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BMC Health Services Research

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Open Access 01-12-2021 | Suicide | Research

Self-referral to inpatient treatment program in a community mental health Centre in Central Norway: investigating the implementation, professionals’ experiences and costs

Authors: Inger Elise Opheim Moljord, Kine Gabrielsen Stensvåg, Vidar Halsteinli, Marit By Rise

Published in: BMC Health Services Research | Issue 1/2021

Abstract

Background

Self-referral to inpatient treatment (SRIT) is built on user participation and patient autonomy. SRIT was conducted for patients with severe mental disorders in a Norwegian Community Mental Health Centre. The aims of the present study were to describe the implementation of SRIT, explore the professionals’ experiences of SRIT and assess the costs entailed.

Methods

Qualitative document analysis, interviews with professionals and quantitative analysis of register data from a randomized controlled trial were used.

Results

SRIT seemed to be implemented as intended. According to the professionals, SRIT allowed the patients to cope, be empowered, more active and responsible. Some professionals experienced increased responsibility for patients’ medication and for assessing health and suicide risks. SRIT did not reduce hospital costs. The professionals were satisfied with nurse-led SRIT treatment.

Conclusions

SRIT appears to be a high-quality mental health service that empowers and activates patients. Nurse-led treatment may entail more efficient use of professional resources.

In future implementations of SRIT, the efficient use of service resources and the administration of beds should be investigated. More flexible availability should be considered in line with the intentions behind SRIT, as well as ensuring adequate professional training in assessing health and suicide risk.

Bootstrapping (1000 replicates), bias-corrected confidence interval

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Title: Self-referral to inpatient treatment program in a community mental health Centre in Central Norway: investigating the implementation, professionals’ experiences and costs
Authors: Inger Elise Opheim Moljord
Kine Gabrielsen Stensvåg
Vidar Halsteinli
Marit By Rise
Publication date: 01-12-2021
Publisher: BioMed Central
Keywords: Suicide
Suicide
Published in: BMC Health Services Research / Issue 1/2021
Electronic ISSN: 1472-6963
DOI: https://doi.org/10.1186/s12913-021-07273-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Self-referral to inpatient treatment program in a community mental health Centre in Central Norway: investigating the implementation, professionals’ experiences and costs

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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