Use of Acute Psychiatric Hospitalisation
A Study of the Factors Influencing Decisions to Arrange Acute Admission to Inpatient Mental Health Facilities
Bibliographic Data
| ID | 15518901 |
|---|---|
| Authors | Robert Nathan (0000-0003-2780-6170, Cheshire West and Chester), Rajan Nathan, Mark Gabbay (0000-0002-4116-6782, University of Liverpool), Seán Boyle (Cheshire West and Chester), Phil Elliott (Cheshire West and Chester), Clarissa Giebel (0000-0002-0746-0566, University of Liverpool), Carl O'Loughlin (Cheshire West and Chester), Pete Wilson (Health Education North West), Pooja Saini (0000-0002-4981-7914, Liverpool John Moores University, corresponding author) |
| Year | 2021 |
| Volume | 12 |
| Pages | 696478-696478 |
| Publication date | 2021-06-28 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Frontiers in Psychiatry (JOURNAL) |
| Journal identifiers | ISSN: 1664-0640 • E-ISSN: 1664-0640 |
| Publisher | Frontiers Media (PUBLISHER • CH) |
| DOI | 10.3389/fpsyt.2021.696478 |
| PMID | 34262495 |
| OpenAlex | W3174125998 |
| Language | EN |
| Citations received | 2 |
| References cited | 29 |
Background: Human decision-making involves a complex interplay of intra- and inter-personal factors. The decisions clinicians make in practise are subject to a wide range of influences. Admission to a psychiatric hospital is a major clinical intervention, but the decision-making processes involved in admissions remain unclear. Aims: To delineate the range of factors influencing clinicians' decisions to arrange acute psychiatric admissions. Methods: We undertook six focus groups with teams centrally involved in decisions to admit patients to hospital (crisis resolution home treatment, liaison psychiatry, approved mental health practitioners and consultant psychiatrists). The data were analysed using qualitative thematic analysis. Results: Our analysis of the data show a complex range of factors influencing decision-making that were categorised as those related to: (i) clinical and risk factors; (ii) fear/threat factors; (iii) interpersonal dynamics; (iv) contextual factors. Conclusions: Decisions to arrange acute admission to hospital are not just based on an appraisal of clinical and risk-related information. Emotional, interpersonal and contextual factors are also critical in decision-making. Delineating the breadth of factors that bear on clinical decision-making can inform approaches to (i) clinical decision-making research, (ii) the training and supervision of clinicians, and (iii) service delivery models
Interpersonal communication · Intervention (counseling · Mental health · Psychiatry · Qualitative research · Thematic analysis · Healthcare Decision-Making and Restraints · Medicine · Nursing · Psychiatric care and mental health services · Psychology · Schizophrenia research and treatment · Social Psychology
Implementing shared decision making in routine mental health care
Evidence based guidelines or collectively constructed “mindlines?” Ethnographic study of knowledge management in primary care
Using thematic analysis in psychology
Developing and Implementing a Triangulation Protocol for Qualitative Health Research
| Unique citing works | 2 |
|---|---|
| Citations per year | 1 |
| Citation span | 2024 - 2025 (2) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 2 |