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Rehabilitation between institutional and non-institutional forensic psychiatric care: important influences on the transition process.
Department of Institutional Forensic Psychiatric Care, Vänersborg. (NU Hospital Group)
Department of Institutional Forensic Psychiatric Care, Vänersborg. (NU Hospital Group)
University West, Department of Nursing, Health and Culture, Division of Advanced Nursing. (LINA)ORCID iD: 0000-0001-8017-0998
2012 (English)In: Journal of Psychiatric and Mental Health Nursing, ISSN 1351-0126, E-ISSN 1365-2850, Vol. 19, 729-737 p.Article in journal (Refereed) Published
Abstract [en]

ACCESSIBLE SUMMARY: •  All patients cared for in Forensic Psychiatric Care (FPC) have some kind of psychiatric disorder and most of them have committed one or more criminal acts. In addition, several of the patients have alcohol and drug problems. •  During the stay in institutional FPC, one part of the rehabilitation program is to prepare the patient for non-institutional FPC. However, several patients fail with the rehabilitation. •  This study focuses important aspects that influence the patients' ability to manage their rehabilitation through admission to non-institutional FPC, viewed from different caregivers' perspective. •  The transition is influenced by a well-planned care plan, together with a suitable non-institutional dwelling and a tailored occupation. A major barrier for successful admission was whether the patients managed their own finances or not. Other important areas were having a well-functioning and trusting social network and a good relationship with a contact person. ABSTRACT: All patients cared for in forensic psychiatric care (FPC) have some kind of psychiatric disorder and most of them have committed one or more criminal acts. One part of the patient's rehabilitation is the transition from institutional to non-institutional FPC, but a number of patients do not succeed. The aim of this study was to elucidate different caregivers' experiences of aspects that influence the patients' ability to manage this rehabilitation. A qualitative approach was chosen. Data were collected by interviews in two focus groups, each group comprising of six caregivers representing both institutional and non-institutional FPC. The transcribed interviews were analysed using a qualitative content analysis. Important aspects influencing the patients' transition described were a well-planned care plan, together with a suitable non-institutional dwelling and a tailored occupation. Other important areas were having a well-functioning and trusting social network and a good relationship with a contact person/advocate. A major barrier to a successful transition was whether the patients managed their own finances or not. It was stated that it is important that the patients participate in the care and that different authorities create individual conditions and flexible solutions. All of these factors are important to focus on when caring for patients during their stay in the institutional FPC.

Place, publisher, year, edition, pages
Wiley-Blackwell, 2012. Vol. 19, 729-737 p.
Keyword [en]
Caregiver, focus groups, interview, psychiatry, quallitative content analysis, rehabilitation
National Category
Humanities Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
URN: urn:nbn:se:hv:diva-3942DOI: 10.1111/j.1365-2850.2011.01852.xISI: 000308083500009PubMedID: 22182281Scopus ID: 2-s2.0-84865585029OAI: oai:DiVA.org:hv-3942DiVA: diva2:470478
Available from: 2011-12-29 Created: 2011-12-29 Last updated: 2015-03-11Bibliographically approved

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CiteExportLink to record
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