Bridging the gap between sectors in transition from mental health hospitals to communities - determining and mediating the need for assistance in daily living for patients with mental illness.
Louise M Stubberup, Jeanette R Christensen, Dorte Melgaard, Rikke Jørgensen
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引用次数: 0
Abstract
Background: Patients with mental illness often experience difficulties with participating in daily activities. Before discharge, it is therefore essential to assess patients' occupational performance to enable the municipalities to assign appropriate assistance. It is known that insufficient assistance in daily living may negatively affect health and well-being.
Aims: To explore which knowledge the municipalities need to assign appropriate assistance after discharge, the applicability of the knowledge delivered by the assessors and how they generated this knowledge.
Materials and methods: A qualitative interview study with 11 assessing occupational therapists and eight social workers.
Results: Most importantly was the type of occupations where the patients' needed assistance, and the type and amount of assistance. The knowledge delivered by the occupational therapists was in congruence with the municipal demands. However, generating the necessary knowledge was challenging, as the available evidence-based tools were not always found applicable.
Conclusions: The municipalities needed detailed descriptions of the patients' occupational performance to assign the appropriate assistance. The occupational therapists used both standardized and non-standardized assessment tools and faced difficulties in adhering to an evidence-based practice.
Significance: The findings underpin the municipal need for knowledge when assigning assistance and the need for evidence-based assessment tools for the occupational therapists working in mental health hospitals.
期刊介绍:
Nordic Journal of Psychiatry publishes international research on all areas of psychiatry.
Nordic Journal of Psychiatry is the official journal for the eight psychiatry associations in the Nordic and Baltic countries. The journal aims to provide a leading international forum for high quality research on all themes of psychiatry including:
Child psychiatry
Adult psychiatry
Psychotherapy
Pharmacotherapy
Social psychiatry
Psychosomatic medicine
Nordic Journal of Psychiatry accepts original research articles, review articles, brief reports, editorials and letters to the editor.