Medikamentfri psykiatrisk behandling – hva mener pasientene?

Heskestad, Stig; Kalhovde, Anne Martha; Jakobsen, Einar Steen; Tytlandsvik, Margrete; Horpestad, Laila; Runde, Inger Karin Sletthaug

doi:10.4045/tidsskr.18.0912

Cited by 3 publications

(3 citation statements)

References 2 publications

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“…Important reasons seem to be the negative effects of medication, struggle with getting alternatives in ordinary health care, and medication use conflicting with values, attitudes, and beliefs. Together with previous findings, 29 our study demonstrates 1656 the presence of a desire for MFT as an alternative to mainstream treatment services. This contradicts the views of MFT as representing the wish of only a minority of service users.…”

Section: Discussionsupporting

confidence: 83%

“…9 There are indications that about half the population in inpatient units would be interested in an MFT alternative. 29 Service users with psychosis in MFT report that having choices about treatment is important. 30 Because the need for MFT units is controversial, the MFT mandate does not require service users to go off medication, and MFT wards may have several other features that might be attractive to service users, it is important to examine whether medication-issues are important for the users.…”

Section: Introductionmentioning

confidence: 99%

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Why Service Users Choose Medication-Free Psychiatric Treatment: A Mixed-Method Study of User Accounts

Standal¹,

Solbakken²,

Rugkåsa³

et al. 2021

PPA

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Purpose Medication has been a central part of treatment for severe mental disorders in Western medicine since the 1950s. In 2015, Norwegian Health Authorities decided that Norwegian health regions must have treatment units devoted to medication-free mental health treatment to enhance service users’ freedom of choice. The need for these units has been controversial. The aim of this study was to examine why service users choose medication-free services. This article examines what purpose these units serve in terms of the users’ reasons for choosing this service, what is important for them to receive during the treatment, and what factors lay behind their concerns in terms of medication-related views and experiences. Methods Questionnaires were answered by 46 participants and 5 participants were interviewed in a mixed-method design integrated with a concurrent triangulation strategy applying thematic analysis and descriptive statistics. Results Negative effects of medications and unavailable alternatives to medication in ordinary health care were important reasons for wanting medication-free treatment. Medication use may conflict with personal values, attitudes, and beliefs. Conclusion This study broadens the understanding of why the demand for separate medication-free units has arisen. The findings may contribute to making medication-free treatment an option in mental health care in general. To this end, clinicians are advised to communicate all treatment alternatives to service users and to be mindful of the effect of power imbalances in their interactions with them.

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Section: Discussionsupporting

confidence: 83%

Section: Introductionmentioning

confidence: 99%

Why Service Users Choose Medication-Free Psychiatric Treatment: A Mixed-Method Study of User Accounts

Standal¹,

Solbakken²,

Rugkåsa³

et al. 2021

PPA

View full text Add to dashboard Cite

show abstract

“…En norsk studie har vist at flertallet av pasienter på Jaeren DPS ønsket seg et medikamentfri behandlingstilbud. Forfa erne tolker disse funnene klokt når de skriver at de e kan «forstås som en frustrasjon over vedvarende symptomer, bivirkninger og stort lidelsestrykk på tross av medisinbruk» (24).…”

Section: Realistiske Forventningerunclassified

Psykiatriens forventningskrise

Malkomsen¹,

Solberg²

2022

Tidsskriftet

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Anders Malkomsen er lege i spesialisering i psykiatri ved Nydalen distriktspsykiatriske senter og stipendiat ved Seksjon for behandlingsforskning, Oslo universitetssykehus. Forfa eren har fylt ut ICMJE-skjemaet og oppgir ingen interessekonflikter. Carl Tollef Solberg er ph.d., lege, filosof og seniorforsker ved Senter for medisinsk etikk, Institu for helse og samfunn, Universitetet i Oslo. Forfa eren har fylt ut ICMJE-skjemaet og oppgir ingen interessekonflikter.

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Kunnskap, makt og autonomi i psykiskhelsevern: En analyse av diskusjonene om medikamentfri behandlingog pakkeforløp

Ørjasæter

2021

TPH

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Medikamentfri psykiatrisk behandling – hva mener pasientene?

Cited by 3 publications

References 2 publications

Why Service Users Choose Medication-Free Psychiatric Treatment: A Mixed-Method Study of User Accounts

Why Service Users Choose Medication-Free Psychiatric Treatment: A Mixed-Method Study of User Accounts

Psykiatriens forventningskrise

Kunnskap, makt og autonomi i psykiskhelsevern: En analyse av diskusjonene om medikamentfri behandlingog pakkeforløp

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