<?xml version="1.0" encoding="UTF-8"?><xml><records><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>32</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Irene Wormdahl</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Pathways towards involuntary admissions. How do they unfold in primary mental health care settings, and what can be done to prevent them?</style></title></titles><keywords><keyword><style  face="normal" font="default" size="100%">Forebygging</style></keyword><keyword><style  face="normal" font="default" size="100%">kommune</style></keyword><keyword><style  face="normal" font="default" size="100%">tvang</style></keyword><keyword><style  face="normal" font="default" size="100%">Tvangsinnleggelse</style></keyword><keyword><style  face="normal" font="default" size="100%">Tvangsinnleggelser</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2022</style></year><pub-dates><date><style  face="normal" font="default" size="100%">06/2022</style></date></pub-dates></dates><urls><web-urls><url><style face="normal" font="default" size="100%">https://bibsys-almaprimo.hosted.exlibrisgroup.com/primo-explore/fulldisplay?docid=BRAGE11250%2F2998148&amp;context=L&amp;vid=UBIS&amp;lang=no_NO&amp;search_scope=default_scope&amp;adaptor=Local%20Search%20Engine&amp;tab=default_tab&amp;query=any,contains,tvangsinnleggelse&amp;facet=sear</style></url></web-urls></urls><publisher><style face="normal" font="default" size="100%">NTNU</style></publisher><volume><style face="normal" font="default" size="100%">Doktograd</style></volume><pages><style face="normal" font="default" size="100%">117</style></pages><isbn><style face="normal" font="default" size="100%">978-82-326-6329-3</style></isbn><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p&gt;WHO og FNs menneskerettighetsorganer, helsepolitiske myndigheter og brukerorganisasjoner har de siste årene kommet med krav om å redusere bruken av tvangsinnleggelser av voksne i psykisk helsevern. Denne avhandligen handler om hva som skjer før slike tvangsinnleggelser, og har fokus på kommunale helsetjenesters rolle og muligheter for forebygging. I denne studien har jeg og mine kolleger samarbeidet med personer i fem norske kommuner. Ansatte som jobber i tjenestene, personer med egenerfaring med alvorlige psykososiale utfordringer og/eller tvangsinnleggelser og pårørende deltok i studien. Målsetningen var å finne ut hva som kjennetegner forløp mot tvangsinnleggelser og hva som kan gjøres i kommunale psykiske helsetjenester for å forebygge slike innleggelser. Vi ønsket også å utvikle en helhetlig intervensjon for kommunale psykiske helsetjenester som kan bidra til å redusere antall tvangsinnleggelser. For å undersøke dette samlet vi inn data gjennom kvalitative intervju, både individuelt og i grupper, og avholdt dialogkonferanser og tilbakemeldingsmøter med personer i de fem kommunene. Vi avdekket flere mangler og forbedringsområder i kommunale psykiske helsetjenestesettinger, og det var ikke jobbet systematisk med reduksjon av tvangsinnleggelser i disse tjenestene. Resultatene tyder på at det kan være mulig å redusere tvangsinnleggelser gjennom målrettede tiltak i kommunale psykiske helsetjenester. I tråd med dette utviklet vi sammen med deltakerne en helhetlig intervensjon for kommunale psykiske helsetjenester og deres samarbeidspartnere. Intervensjonen består av seks strategiområder med ulike tiltak som kan implementeres i tjenestene for å jobbe mot redusert bruk av tvangsinnleggelser&lt;/p&gt;</style></abstract></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%">Irene Wormdahl</style></author><author><style face="normal" font="default" size="100%">Trond Hatling</style></author><author><style face="normal" font="default" size="100%">Tonje Lossius Husum</style></author><author><style face="normal" font="default" size="100%">Sloveig Kjus</style></author><author><style face="normal" font="default" size="100%">Jorun Rugkåsa</style></author><author><style face="normal" font="default" size="100%">Dorte Brodersen</style></author><author><style face="normal" font="default" size="100%">Signe Dahl Christensen</style></author><author><style face="normal" font="default" size="100%">Petter Sundt Nyborg</style></author><author><style face="normal" font="default" size="100%">Torstein Borch Skolseng</style></author><author><style face="normal" font="default" size="100%">Eva Irene Ødegård</style></author><author><style face="normal" font="default" size="100%">Anna Margrethe Andersen</style></author><author><style face="normal" font="default" size="100%">Espen Gundersen</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%">The ReCoN intervention: a co-created comprehensive intervention for primary mental health care aiming to prevent involuntary admissions</style></title><secondary-title><style face="normal" font="default" size="100%">BMC Health Services Research (Open Access)</style></secondary-title></titles><keywords><keyword><style  face="normal" font="default" size="100%">Coercion</style></keyword><keyword><style  face="normal" font="default" size="100%">Involuntary admission</style></keyword><keyword><style  face="normal" font="default" size="100%">Primary mental health care</style></keyword><keyword><style  face="normal" font="default" size="100%">primærhelsetjenesten</style></keyword><keyword><style  face="normal" font="default" size="100%">Reducing</style></keyword><keyword><style  face="normal" font="default" size="100%">reduction</style></keyword><keyword><style  face="normal" font="default" size="100%">reduksjon</style></keyword><keyword><style  face="normal" font="default" size="100%">tvang</style></keyword><keyword><style  face="normal" font="default" size="100%">Tvangsinnleggelse</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2022</style></year><pub-dates><date><style  face="normal" font="default" size="100%">07/2022</style></date></pub-dates></dates><urls><web-urls><url><style face="normal" font="default" size="100%">https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-022-08302-w</style></url></web-urls></urls><volume><style face="normal" font="default" size="100%">22</style></volume><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;h3 data-test=&quot;abstract-sub-heading&quot;&gt;Background&lt;/h3&gt;&lt;p&gt;Reducing involuntary psychiatric admissions is a global concern. In Norway, the rate of involuntary admissions was 199 per 100,000 people 16&amp;thinsp;years and older in 2020. Individuals&amp;rsquo; paths towards involuntary psychiatric admissions usually unfold when they live in the community and referrals to such admissions are often initiated by primary health care professionals. Interventions at the primary health care level can therefore have the potential to prevent such admissions. Interventions developed specifically for this care level are, however, lacking. To enhance the quality and development of services in a way that meets stakeholders&amp;rsquo; needs and facilitates implementation to practice, involving both persons with lived experience and service providers in developing such interventions is requested.&lt;/p&gt;&lt;h3 data-test=&quot;abstract-sub-heading&quot;&gt;Aim&lt;/h3&gt;&lt;p&gt;To develop a comprehensive intervention for primary mental health care aiming to prevent involuntary admissions of adults.&lt;/p&gt;&lt;h3 data-test=&quot;abstract-sub-heading&quot;&gt;Methods&lt;/h3&gt;&lt;p&gt;This study had an action research approach with a participatory research design. Dialogue conferences with multiple stakeholders in five Norwegian municipalities, inductive thematic analysis of data material from the conferences, and a series of feedback meetings were conducted.&lt;/p&gt;&lt;h3 data-test=&quot;abstract-sub-heading&quot;&gt;Results&lt;/h3&gt;&lt;p&gt;The co-creation process resulted in the development of the ReCoN (Reducing Coercion in Norway) intervention. This is a comprehensive intervention that includes six strategy areas: [1] Management, [2] Involving Persons with Lived Experience and Family Carers, [3] Competence Development, [4] Collaboration across Primary and Specialist Care Levels, [5] Collaboration within the Primary Care Level, and [6] Tailoring Individual Services. Each strategy area has two to four action areas with specified measures that constitute the practical actions or tasks that are believed to collectively impact the need for involuntary admissions.&lt;/p&gt;&lt;h3 data-test=&quot;abstract-sub-heading&quot;&gt;Conclusions&lt;/h3&gt;&lt;p&gt;The ReCoN intervention has the potential for application to both national and international mental health services. The co-creation process with the full range of stakeholders ensures face validity, acceptability, and relevance. The effectiveness of the ReCoN intervention is currently being tested in a cluster randomised controlled trial. Given positive effects, the ReCoN intervention may impact individuals with a severe mental illness at risk of involuntary admissions, as more people may experience empowerment and autonomy instead of coercion in their recovery process.&lt;/p&gt;</style></abstract><label><style face="normal" font="default" size="100%">Tvangsinnleggelse</style></label></record></records></xml>