Cooperation in the mental health treatment of patients with outpatient commitment
Open accessAbstract
Background: Patients with outpatient commitment have a decision on coercive treatment from the specialist health services even if they are in their own home and receive municipal health services. Objective: The aim of this study is to gain more knowledge about how the outpatient commitment system works in the municipal health service and specialist health services, and how they collaborate with patients and across service levels from the perspectives of healthcare professionals. Methods: This is a qualitative study collecting data through focus group interviews with health personnel from the municipal health service and specialist health services. Results: The results describe the health personnel’s experiences with follow-up and interactions with the patients with outpatient commitment decisions, and their experiences with collaboration between service levels. Conclusion: The study show that outpatient commitment makes a difference in the way patients with this decision are followed up. The legislative amendment with new requirements for consent competence was challenging. Collaboration between services levels was also challenging.
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The change in terminology from compliance to concordance was not accepted by many researchers and health professionals, leading to alternative terms such as cooperation.
“Although this implied a new approach to the HCP-patient relationship regarding an agreement on the therapeutic regimen, the change in terminology was not accepted by many researchers and health professionals, leading to alternative terms, such as “cooperation” [30].”
From Therapeutic Adherence of People with Mental Disorders: An Evolutionary Concept Analysis (2023) · cites this paper as [30]
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Therapeutic Adherence of People with Mental Disorders: An Evolutionary Concept Analysis
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- Authors
- Løvsletten, M., Lossius Husum, T., Haug, E., & Granerud, A.
- Affiliations
- University of Oslo (NO)
- Centre for Medical Ethics, Institute for Health & Society, University of Oslo, Oslo, Norway
- Innlandet Hospital Trust (NO)
- University of Inland Norway (NO)
- Corresponding author
- Løvsletten, Maria
- Venue
- SAGE Open Medicine
- Publisher
- SAGE Publications
- Published
- 2020-01
- Volume
- 8
- Pages
- 2050312120926410-2050312120926410
- ISSN
- 2050-3121 (ISSN-L)
- PMC
- PMC7268555
- OpenAlex
- W3030025017
- Cited by
- 4
- References
- 21
- Citations by year
- 2025: 1 · 2023: 1 · 2022: 2
- FWCI
- 0.30
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- SAGE Open Medicine (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- NORA - Norwegian Open Research Archives (submittedVersion, other-oa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- NORA - Norwegian Open Research Archives (submittedVersion, cc-by-nc)
- Funders
- Inland Norway University of Applied Sciences (345012-12)
- Innlandet Hospital Trust (150600)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Healthcare Decision-Making and Restraints
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Health Sciences › Health Professions › General Health Professions › Health, Medicine and Society
- Keywords
- outpatient commitment, interprofessional collaboration, municipal health services, specialist health services, patient follow-up, health professionals' experiences, mental health law
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