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Published in: BMC Psychiatry 1/2016

Open Access 01-12-2016 | Research article

Pathway to mental health recovery: a qualitative and quantitative study on the needs of Chinese psychiatric inpatients

Authors: B. W. M. Siu, M. M. Y. Tsang, V. C. K. Lee, A. C. Y. Liu, S. Tse, H. S. M. Luk, N. K. Y. Lo, P. H. Lo, Y. L. Leung

Published in: BMC Psychiatry | Issue 1/2016

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Abstract

Background

Exploration of the information and participation needs of psychiatric inpatients is an important step for the implementation of recovery-oriented mental health service. The objective of this study was to explore the information and participation needs of Chinese psychiatric inpatients in the largest psychiatric hospital in Hong Kong.

Methods

The study was divided into two parts. In the first part, eight focus groups with patients, patients’ relatives and healthcare professionals were held to identify 22 items of information needs and 16 items of participation needs of Chinese psychiatric inpatients. Basing on the items identified in the first part of the study, a questionnaire was developed to survey on the importance of the different information and participation needs in the second part of the study. Participants were asked to rate in rank order their perceived importance of the items in the questionnaire survey.

Results

A hundred and eighty three Chinese psychiatric inpatients completed the questionnaire and the majority of them suffered from schizophrenia (68.3 %). For information needs, the top three needs rated by patients as the most important in descending order were: “Information on the classifications of mental illnesses, signs and symptoms and factors contributing to relapse”, “Information on the criteria and arrangements for discharge”, and “Information on the importance of psychiatric drug taking and its side effects”. For participation needs, the top three needs rated by patients as the most important in descending order were: “Enquiring about personal needs and arrangements”, “Keeping in touch with the outside world”, and “Learning and practising self-management”.

Conclusions

This study reveals that Chinese psychiatric inpatients are concerned about information on their mental illness and its treatments as well as the criteria for discharge. On the other hand, patients are concerned about their personal needs, their self-management, as well as their keeping in touch with the outside world during their hospitalisation. Moreover, patients with different socio-demographic and clinical characteristics have different information and participation needs. The results of the present study serve as a reference for designing guidelines, strategies, and programmes to meet the information needs and participation needs of psychiatric inpatients in Hong Kong.
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Literature
3.
go back to reference Townsend W, Boyd S, Griffin G, Hicks PL. Emerging Best Practices in Mental Health Recovery. Ohio: Ohio Department of Mental Health; 2000. Townsend W, Boyd S, Griffin G, Hicks PL. Emerging Best Practices in Mental Health Recovery. Ohio: Ohio Department of Mental Health; 2000.
5.
go back to reference National Institute for Mental Health in England. Emerging Best Practice in Mental Health Recovery. UK: NIMHE; 2004. National Institute for Mental Health in England. Emerging Best Practice in Mental Health Recovery. UK: NIMHE; 2004.
7.
go back to reference Mental Health Commission. Blueprint for Mental Health Services in New Zealand. Wellington: Mental Health Commission; 1998. Mental Health Commission. Blueprint for Mental Health Services in New Zealand. Wellington: Mental Health Commission; 1998.
8.
go back to reference Taylor TL, Killaspy H, Wright C, et al. A systematic review of the international published literature relating to quality of institutional care for people with longer term mental health problems. BMC Psychiatry. 2009;9:55.CrossRefPubMedPubMedCentral Taylor TL, Killaspy H, Wright C, et al. A systematic review of the international published literature relating to quality of institutional care for people with longer term mental health problems. BMC Psychiatry. 2009;9:55.CrossRefPubMedPubMedCentral
9.
go back to reference Linhorst DM, Eckert A. Involving people with severe mental illness in evaluation and performance improvement. Eval Health Prof. 2002;25:284–301.CrossRefPubMed Linhorst DM, Eckert A. Involving people with severe mental illness in evaluation and performance improvement. Eval Health Prof. 2002;25:284–301.CrossRefPubMed
10.
go back to reference Ahuja AS, Williams R. Involving patients and their carers in educating and training practitioners. Curr Opin Psychiatry. 2005;18:374–80.CrossRefPubMed Ahuja AS, Williams R. Involving patients and their carers in educating and training practitioners. Curr Opin Psychiatry. 2005;18:374–80.CrossRefPubMed
11.
go back to reference Anthony WA. Recovery from mental illness: the guiding vision of the mental health service system in the 1990s. Psychosoc Rehabil J. 1993;16:11–23.CrossRef Anthony WA. Recovery from mental illness: the guiding vision of the mental health service system in the 1990s. Psychosoc Rehabil J. 1993;16:11–23.CrossRef
12.
go back to reference Farkas M, Gagne C, Anthony W, et al. Implementing recovery-orientated evidence-based programmes: identifying the critical dimensions. Community Ment Health J. 2005;42(2):141–58.CrossRef Farkas M, Gagne C, Anthony W, et al. Implementing recovery-orientated evidence-based programmes: identifying the critical dimensions. Community Ment Health J. 2005;42(2):141–58.CrossRef
13.
go back to reference Leamy M, Bird V, Clair LB, Williams J, Slade M. Conceptual framework for personal recovery in mental health: systematic review and narrative synthesis. Br J Psychiatry. 2011;199:445–52.CrossRefPubMed Leamy M, Bird V, Clair LB, Williams J, Slade M. Conceptual framework for personal recovery in mental health: systematic review and narrative synthesis. Br J Psychiatry. 2011;199:445–52.CrossRefPubMed
14.
go back to reference Slade M. Personal recovery and mental illness. A guide for mental health professionals. Cambridge: Cambridge University Press; 2009. Slade M. Personal recovery and mental illness. A guide for mental health professionals. Cambridge: Cambridge University Press; 2009.
15.
go back to reference Davidson L, Tondora J, Lawless MS, O’Connell M, Rowe M. A practical guide to recovery-oriented practice tools for transforming mental health care. USA: Oxford University Press; 2009. Davidson L, Tondora J, Lawless MS, O’Connell M, Rowe M. A practical guide to recovery-oriented practice tools for transforming mental health care. USA: Oxford University Press; 2009.
16.
go back to reference Kane JR. Information is the key to patient empowerment. Annals Health L. 2002;11:25. Kane JR. Information is the key to patient empowerment. Annals Health L. 2002;11:25.
17.
go back to reference Dey A. Consumer health informatics: an overview of patient perspectives on health information needs. HIMJ. 2004;33:121–6.PubMed Dey A. Consumer health informatics: an overview of patient perspectives on health information needs. HIMJ. 2004;33:121–6.PubMed
18.
go back to reference Pollock K, Grime J, Baker E, Mantala K. Meeting the information needs of psychiatric inpatients: staff and patient perspective. JMH. 2004;13:389–401. Pollock K, Grime J, Baker E, Mantala K. Meeting the information needs of psychiatric inpatients: staff and patient perspective. JMH. 2004;13:389–401.
19.
go back to reference Hansson L, Björkman T, Berglund I. What is important in psychiatric inpatient care? Quality of care from the patient’s perspective. Qual Assur Health Care. 1993;5:41–7.CrossRefPubMed Hansson L, Björkman T, Berglund I. What is important in psychiatric inpatient care? Quality of care from the patient’s perspective. Qual Assur Health Care. 1993;5:41–7.CrossRefPubMed
20.
go back to reference Mccann TV, Baird J, Clark E, Lu S. Mental health professionals’ attitude towards consumer participation in inpatient units. J Psychiatr Ment Health Nurs. 2008;15:10–6.CrossRefPubMed Mccann TV, Baird J, Clark E, Lu S. Mental health professionals’ attitude towards consumer participation in inpatient units. J Psychiatr Ment Health Nurs. 2008;15:10–6.CrossRefPubMed
21.
go back to reference Siu BWM, Sung RWK. Promotion and Implementation of Recovery-oriented Practice in a Mental Hospital in Hong Kong. Hong Kong J Ment Health. 2013;39:13–9. Siu BWM, Sung RWK. Promotion and Implementation of Recovery-oriented Practice in a Mental Hospital in Hong Kong. Hong Kong J Ment Health. 2013;39:13–9.
22.
23.
go back to reference Yu X, Liu J, Ma H. Community mental health: a panacea to confront the challenge in China? [in Chinese]. Chin Ment Health J. 2010;24:885–6. Yu X, Liu J, Ma H. Community mental health: a panacea to confront the challenge in China? [in Chinese]. Chin Ment Health J. 2010;24:885–6.
24.
25.
go back to reference Ma H. Integration of hospital and community services—the “686 Project”—is a crucial component in the reform of China’s mental health services. Shanghai Arch Psychiatry. 2012;24:172–4.PubMedPubMedCentral Ma H. Integration of hospital and community services—the “686 Project”—is a crucial component in the reform of China’s mental health services. Shanghai Arch Psychiatry. 2012;24:172–4.PubMedPubMedCentral
26.
go back to reference Tse S, Ran MS, Huang Y, Zhu S. Mental Health Care Reforms in Asia: The urgency of now: building a recovery-oriented, community mental health service in China. Psychiatr Serv. 2013;64(7):613–6.CrossRefPubMed Tse S, Ran MS, Huang Y, Zhu S. Mental Health Care Reforms in Asia: The urgency of now: building a recovery-oriented, community mental health service in China. Psychiatr Serv. 2013;64(7):613–6.CrossRefPubMed
27.
go back to reference Tse S, Siu BWM, Kan A. Can Recovery-Oriented Mental Health Services be Created in Hong Kong? Struggles and Strategies. Adm Policy Ment Health. 2013;40:155–8.CrossRefPubMed Tse S, Siu BWM, Kan A. Can Recovery-Oriented Mental Health Services be Created in Hong Kong? Struggles and Strategies. Adm Policy Ment Health. 2013;40:155–8.CrossRefPubMed
28.
go back to reference Siu BWM, Yeung YM, Poon MY, Sun LNN. Attitude towards Recovery in Chinese Mental Health Professionals. Hong Kong J Ment Health. 2011;37:35–42. Siu BWM, Yeung YM, Poon MY, Sun LNN. Attitude towards Recovery in Chinese Mental Health Professionals. Hong Kong J Ment Health. 2011;37:35–42.
29.
go back to reference Siu BWM, Ng BFL, Li VCK, Yeung YM, Lee MKL, Leung AYH. Mental Health Recovery for Psychiatric In-patient Services - Perceived Importance of the Elements of Recovery. East Asian Arch Psychiatry. 2012;22:39–48.PubMed Siu BWM, Ng BFL, Li VCK, Yeung YM, Lee MKL, Leung AYH. Mental Health Recovery for Psychiatric In-patient Services - Perceived Importance of the Elements of Recovery. East Asian Arch Psychiatry. 2012;22:39–48.PubMed
30.
go back to reference Bowersox NW, Bohnert AS, Ganoczy D, Pfeiffer PN. Inpatient psychiatric care experience and its relationship to posthospitalization treatment participation. Psychiatr Serv. 2013;64:554–62.CrossRefPubMed Bowersox NW, Bohnert AS, Ganoczy D, Pfeiffer PN. Inpatient psychiatric care experience and its relationship to posthospitalization treatment participation. Psychiatr Serv. 2013;64:554–62.CrossRefPubMed
31.
go back to reference Fu JCK, Chow PPL, Lam JWS, Tung RCK. Patient Satisfaction Survey, Castle Peak Hospital. Hong Kong SAR: Castle Peak Hospital; 2011. Fu JCK, Chow PPL, Lam JWS, Tung RCK. Patient Satisfaction Survey, Castle Peak Hospital. Hong Kong SAR: Castle Peak Hospital; 2011.
32.
go back to reference Mueser KT, Bellack AS, Wade JH, Sayers SL, Rosenthal CK. An assessment of the educational needs of chronic psychiatric patients and their relatives. Br J Psychiatry. 1992;160:674–80.CrossRefPubMed Mueser KT, Bellack AS, Wade JH, Sayers SL, Rosenthal CK. An assessment of the educational needs of chronic psychiatric patients and their relatives. Br J Psychiatry. 1992;160:674–80.CrossRefPubMed
33.
go back to reference Gigantesco A, Morosini P, Bazzoni A. Quality of psychiatric care; validation of an instrument for measuring inpatient opinion. Int J Qual Health Care. 2003;15:73–8.CrossRefPubMed Gigantesco A, Morosini P, Bazzoni A. Quality of psychiatric care; validation of an instrument for measuring inpatient opinion. Int J Qual Health Care. 2003;15:73–8.CrossRefPubMed
34.
go back to reference Längle G, Baum W, Wollinger A, Renner G, Úren R, Schwärzler F, Eschweiler GW. Indicators of quality of in-patient psychiatric treatment: the patients’view. Int J Qual Health Care. 2003;15:213–21.CrossRefPubMed Längle G, Baum W, Wollinger A, Renner G, Úren R, Schwärzler F, Eschweiler GW. Indicators of quality of in-patient psychiatric treatment: the patients’view. Int J Qual Health Care. 2003;15:213–21.CrossRefPubMed
35.
go back to reference Adams JR, Drake RE, Wolford GL. Shared decision-making preferences of people with severe mental illness. Psychiatr Ser. 2007;58:1219–21.CrossRef Adams JR, Drake RE, Wolford GL. Shared decision-making preferences of people with severe mental illness. Psychiatr Ser. 2007;58:1219–21.CrossRef
36.
go back to reference Henderson J, Curren D, Walter B, Toffoli L, O’Kane D. Relocating care: negotiating nursing skillmix in a mental health unit for older adults. Nurs Inq. 2011;18(1):55–65.CrossRefPubMed Henderson J, Curren D, Walter B, Toffoli L, O’Kane D. Relocating care: negotiating nursing skillmix in a mental health unit for older adults. Nurs Inq. 2011;18(1):55–65.CrossRefPubMed
37.
go back to reference Glenister D. Patient participation in psychiatric services: a literature review and proposal for a research strategy. J Adv Nurs. 1994;19:802–11.CrossRefPubMed Glenister D. Patient participation in psychiatric services: a literature review and proposal for a research strategy. J Adv Nurs. 1994;19:802–11.CrossRefPubMed
40.
go back to reference Armstrong NP, Steffen JJ. The recovery promotion fidelity scale: assessing the organizational promotion of recovery. Community Ment Health J. 2009;45:163–70.CrossRefPubMed Armstrong NP, Steffen JJ. The recovery promotion fidelity scale: assessing the organizational promotion of recovery. Community Ment Health J. 2009;45:163–70.CrossRefPubMed
42.
go back to reference Deegan PE. Recovery as a journey of the heart. Psychiatr Rehabil J. 1996;19:91–7.CrossRef Deegan PE. Recovery as a journey of the heart. Psychiatr Rehabil J. 1996;19:91–7.CrossRef
43.
go back to reference Deegan PE. Recovery: The lived experience of rehabilitation. Psychosoc Rehabil J. 1988;11:11–9.CrossRef Deegan PE. Recovery: The lived experience of rehabilitation. Psychosoc Rehabil J. 1988;11:11–9.CrossRef
44.
go back to reference Spaniol L, Gagne C, Koehler M. Recovery from serious mental illness: What it is and how to assist people in their recovery. Continuum. 1997;4:3–15. Spaniol L, Gagne C, Koehler M. Recovery from serious mental illness: What it is and how to assist people in their recovery. Continuum. 1997;4:3–15.
46.
Metadata
Title
Pathway to mental health recovery: a qualitative and quantitative study on the needs of Chinese psychiatric inpatients
Authors
B. W. M. Siu
M. M. Y. Tsang
V. C. K. Lee
A. C. Y. Liu
S. Tse
H. S. M. Luk
N. K. Y. Lo
P. H. Lo
Y. L. Leung
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC Psychiatry / Issue 1/2016
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/s12888-016-0959-6

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