Integrating a Patient-Controlled Admission Program Into Mental Health Hospital Service: A Multicenter Grounded Theory Study

Patient-controlled admissions (PCAs) enable mental health patients by means of a contract to initiate an admission at a mental health hospital unit without using traditional admission procedures. This study was part of a 3-year Danish multicenter project, and we explored how mental health profession...

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Bibliographic Details
Published in:Qualitative health research 2018-05, Vol.28 (6), p.888-899
Main Authors: Ellegaard, Trine, Bliksted, Vibeke, Mehlsen, Mimi, Lomborg, Kirsten
Format: Article
Language:English
Subjects:
Clinical medicine
Comprehension
Discomfort
Grounded theory
Health technology assessment
Hospitalization
Medical personnel
Mental disorders
Mental health
Mental health care
Mental health professionals
Qualitative research
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Summary:Patient-controlled admissions (PCAs) enable mental health patients by means of a contract to initiate an admission at a mental health hospital unit without using traditional admission procedures. This study was part of a 3-year Danish multicenter project, and we explored how mental health professionals experienced and managed the implementation of a PCA program. The methodology was grounded theory and the sample included 26 participants. We performed a constant comparative analysis to explore the concerns, attitudes, and strategies of mental health professionals. We developed a model of how the mental health professionals strived to integrate PCA into clinical practice. The process was motivated by the idea of establishing a partnership with patients and involved two interrelated strategies to manage (a) the patient-related duties and (b) the admission contracts. The professionals moved from a phase of professional discomfort to a phase of professional awareness, and ended up with professional comprehension.
ISSN:1049-7323
1552-7557
DOI:10.1177/1049732318756301