<?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%">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>5</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Husum, Tonje Lossius</style></author><author><style face="normal" font="default" size="100%">Pedersen, Reidar</style></author><author><style face="normal" font="default" size="100%">Hem, Marit Helene</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">En brytningstid i synet på psykiske vansker og behandling - Etiske utfordringer ved bruk av tvang</style></title><secondary-title><style face="normal" font="default" size="100%">Michael</style></secondary-title></titles><keywords><keyword><style  face="normal" font="default" size="100%">Etikk</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2017</style></year></dates><urls><web-urls><url><style face="normal" font="default" size="100%">http://hdl.handle.net/10852/64191</style></url></web-urls></urls><publisher><style face="normal" font="default" size="100%">Det norske medicinske Selskab</style></publisher><volume><style face="normal" font="default" size="100%">14</style></volume><pages><style face="normal" font="default" size="100%">55-67</style></pages><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p&gt;Helsetjenestene innehar mulighet til å bruke makt for å hjelpe mennesker i sårbare livssituasjoner. Dette gir også mulighet til maktmisbruk. Det er mange eksempler fra historien som viser at det har fart galt av sted, og understreker hvor viktig det er å kontinuerlig ha etiske vurderinger og kritisk refleksjon i all utføring av helse- og omsorgsarbeid. De siste 20 årene har vi sett et økt fokus på demokratiske prosesser innenfor helsetjenesten, og enkeltindividet har fått sterkere rettigheter og rettsvern. Dette har ført til krav om økt brukermedvirkning, pasientrettigheter og likeverdighet mellom pasient og helsepersonell. De psykiske helsetjenestene har gått inn i en ny tid med økt oppmerksomhet på pasienters egne opplevelser, menneskerettigheter og med mer samarbeidsbaserte arbeidsformer. Hvordan skal ulike legitime interesser avveies hvis de står mot hverandre &amp;ndash; for eksempel hjelpeplikten versus pasientens selvbestemmelse, og pasientens ønsker versus andres sikkerhet (for eksempel pårørende eller samfunnet)? Hva kjennetegner gode beslutningsprosesser der pasienten er alvorlig syk? Hvordan bør helsepersonell håndtere usikkerheten knyttet til effekt av bruk av tvang? Hvordan kan man definere tvang på en god måte? Disse spørsmålene representerer sentrale etiske utfordringer ved bruk av tvang.&lt;/p&gt;</style></abstract><label><style face="normal" font="default" size="100%">etikk</style></label></record></records></xml>