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Referral to an Acute Child and Adolescent Inpatient Unit: The Experiences and Views of Community Mental Health Referrers
Auckland City Hospital, New Zealand.
Linköping University, Department of Clinical and Experimental Medicine, Divison of Neurobiology. Linköping University, Faculty of Medicine and Health Sciences.
University of Auckland, New Zealand.
2017 (English)In: Qualitative Health Research, ISSN 1049-7323, E-ISSN 1552-7557, Vol. 27, no 11, 1664-1674 p.Article in journal (Refereed) Published
Abstract [en]

Admission to an acute mental health inpatient unit is a significant event for a young person. The interface between inpatient and community teams negotiating the admission and later discharge can be fraught. To understand how to improve the transition between inpatient and community care, we interviewed 48 community clinicians about their experiences of engaging with an acute child and adolescent mental health inpatient unit. Through thematic analysis, we identified management of risk was a central issue. Participants wanted more time in hospital, and more communication and collaboration. They expressed appreciation, but some gave intense descriptions of dissatisfaction. The analysis suggests avenues to improve communication and experience, recognizing the (felt) power differential between inpatient and referring community clinicians. Managing the power dynamics requires inpatient clinicians to use active inquiry to bring forward community clinicians views and be mindful of the risk of community clinicians experiencing communication as criticism.

Place, publisher, year, edition, pages
Sage Publications, 2017. Vol. 27, no 11, 1664-1674 p.
Keyword [en]
hospital-based care; interprofessional relations; qualitative; thematic analysis; New Zealand
National Category
Nursing
Identifiers
URN: urn:nbn:se:liu:diva-140959DOI: 10.1177/1049732316689782ISI: 000407602900007PubMedID: 28799470Scopus ID: 2-s2.0-85027313159OAI: oai:DiVA.org:liu-140959DiVA: diva2:1142400
Available from: 2017-09-19 Created: 2017-09-19 Last updated: 2017-09-26Bibliographically approved

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CiteExportLink to record
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