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Self-reported needs for care, support and treatment of persons who frequently visit psychiatric emergency rooms in Sweden
Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, School of Health and Society. Lund University.ORCID iD: 0000-0002-3113-6432
Kristianstad University, Faculty of Business, Avdelningen för ekonomi. Kristianstad University, Faculty of Health Science, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education.
Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.ORCID iD: 0000-0001-5904-8664
2018 (English)In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 39, no 9, p. 738-745Article in journal (Refereed) Published
Abstract [en]

AIM: To investigate self-reported needs for care, support and treatment among persons who frequently visit psychiatric emergency rooms (PERs).

DESIGN: A cross-sectional design. Qualitative and quantitative data were collected using an interview-based manual. Qualitative data were analysed using content analysis, whereas quantitative data were analysed using descriptive, non-parametric statistical tests.

RESULTS: Persons who frequently visit PERs self-reported unmet needs for care, support and treatment in life domains such as health, socialisation, daytime activities, and emotional and financial security.

CONCLUSION: To meet the needs of persons who frequently visit PERs, close cooperation between concerned welfare actors should be implemented.

Place, publisher, year, edition, pages
2018. Vol. 39, no 9, p. 738-745
National Category
Other Medical Sciences
Identifiers
URN: urn:nbn:se:hkr:diva-18566DOI: 10.1080/01612840.2018.1481471ISI: 000459680300003PubMedID: 30111203OAI: oai:DiVA.org:hkr-18566DiVA, id: diva2:1240430
Available from: 2018-08-21 Created: 2018-08-21 Last updated: 2019-03-14Bibliographically approved
In thesis
1. Persons who frequently visit the psychiatric emergency room: who are they and what are their needs?
Open this publication in new window or tab >>Persons who frequently visit the psychiatric emergency room: who are they and what are their needs?
2018 (English)Licentiate thesis, comprehensive summary (Other academic)
Abstract [en]

Persons who frequently visit psychiatric emergency rooms (PERs) account for a disproportionately high number of total visits to PERs. They have needs just as any other human beings do. Yet in addition, they also have specific daily function needs, service needs, and needs for professional healthcare.  The overall aim of this thesis was to investigate who persons frequently visiting PERs in Sweden are and what needs they have. Both studies I and II were conducted in southern Sweden. Study I is a quantitative mapping study describing who persons who frequently visit PERs are, what characterizes them, and what characterizes their visits, while study II investigates their self-expressed and selfassessed needs using a mixed-methods design.  For data collection, a large-scale registry was used in study I, while in study II an interviewer-administered manual was applied consisting of open-ended questions and validated instruments covering the person-in-care’s needs assessment, alcohol and drug use, exposure to violence, and social network. Quantitative data were analysed using descriptive statistics and non-parametric tests (I, II) and qualitative data were analysed using qualitative content analysis (II).  The results indicate that persons who frequently visit PERs represented 8.1% of the total number of PER visitors but accounted for 38.3% of the total number of PER visits (I). They differed significantly from the rest of the PER visitors in terms of gender, diagnoses, hospital admissions, and temporal patterns of visits. Differences were also found in the distance between the PERs and the home municipalities of the visitors (I). In addition, they reported problems in many need areas in life, involving physical and psychiatric health problems as well as financial, emotional, and social problems (II). Results also indicate that they are often subject to violence and have limited social networks (II).  The results may be used for planning, developing, and evaluating interventions targeting the needs of persons who frequently visit PERs, which is in line with a person-centred approach. Such an approach might eventually address their needs better, reduce their suffering, and consequently result in fewer PER visits.  

Place, publisher, year, edition, pages
Lund: Media Tryck, Lund University, 2018. p. 65
National Category
Health Sciences
Identifiers
urn:nbn:se:hkr:diva-19024 (URN)
Available from: 2019-02-07 Created: 2019-02-01 Last updated: 2019-02-15Bibliographically approved

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Ekstrand, Joakim

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Schmidt, ManuelaEkstrand, JoakimBengtsson-Tops, Anita
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Research Platform for Collaboration for HealthSchool of Health and SocietyAvdelningen för ekonomiResearch Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and EducationAvdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap
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