<?xml version="1.0" encoding="UTF-8"?><xml><records><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Nyttingnes, Olav</style></author><author><style face="normal" font="default" size="100%">Rugkåsa, Jorun</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">The Introduction of Medication-Free Mental Health Services in Norway: An Analysis of the Framing and Impact of Arguments From Different Standpoints</style></title><secondary-title><style face="normal" font="default" size="100%">Frontiers in Psychiatry</style></secondary-title></titles><keywords><keyword><style  face="normal" font="default" size="100%">Medication-free</style></keyword><keyword><style  face="normal" font="default" size="100%">Medisin</style></keyword><keyword><style  face="normal" font="default" size="100%">Medisinfri</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2021</style></year><pub-dates><date><style  face="normal" font="default" size="100%">07/2021</style></date></pub-dates></dates><urls><web-urls><url><style face="normal" font="default" size="100%">https://www.frontiersin.org/articles/10.3389/fpsyt.2021.685024/full</style></url></web-urls></urls><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p&gt;&lt;strong&gt;Introduction:&lt;/strong&gt;&amp;nbsp;Debates about coercive practices have challenged a traditional biomedical hegemony in mental health care. The perspectives of service user organizations have gained considerable ground, such as in the development of the Convention on the Rights of Persons with Disabilities. Such changes are often contested, and might in practice be a result of (implicit) negotiation between stakeholders with different discursive positions. To improve understanding of such processes, and how discursive positions may manifest and interact, we analyzed texts published over a 10 year period related to the introduction of medication-free inpatient services in Norway.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods:&lt;/strong&gt;&amp;nbsp;We conducted qualitative analyses of 36 policy documents related to the introduction of medication-free services and 75 opinion pieces from a subsequent debate. We examined discursive practices in these texts as expressions of what is perceived as legitimate knowledge upon which to base mental health care from the standpoints of government, user organizations and representatives of the psychiatric profession. We paid particular attention to how standpoints were framed in different discourse surrounding mental health care, and how these interacted and changed during the study period (2008&amp;ndash;2018).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results:&lt;/strong&gt;&amp;nbsp;The analysis shows how elements from the discourse promoted by service user organizations&amp;mdash;most notably the legitimacy of personal experiences as a legitimate source of knowledge&amp;mdash;entered the mainstream by being incorporated into public policy. Strong reactions to this shift, firmly based in biomedical discourse, endorsed evidence-based medicine as the authoritative source of knowledge to ensure quality care, although accepting patient involvement. Involuntary medication, and how best to help those with non-response to antipsychotic medication represented a point at which discursive positions seemed irreconcilable.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion:&lt;/strong&gt;&amp;nbsp;The relative authorities of different sources of knowledge remain an area of contention, and especially in determining how best to help patients who do not benefit from antipsychotics. Future non-inferiority trials of medication-free services may go some way to break this discursive deadlock.&lt;/p&gt;</style></abstract><label><style face="normal" font="default" size="100%">annet</style></label></record><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Hofstad, Tore</style></author><author><style face="normal" font="default" size="100%">Rugkåsa, Jorun</style></author><author><style face="normal" font="default" size="100%">Ose, Solveig O.</style></author><author><style face="normal" font="default" size="100%">Nyttingnes, Olav</style></author><author><style face="normal" font="default" size="100%">Husum, Tonje L.</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Measuring the level of compulsory hospitalisation in mental health care: The performance of different measures across areas and over time</style></title><secondary-title><style face="normal" font="default" size="100%">Int J Methods Psychiatr Res</style></secondary-title></titles><keywords><keyword><style  face="normal" font="default" size="100%">compulsory hospitalisation</style></keyword><keyword><style  face="normal" font="default" size="100%">geografisk variasjon</style></keyword><keyword><style  face="normal" font="default" size="100%">geographic variation</style></keyword><keyword><style  face="normal" font="default" size="100%">measurement</style></keyword><keyword><style  face="normal" font="default" size="100%">small area analysis</style></keyword><keyword><style  face="normal" font="default" size="100%">Tvangsinnleggelse</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2021</style></year><pub-dates><date><style  face="normal" font="default" size="100%">05/2021</style></date></pub-dates></dates><urls><web-urls><url><style face="normal" font="default" size="100%">https://onlinelibrary.wiley.com/doi/10.1002/mpr.1881</style></url></web-urls></urls><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;section id=&quot;mpr1881-sec-0001&quot;&gt;&lt;h3 id=&quot;mpr1881-sec-0001-title&quot;&gt;Objective&lt;/h3&gt;&lt;p&gt;A variety of measures are used for reporting levels of compulsory psychiatric hospitalisation. This complicates comparisons between studies and makes it hard to establish the extent of geographic variation. We aimed to investigate how measures based on events, individuals and duration portray geographical variation differently and perform over time, how they correlate and how well they predict future ranked levels of compulsory hospitalisation.&lt;/p&gt;&lt;/section&gt;&lt;section id=&quot;mpr1881-sec-0002&quot;&gt;&lt;h3 id=&quot;mpr1881-sec-0002-title&quot;&gt;Methods&lt;/h3&gt;&lt;p&gt;Small-area analysis, correlation analysis and linear regressions of data from a Norwegian health registry containing whole population data from 2014 to 2018.&lt;/p&gt;&lt;/section&gt;&lt;section id=&quot;mpr1881-sec-0003&quot;&gt;&lt;h3 id=&quot;mpr1881-sec-0003-title&quot;&gt;Results&lt;/h3&gt;&lt;p&gt;The average compulsory hospitalisation rate per 100,000 inhabitant was 5.6 times higher in the highest area, compared to the lowest, while the difference for the compulsory inpatient rate was 3.2. Population rates based on inpatients correlate strongly with rates of compulsory hospitalisations (&lt;i&gt;r&lt;/i&gt;&amp;nbsp;=&amp;nbsp;0.88) and duration (&lt;i&gt;r&lt;/i&gt;&amp;nbsp;=&amp;nbsp;0.78). 68%&amp;ndash;81% of ranked compulsory hospitalisation rates could be explained by each area&amp;#39;s rank the previous year.&lt;/p&gt;&lt;/section&gt;&lt;section id=&quot;mpr1881-sec-0004&quot;&gt;&lt;h3 id=&quot;mpr1881-sec-0004-title&quot;&gt;Conclusion&lt;/h3&gt;&lt;p&gt;There are stable differences in service delivery between catchment areas in Norway. In future research, multiple measures of the level of compulsory hospitalisation should ideally be included when investigating geographical variation. It is important that researchers describe accurately the measure upon which their results are based.&lt;/p&gt;&lt;/section&gt;</style></abstract><label><style face="normal" font="default" size="100%">Tvangsinnleggelse</style></label></record><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Wormdahl, Irene</style></author><author><style face="normal" font="default" size="100%">Husum, Tonje Lossius</style></author><author><style face="normal" font="default" size="100%">Rugkåsa, Jorun</style></author><author><style face="normal" font="default" size="100%">Rise, Marit B.</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Professionals' perspectives on factors within primary mental health services that can affect pathways to involuntary psychiatric admissions</style></title><secondary-title><style face="normal" font="default" size="100%">Int J Ment Health Syst.</style></secondary-title></titles><keywords><keyword><style  face="normal" font="default" size="100%">Involuntary admission</style></keyword><keyword><style  face="normal" font="default" size="100%">Kommunehelsetjeneste</style></keyword><keyword><style  face="normal" font="default" size="100%">Mental Health</style></keyword><keyword><style  face="normal" font="default" size="100%">Mental health recovery</style></keyword><keyword><style  face="normal" font="default" size="100%">Mental health services</style></keyword><keyword><style  face="normal" font="default" size="100%">Primary mental health care</style></keyword><keyword><style  face="normal" font="default" size="100%">primærhelsetjeneste</style></keyword><keyword><style  face="normal" font="default" size="100%">Psychiatry</style></keyword><keyword><style  face="normal" font="default" size="100%">Tvangsinnleggelse</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2020</style></year><pub-dates><date><style  face="normal" font="default" size="100%">11/2020</style></date></pub-dates></dates><urls><web-urls><url><style face="normal" font="default" size="100%">https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7678112/</style></url></web-urls></urls><volume><style face="normal" font="default" size="100%">14</style></volume><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p&gt;&lt;strong&gt;Background:&amp;nbsp;&lt;/strong&gt;Reducing involuntary psychiatric admissions has been on the international human rights and health policy agenda for years. Despite the last decades&amp;#39; shift towards more services for adults with severe mental illness being provided in the community, most research on how to reduce involuntary admissions has been conducted at secondary health care level. Research from the primary health care level is largely lacking. The aim of this study was to explore mental health professionals&amp;#39; experiences with factors within primary mental health services that might increase the risk of involuntary psychiatric admissions of adults, and their views on how such admissions might be avoided.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods:&amp;nbsp;&lt;/strong&gt;Qualitative semi-structured interviews with thirty-two mental health professionals from five Norwegian municipalities. Data were analysed according to the Systematic Text Condensation method.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results:&amp;nbsp;&lt;/strong&gt;Within primary mental health care professionals experienced that a number of factors could increase the risk of involuntary psychiatric admissions. Insufficient time and flexibility in long-term follow-up, limited resources, none or arbitrary use of crisis plans, lack of tailored housing, few employment opportunities, little diversity in activities offered, limited opportunities for voluntary admissions, inadequate collaboration between services and lack of competence were some of the factors mentioned to increase the risk of involuntary psychiatric admissions. Several suggestions on how involuntary psychiatric admissions might be avoided were put forward.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions:&amp;nbsp;&lt;/strong&gt;Mental health professionals within primary mental health care experienced that their services might play an active part in preventing the use of involuntary psychiatric admissions, suggesting potential to facilitate a reduction by intervening at this service level. Health authorities&amp;#39; incentives to reduce involuntary psychiatric admissions should to a greater extent incorporate the primary health care level. Further research is needed on effective interventions and comprehensive models adapted for this care level.&lt;/p&gt;</style></abstract><issue><style face="normal" font="default" size="100%">1</style></issue><label><style face="normal" font="default" size="100%">Tvangsinnleggelse</style></label></record><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Stuen, Hanne Kilen</style></author><author><style face="normal" font="default" size="100%">Rugkåsa, Jorun</style></author><author><style face="normal" font="default" size="100%">Landheim, Anne</style></author><author><style face="normal" font="default" size="100%">Rolf Wynn</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Increased influence and collaboration: a qualitative study of patients’ experiences of community treatment orders within an assertive community treatment setting</style></title><secondary-title><style face="normal" font="default" size="100%">BMC Health Services ResearchBMC Health Serv Res</style></secondary-title></titles><dates><year><style  face="normal" font="default" size="100%">2015</style></year></dates><urls><web-urls><url><style face="normal" font="default" size="100%">http://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-015-1083-x</style></url></web-urls></urls><number><style face="normal" font="default" size="100%">1</style></number><volume><style face="normal" font="default" size="100%">15</style></volume><pages><style face="normal" font="default" size="100%">1-13</style></pages><isbn><style face="normal" font="default" size="100%">1472-6963</style></isbn><language><style face="normal" font="default" size="100%">eng</style></language></record><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Valenti, Emanuele</style></author><author><style face="normal" font="default" size="100%">Banks, Ciara</style></author><author><style face="normal" font="default" size="100%">Calcedo-Barba, Alfredo</style></author><author><style face="normal" font="default" size="100%">Bensimon, Cécile</style></author><author><style face="normal" font="default" size="100%">Hoffmann, Karin-Maria</style></author><author><style face="normal" font="default" size="100%">Pelto-Piri, Veikko</style></author><author><style face="normal" font="default" size="100%">Jurin, Tanja</style></author><author><style face="normal" font="default" size="100%">Mendoza, Octavio</style></author><author><style face="normal" font="default" size="100%">Mundt, Adrian</style></author><author><style face="normal" font="default" size="100%">Rugkåsa, Jorun</style></author><author><style face="normal" font="default" size="100%">Tubini, Jacopo</style></author><author><style face="normal" font="default" size="100%">Priebe, Stefan</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Informal coercion in psychiatry: a focus group study of attitudes and experiences of mental health professionals in ten countries</style></title><secondary-title><style face="normal" font="default" size="100%">The International Journal for Research in Social and Genetic Epidemiology and Mental Health Services</style></secondary-title></titles><dates><year><style  face="normal" font="default" size="100%">2015</style></year></dates><volume><style face="normal" font="default" size="100%">50</style></volume><language><style face="normal" font="default" size="100%">eng</style></language><label><style face="normal" font="default" size="100%">Tvangsinnleggelse, Tvangsmidler, Etikk</style></label></record></records></xml>