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dc.contributor.authorStensrud, Bjørn
dc.contributor.authorHøyer, Georg
dc.contributor.authorBeston, Gro
dc.contributor.authorGranerud, Arild
dc.contributor.authorLandheim, Anne
dc.identifier.citationSocial Psychiatry and Psychiatric Epidemiology. 2016, 51 (5), 747-755.en_US
dc.description.abstractPurpose Outpatient commitment orders are being increasingly used in many countries to ensure follow-up care of people with psychotic disorders after discharge from hospital. Several studies have examined outpatient commitment in relation to use of health care services, but there have been fewer studies of health professionals’ experiences with the scheme. The purpose of this study was to examine health professionals’ experiences with patients subject to outpatient commitment. Methods This was a focus group study using a descriptive and exploratory approach. The study was based on three focus group interviews with a total of 22 participants. Data were analysed using qualitative content analysis. Results The study showed that health professionals had a positive attitude towards outpatient commitment and considered it necessary for patients with psychosis who lacked insight and did not collaborate on treatment. At the same time their attention to patients’ lack of insight could lead to a paternalistic approach more than measures to enhance patient autonomy. This challenged their therapeutic relationship with the patient. Conclusion Health professionals found it difficult to combine control with therapeutic care, but gave greater emphasis to patients’ need for treatment and continuity of care than to their autonomy. This dilemma indicates a need to discuss whether increased attention to patients’ autonomy rather than insight into their illness would improve treatment cooperation and reduce the use of coercion.en_US
dc.description.abstract“Care or control?”: a qualitative study of staff experiences with outpatient commitment ordersen_US
dc.description.sponsorshipThe study was funded by The Norwegian ExtraFoundation for Health and Rehabilitation through EXTRA funds, Innlandet Hospital Trust and the Norwegian National Advisory Unit on Concurrent Substance Abuse and Mental Health Disorders.en_US
dc.rightsNavngivelse 4.0 Internasjonal*
dc.subjectMental health professionals,en_US
dc.subjectOutpatient commitment,en_US
dc.title“Care or control?”: a qualitative study of staff experiences with outpatient commitment ordersen_US
dc.title.alternative“Care or control?”: a qualitative study of staff experiences with outpatient commitment ordersen_US
dc.typePeer revieweden_US
dc.typeJournal articleen_US
dc.rights.holderThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://crea, which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.en_US
dc.source.journalSocial Psychiatry and Psychiatric Epidemiologyen_US

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Navngivelse 4.0 Internasjonal
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