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Mental health crises at home: Service user perspectives on what helps and what hinders when they receive home based treatment as an alternative to admission to an acute inpatient unit
Abstract

Mental health crises at home: Service user perspectives on what helps and what hinders when they receive home based treatment as an alternative to admission to an acute inpatient unit

Stephen Niemiec
International Journal of Mental Health Nursing, Vol.17(Supplement 1), pp.A26-A27
Australian College of Mental Health Nurses Annual International Conference, 34th (Melbourne, Australia, 06-Oct-2008–10-Oct-2008)
2008
url
https://doi.org/10.1111/j.1447-0349.2008.00563.xView
Published Version

Abstract

Nursing mental health
Traditional methods of gaining service user views is often through the use of 'satisfaction surveys'. Because such surveys are often devised by service providers there are concerns that their use as evaluation tools may be flawed due to issues of power and passivity, and that they do not represent active involvement by service users in the feedback loop. This session presents a description of a participatory research study conducted to identify the perspectives of previous service users of a crisis resolution and home treatment service established in Newcastle-upon-Tyne in the north east if England and to present the data gained over several years. Feedback was initially sought in order to establish the criteria for the development of a service evaluation questionnaire. Seven themes emerged from the data which were then used as a framework for the evaluation questionnaire. These themes have also been used within this paper to present what our participants told us was important to them when they received a service at home as an alternative to being admitted to an inpatient unit and the results of the surveys produced to date. The participatory research methods included a two-stage modified Delphi study and semi-structured interviews conducted by service user interviewers to gather rich data to inform the construction of a service evaluation questionnaire. What is different about this study is that service users have an opportunity to let service providers know what was/is important to them when they receive care and what is perceived as not being helpful allowing clinicians to shape their service delivery if necessary.

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