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dc.contributor.authorKvig, Erling Inge
dc.contributor.authorMoe, Cathrine Fredriksen
dc.contributor.authorBrinchmann, Beate
dc.contributor.authorLarsen, Tor Ketil
dc.contributor.authorSørgaard, Knut W.
dc.date.accessioned2018-03-22T11:56:32Z
dc.date.available2018-03-22T11:56:32Z
dc.date.issued2017-08-23
dc.description.abstractAim: <br>Evidence shows that many patients are detected and treated late in their course of illness, and that substantial delay occurs even after entry to mental health services. Although several studies have examined the service user and carer perspectives on treatment delay, few have explored the issue from the service provider perspective. The aim of this study was to broaden our understanding of treatment delay by exploring the service provider perspective on reasons for treatment delay in community mental health services. <br> Methods:<br> A qualitative study using data from focus group interviews with 33 healthcare professionals in community mental health care. Interview data were digitally recorded and transcribed verbatim, and analysed using a grounded theory approach.<br> Results:<br> Service providers perceived divergent or conflicting perspectives as the main challenge in early psychosis. Clinical negotiation was chosen as the main term describing the interactions between patients and healthcare professionals: This was observed in 3 overlapping areas: (1) Negotiating the patients status as help-seeker; (2) Negotiating the place and conditions of treatment and (3) Negotiating the meaning of distressing experiences and the timing of treatment options.<br> Conclusions: <br> This study suggests that delay in initiation of treatment for psychosis in community mental health is related to clinical challenges of early disengagement from services and diagnostic uncertainty. Service providers found negotiating the therapeutic relationship and patient-centred flexibility more useful in ensuring engagement than an assertive outreach approach. Diagnostic uncertainty was resolved through watchful waiting using a distressoverload conceptualization in assessing changes in mental state and service needs.en_US
dc.description.sponsorshipNorthern Norway Regional Health Authority, Grant/Award number: 11630en_US
dc.descriptionSource at: <a href=http://doi.org/10.1111/eip.12477> http://doi.org/10.1111/eip.12477 </a>en_US
dc.identifier.citationKvig, E. I., Moe, C. F., Brinchmann, B., Larsen, T. K. & Sørgaard, K. W. (2017). Negotiating the boundaries of psychosis: A qualitative study of the service provider perspective on treatment delay in community mental health. Early Intervention in Psychiatry, 1-9. http://doi.org/10.1111/eip.12477en_US
dc.identifier.cristinIDFRIDAID 1545973
dc.identifier.doi10.1111/eip.12477
dc.identifier.issn1751-7885
dc.identifier.issn1751-7893
dc.identifier.urihttps://hdl.handle.net/10037/12415
dc.language.isoengen_US
dc.publisherWileyen_US
dc.relation.journalEarly Intervention in Psychiatry
dc.rights.accessRightsopenAccessen_US
dc.subjectVDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Psykiatri, barnepsykiatri: 757en_US
dc.subjectVDP::Medical disciplines: 700::Clinical medical disciplines: 750::Psychiatry, child psychiatry: 757en_US
dc.titleNegotiating the boundaries of psychosis: A qualitative study of the service provider perspective on treatment delay in community mental healthen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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