|dc.identifier.citation||Service user involvement in in-patient mental health services by Marianne Storm, Stavanger : University of Stavanger, 2010 (PhD thesis UiS, no. 123)||en_US
|dc.description||PhD thesis in Health, medicine and welfare||en_US
|dc.description||The thesis is based on the following articles, which, for the time being are not yet available in Brage.||
|dc.description||PAPER 1: Storm, M., Hausken, K., & Mikkelsen, A. (2010). User Involvement in
In-patient Mental Health Services: Operationalization, Empirical
Testing, and Validation, Journal of Clinical Nursing, 19, 1897-1907.
|dc.description||PAPER 2: Storm, M., Hausken, K., & Knudsen, K. (2010). Service user
involvement in Community mental health centers: service providers’
perspectives. International Journal of Social Psychiatry.
|dc.description||PAPER 3: Storm, M., & Davidson, L. (2010). Inpatients' and providers'
experiences with user involvement in inpatient care. The Psychiatric
Quarterly, 81(2), 111-125.
|dc.description||PAPER 4: Storm, M., Knudsen, K., Davidson, L., Hausken, K., & Johannessen, J.
O. (2010). ‘Service user involvement in practice’: The evaluation of an
intervention program for service providers and inpatients in Norwegian
Community Mental Health Centers Psychosis.
|dc.description.abstract||The main objective with this thesis is to improve the understanding of
user involvement in inpatient mental health services. This thesis
conceptualizes and operationalizes service user involvement into
variables that can be empirically measured. This thesis also assesses the
implications of conducting the intervention program “Service user
involvement in practice.” The program was implemented in order to
increase attention to user involvement and to develop current user
involvement practices in inpatient departments in two community
mental health centers (CMHCs).
In paper 1, multiple items to measure user involvement were
developed, validated, and empirically tested with service providers in
one CMHC. In paper 2, we used cross-sectional data from service
providers in inpatient departments in five CMHCs. The study
investigates if providers’ reports of user involvement vary between
organizational contexts and ascertains if a provider’s characteristics
affect the reports. In the intervention stage, both qualitative and
quantitative data were collected. The qualitative data were used in
paper 3 and provided insight into both inpatients’ and providers’
experiences with user involvement. In paper 4, we used quantitative
survey data from providers and inpatients to study the possible effect of
the intervention program “Service user involvement in practice” on
reports of user involvement. The study design was quasi-experimental,
involving inpatient departments in five CMHCs. Two CMHC took part
in the intervention program while three CMHCs participated as
In paper 1, the Service User Involvement in Mental Health (SUIM)
Scale was developed with 30 items and four subscales: “Democratic
patient involvement,” “Assisted patient involvement,” “Carer
involvement,” and “Management support.” The cross-sectional data in
paper 2 showed that user involvement at the departmental and
individual level could be measured with three subscales or variables:
“assisted patient involvement,” “patient collaboration,” and
“organizational user involvement.” The first two variables were derived
from the Service User Involvement in Mental Health (SUIMH) Scale,
while “organizational user involvement” is a selection of items from
the Consumer Participation Questionnaire (CPQ) (Kent & Read, 1998).
The data also revealed that reports of user involvement at the
departmental level were low, but there were differences among
CMHCs. Providers reported more often user involvement at the
individual level, and providers’ work shifts arrangements impacted on
these reports. The qualitative data in paper 3 revealed that user
involvement is a complex matter in inpatient mental health care.
Providers and patients hold different perspectives on several issues
related to user involvement and involvement in treatment and care. In
paper 4, the quantitative survey data from providers showed that there
were significant changes in three of the user involvement variables:
“organizational user involvement,” “patient collaboration,” and “carer
involvement.” There were no significant differences between patients
in the intervention and comparison groups with regard to their
experiences with treatment and care.
The results in this thesis shows that service user involvement from
providers’ perspective can be measured with the following variables:
“patient collaboration,” “assisted patient involvement,” “carer
involvement,” “management support,” and “organizational user
involvement.” Attention should be paid to the relatively few reports of
“organizational user involvement” and that there are variations among
institutions with regard to implementation user involvement. The study
results suggest that an intervention program can turn attention to and
increase competence about user involvement among providers and
inpatients but that more work is needed to increase patients’ selfadvocacy.||en_US
|dc.publisher||University of Stavanger||en_US
|dc.relation.ispartofseries||PhD thesis UiS;123||
|dc.rights||Copyright the author, all right reserve||
|dc.title||Service user involvement in in-patient mental health services||en_US
|dc.subject.nsi||VDP::Medical disciplines: 700::Health sciences: 800||en_US