St. Olavs University Hospital, Forensic Dept. Brøset, Centre for Research and Education in Forensic Psychiatry, Trondheim, Norway.
Scand J Public Health. 2013 Mar;41(2):185-90. doi: 10.1177/1403494812472265. Epub 2013 Jan 7.
To examine the experiences of and preferences for helpful care in situations of mental crisis from the perspective of people with major mental disorders.
Qualitative individual interviews with 19 users with major mental disorder, 13 men and six women, aged 22-60 years. Analysis was conducted with systematic text condensation.
The main tendencies among a majority of the users are a clear understanding of their own problems and ways of handling these, and the desire for early help from providers whom they know well and who are open to dialogue and reflection. A clear majority perceived a high threshold for contacting the mental health system due to negative experiences and lack of user involvement in treatment planning and implementation.
The findings challenge traditional views of professionalism and describe important implications for mental health services from the user's perspective. Our study provides a clear indication of the importance of becoming an active participant in one's own life, and the need for deeper understanding among the professionals in relation to user experiences and preferences for helpful care in periods of mental health crisis in order to optimize the care.
从患有主要精神障碍人群的角度出发，探讨其在精神危机情况下对有益护理的体验和偏好。
对 19 名患有主要精神障碍的用户（13 名男性，6 名女性，年龄 22-60 岁）进行了定性个体访谈。采用系统文本凝聚分析法进行分析。
大多数用户的主要倾向是清楚地了解自己的问题及其处理方式，并渴望从他们熟悉的、乐于对话和反思的提供者那里获得早期帮助。由于负面经历和缺乏用户参与治疗计划和实施，大多数人认为接触精神卫生系统的门槛很高。
研究结果对专业精神提出了挑战传统观点，并从用户的角度描述了对精神卫生服务的重要启示。我们的研究清楚地表明，成为自己生活的积极参与者的重要性，以及专业人员需要更深入地了解用户的经验和对精神健康危机期间有益护理的偏好，以优化护理。
