatric Ment Health Nurs

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“…This may be especially true of therapies that seek to educate service users and families by increasing knowledge of bipolar disorder and the associated increased risks 48 49. Recent work examining the experiences of mental healthcare by people with bipolar disorder showed that meaningful information about bipolar disorder and its treatment (as well as psychosocial interventions and access to peer support) resulted in more positive attitudes towards care and better engagement with services 31…”

Section: Discussionmentioning

confidence: 99%

“…Qualitative methods have been used to explore the broader experiences of people with bipolar disorder (and their carers), such as social factors in suicidality,26 psychiatric assessment27 and other aspects of mental healthcare 28–30. A recent study by Vallarino et al explored the experiences of mental healthcare in people with bipolar disorder; timely provision of information about bipolar disorder, recovery-focused treatment, provision of psychosocial therapies and access to peer support, all had an impact on attitudes to and level of engagement with care services 31. To the best of our knowledge, there has been no investigation specific to accessing care and support for suicidal behaviours in people with bipolar disorder.…”

Section: Introductionmentioning

confidence: 99%

Qualitative investigation of relatives’ and service users’ experience of mental healthcare for suicidal behaviour in bipolar disorder

et al. 2019

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ObjectivePeople with bipolar disorder are known to be at high risk of engaging in suicidal behaviours, and those who die by suicide have often been in recent contact with mental health services. The objective of this study was to explore suicidal behaviour in bipolar disorder and how this is monitored and managed by mental health services.AimsTo identify themes within relatives’ and service users’ accounts of mental healthcare, related to management and prevention of suicidal behaviour in bipolar disorder.DesignThematic analysis of 22 semistructured interviews.ParticipantsParticipants were aged 18 years or over, fluent in written and spoken English, and either had bipolar disorder with a history of suicidal behaviour, or were relatives of people with bipolar disorder who had died by suicide.SettingEngland, UK.Primary outcomeThemes identified from participants’ accounts of mental healthcare for suicidal behaviours in bipolar disorder.ResultsTwo main themes were identified. ‘Access to care’ was characterised by a series or cycle of potential barriers to care (eg, gate-keepers, lack of an accurate diagnosis) which had the potential to increase risk of suicidal behaviour if failure to access care continued over time. ‘Problems with communication’ captured the importance of maintaining open routes of communication between all parties involved in care to ensure successful monitoring and management of suicidal behaviours in bipolar disorder.ConclusionsMental health services need to be accessible and respond rapidly to people with suicidal behaviour in bipolar disorder. Open communication and inclusion of relatives in care, where appropriate, could help closer monitoring of changes in symptoms that indicate increased risk.

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“…Consistent with previous research, the present study found that clients recognize the importance of the therapeutic relationship as a source of reliable information and support. Empathy, trust, respect, and willingness to discuss care plan, especially with regard to medications, are key for building good relationships with clinicians (Vallarino et al ). Consequently, the perceived benefits from the therapeutic relationship should be validated in order to enhance the interventions and information delivery while considering an active role from the client.…”

Section: Discussionmentioning

confidence: 99%

Living with bipolar disorder in Chile: A qualitative study

Hormazábal-Salgado

Troncoso

2019

Int J Mental Health Nurs

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Bipolar disorder (BD) is an important factor contributing to rates of higher morbidity and mortality with serious consequences on the quality of life. There is limited literature on life experience of people living with BD in Chile. For this reason, this study examines the life experiences of Chilean clients with BD. Semi-structured interviews were conducted, and clients aged 40-65 years, euthymic, with a preserved judgement of reality were included. A thematic analysis was conducted, and two themes and subthemes were extracted. The first theme is the life experiences of the disease, and it comprises the subtheme information about BD, life experiences of relapses (with acute experiences of disease, professional assistance, and prodromal symptom management), accepting the disease, accepting the medication, and being bipolar as a stigma. The second theme is that of family environment, which includes the subthemes of family support, lack of family support, and family crisis resulting from BD. The findings provide evidence to support the importance of accepting the disease, the long-term course of the disease, in addition to pharmacological treatment, which requires interventions from nurses when personal risk factors of acute episodes are identified and addressed. Besides, client and family members have to be actively involved. Future research should examine the relationship between stigma from bipolar disorder, perceptions from family members, and educational interventions from nurses and people affected by BD in Chile.

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Experiences of Mental Healthcare Reported by Individuals Diagnosed with Bipolar Disorder: An Italian Qualitative Study

Cited by 4 publications

References 41 publications

A qualitative synthesis of patients' experiences of re‐traumatization in acute mental health inpatient settings

A qualitative synthesis of patients' experiences of re‐traumatization in acute mental health inpatient settings

Qualitative investigation of relatives’ and service users’ experience of mental healthcare for suicidal behaviour in bipolar disorder

Living with bipolar disorder in Chile: A qualitative study

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