Department of Care Science, Faculty of Health and Society, Malmö University, Jan Waldenströms gata 25 - F416, SE-205 06, Malmö, Sweden.
Department of Public Health and Community Medicine, Institute of Medicine, The Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.
BMC Health Serv Res. 2020 Jul 1;20(1):605. doi: 10.1186/s12913-020-05454-5.
Mental healthcare is an important component in societies' response to mental health problems. Although the World Health Organization highlights availability, accessibility, acceptability and quality of healthcare as important cornerstones, many Europeans lack access to mental healthcare of high quality. Qualitative studies exploring mental healthcare from the perspective of people with lived experiences would add to previous research and knowledge by enabling in-depth understanding of mental healthcare users, which may be of significance for the development of mental healthcare. Therefore, the aim of the current study was to describe experiences of mental healthcare among adult Europeans with mental health problems.
In total, 50 participants with experiences of various mental health problems were recruited for separate focus group interviews in each country. They had experiences from both the private and public sectors, and with in- and outpatient mental healthcare. The focus group interviews (N = 7) were audio recorded, transcribed verbatim and analysed through thematic analysis. The analysis yielded five themes and 13 subthemes.
The theme Seeking and trying to find help contained three subthemes describing personal thresholds for seeking professional help, not knowing where to get help, and the importance of receiving help promptly. The theme Awaiting assessment and treatment contained two subthemes including feelings of being prioritized or not and feelings of being abandoned during the often-lengthy referral process. The theme Treatment: a plan with individual parts contained three subthemes consisting of demands for tailored treatment plans in combination with medications and human resources and agreement on treatment. The theme Continuous and respectful care relationship contained two subthemes describing the importance of continuous care relationships characterised by empathy and respect. The theme Suggestions for improvements contained three subthemes highlighting an urge to facilitate care contacts and to increase awareness of mental health problems and a wish to be seen as an individual with potential.
Facilitating contacts with mental healthcare, a steady contact during the referral process, tailored treatment and empathy and respect are important aspects in efforts to improve mental healthcare. Recommendations included development of collaborative practices between stakeholders in order to increase general societal awareness of mental health problems.
精神卫生保健是应对精神健康问题的社会反应的重要组成部分。尽管世界卫生组织强调卫生保健的可及性、可及性、可接受性和质量是重要的基石，但许多欧洲人无法获得高质量的精神卫生保健。从有过精神健康问题经历的人的角度探索精神卫生保健的定性研究将通过深入了解精神卫生保健使用者来增加以前的研究和知识，这对于精神卫生保健的发展可能具有重要意义。因此，本研究的目的是描述成年欧洲精神健康问题患者的精神卫生保健体验。
共有 50 名有各种精神健康问题经历的参与者在每个国家参加了单独的焦点小组访谈。他们既有来自私营部门也有来自公共部门的经验，既有门诊也有住院精神卫生保健经验。焦点小组访谈（N=7）进行了录音、逐字记录，并通过主题分析进行了分析。分析产生了五个主题和 13 个子主题。
寻求和试图寻求帮助的主题包含三个子主题，描述了寻求专业帮助的个人门槛、不知道从哪里获得帮助，以及及时获得帮助的重要性。等待评估和治疗的主题包含两个子主题，包括被优先考虑或不被优先考虑的感觉，以及在通常漫长的转介过程中被抛弃的感觉。治疗：一个包含个人部分的计划主题包含三个子主题，包括量身定制的治疗计划、药物和人力资源的要求以及对治疗的一致意见。持续和尊重的护理关系主题包含两个子主题，描述了持续的护理关系的重要性，这些关系的特点是同情和尊重。改进建议的主题包含三个子主题，强调促进护理接触的紧迫性，并提高对精神健康问题的认识，以及希望被视为有潜力的个体。
促进与精神卫生保健的联系、在转介过程中保持稳定的联系、量身定制的治疗以及同情和尊重是改善精神卫生保健的重要方面。建议包括发展利益相关者之间的合作实践，以提高全社会对精神健康问题的认识。
