
Tina Kirstine Vestphal, ph.d.-student, Sr. Lecturer, MScN, RN. Forensic Mental Health Research Unit Middelfart (RFM), Department of Regional Health Research, Faculty of Health Science, University of Southern Denmark & Psychiatric dept. Middelfart, Mental Health Services in the Region of Southern Denmark.
Relatives of mentally ill patients in forensic and general psychiatry
-Those who fight alongside
Head Supervisor: Frederik Alkier Gildberg: Professor, PhD., MScN, RN, Forensic Mental Health Research Unit Middelfart (RFM), Department of Regional Health Research, Faculty of Health Science, University of Southern Denmark & Psychiatric dept. Middelfart, Mental Health Services in the Region of Southern Denmark.
Project Supervisor: Ellen Boldrup Tingleff, PhD., MScN, RN, Sr. Lecturer at UCL University College, Nursing Education, Vejle. Forensic Mental Health Research Unit Middelfart (RFM), Department of Regional Health Research, Faculty of Health Science, University of Southern Denmark & Psychiatric dept. Middelfart, Mental Health Services in the Region of Southern Denmark.
Co-Supervisor: Rikke Jørgensen, PhD, seniorresearcher and coordinator of Research within Nursing, Unit for Psychiatric Research, Aalborg University hospital – Psychiatry
Co-Supervisor: Sara Rowaert, Post-doc, PhD., Ghent University, Ghent, Belgium
Danish Abstract
Der er sparsom viden om oplevelsen af at være pårørende i psykiatrien, særligt i retspsykiatrien, samt hvilken rolle, de pårørende spiller i plejen og behandlingen af patienten. Desuden mangler der viden om, hvordan sundhedspersonalet inddrager de pårørende i plejen og behandlingen af patienten. Forskning viser, at pårørende har en afgørende indflydelse på patientens proces med at komme sig og sandsynligvis derfor er betydningsfulde samarbejdspartnere for medarbejdere i kommuner og regioner. Desuden viser forskning, at patienter har en reduceret risiko for tilbagefald på 45 pct., samt en reduceret risiko for genindlæggelse på 22 pct., når de pårørende involveres i behandlingen af den syge. Samtidig oplever 66% af de pårørende sig ikke inddraget i væsentlige beslutninger om behandlingen af den syge, og 72% oplever ikke, at de får tilstrækkelig information om generelle forhold vedrørende sygdom og behandling af deres syge familiemedlem. Særligt pårørende i retspsykiatrien, som er den del af psykiatrien, hvor patienter og dermed pårørende er stigende, oplever en øget byrde forårsaget af; stress, dobbelt stigmatisering, patientens strafbare handlinger og den måde, hvorpå sundhedspersonalet involverer de pårørende i plejen og behandlingen. Der er derfor et politisk mål om at inddrage pårørende i behandlingen af patienter med psykiske lidelser. Derfor har dette projekt, Pårørende til psykisk syge i rets- samt almenpsykiatrien – Dem der kæmper ved siden af, til formål at skabe viden om de oplevelser og opfattelser, der er forbundet med at være pårørende samt at udvikle viden og interventioner om støtte til pårørende og deres involvering i behandlingen af patienten i rets- samt almenpsykiatrien. I projektet fokuseres der på karakteristika og eventuelle forskelle mellem rets- samt almenpsykiatrien, som kan være medvirkende faktorer til at fokusere interventioner målrettet i Region Syddanmark og nationalt. Projektet gennemføres som et litteraturstudie og interviews af pårørende og sundhedsprofessionelle i rets- samt almenpsykiatrien.
English Abstract
There is a political objective to involve relatives in the treatment of mentally ill patients to improve the chance for faster improvement for the patient. Research shows that in especially forensic psychiatry, relatives experience increased burden caused by; double stigma, patient’s criminal offences and the ways healthcare professionals involve the relatives in the treatment of the patient. There is sparse knowledge about the experiences of relatives in especially forensic psychiatry as well as the role they play in the care and treatment of the patient. Furthermore, there is sparse knowledge on how the healthcare professionals engage the relatives in the treatment of the patient. This project: Relatives of mentally ill patients in forensic and general psychiatry -Those who fight alongside aims to generate knowledge about the experiences associated with being a relative and to develop knowledge about the support and involvement of relatives in the treatment of the patient in forensic and general psychiatry. The project comprises different approaches to generating knowledge: (1) a systematic review, (2) explorative, in depth qualitative interviews with relatives in forensic and general psychiatry, and (3) focus group interviews with healthcare professionals in forensic and general psychiatry. The investigation is epistemologically and methodologically informed by the assumptions of Symbolic Interactionism.