Lofthus Ann-Mari, Weimand Bente M, Ruud Torleif, Rose Diana, Heiervang Kristin S
a Akershus Universitetssykehus HF , Department of Research and Development, Division of Mental Health Services , Lorenskog , Norway.
b National Centre for knowledge through experience in mental health , Skien , Norway.
Issues Ment Health Nurs. 2018 Jun;39(6):519-526. doi: 10.1080/01612840.2017.1413459. Epub 2018 Jan 25.
We discuss Norwegian service users' experiences with community mental health treatment in general, and the interprofessional Assertive Community Treatment (ACT) model in particular. To gain the right to treatment, service users have to accept certain limitations, such as medication and community treatment orders (CTOs). Seventy participants responded to five open-ended questions. In addition, eight of them participated in either focus group or interviews. A collaborative approach, using Stepwise-Deductive Induction (SDI) method was used to analyze the participants' experiences. The results showed that the treatment contributes to an experience of autonomy but also one of restriction. It provides service users with enhanced normalcy, but simultaneously a feeling of deviance. There needs to be an ongoing reflection and discussion about those paradoxes in treatment, and service users have to be involved.
我们总体上讨论了挪威服务使用者在社区心理健康治疗方面的经历，尤其关注跨专业的积极社区治疗（ACT）模式。为了获得治疗权，服务使用者必须接受某些限制，例如药物治疗和社区治疗令（CTO）。七十名参与者回答了五个开放式问题。此外，其中八人参加了焦点小组或访谈。采用逐步演绎归纳（SDI）方法的协作方式来分析参与者的经历。结果表明，治疗既带来了自主感，也带来了受限感。它为服务使用者增强了正常感，但同时也带来了偏差感。需要对治疗中的这些矛盾进行持续反思和讨论，并且必须让服务使用者参与其中。
