Case Managers' Experiences of Engagement With Service Users in UK Early Intervention Services for First-Episode Psychosis: A Hermeneutic Interpretive Phenomenological Analysis Study.
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引用次数: 0
Abstract
Aim: Staff engagement with individuals with first-episode psychosis (FEP) in early intervention services (EIS) settings is important to reduce the longer-term impact of this condition and promote recovery. There is a paucity of qualitative evidence exploring engagement from the perspectives of staff in these settings. This study aimed to explore and understand Case Managers' experiences of engagement with service users in EIS settings in the United Kingdom.
Method: Hermeneutic interpretive phenomenological analysis (IPA) using semi-structured interviews with purposively sampled EIS case managers with mental health nursing backgrounds from a single NHS Trust in the North of England. Data analysis followed IPA's six stages.
Results: Five master themes were identified as being key to effective engagement: (1) Being on the same page, (2) Engagement as an interpersonal relationship, (3) Managing self and emotions, (4) The practicalities of engagement and (5) The impact of organisational factors upon engagement. Engagement was experienced as multi-faceted, complex and changeable. Key engagement strategies identified as helpful were trust, therapeutic dialogue, shared understanding, collaboration and practical approaches.
Conclusion: Engagement in the context of EIS can be defined as a mutually beneficial connection that takes place between service users and staff which allows for the implementation of treatment. Engagement strategies are an important consideration to reduce the potentially devastating impact of FEP, and to facilitate recovery. Further exploratory research should be conducted across multiple settings to further build on and understand engagement within the wider EIS context.
期刊介绍:
Early Intervention in Psychiatry publishes original research articles and reviews dealing with the early recognition, diagnosis and treatment across the full range of mental and substance use disorders, as well as the underlying epidemiological, biological, psychological and social mechanisms that influence the onset and early course of these disorders. The journal provides comprehensive coverage of early intervention for the full range of psychiatric disorders and mental health problems, including schizophrenia and other psychoses, mood and anxiety disorders, substance use disorders, eating disorders and personality disorders. Papers in any of the following fields are considered: diagnostic issues, psychopathology, clinical epidemiology, biological mechanisms, treatments and other forms of intervention, clinical trials, health services and economic research and mental health policy. Special features are also published, including hypotheses, controversies and snapshots of innovative service models.