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Experiences of managers and staff working in community-based mental health with people ageing with severe mental health problems

Tordai, Carina LU ; Schmidt, Steven M. LU orcid ; Eklund, Mona LU orcid and Argentzell, Elisabeth LU (2024) In Scandinavian Journal of Caring Sciences
Abstract

Background: Existing research shows that older people with severe mental health problems need different forms of support in daily life and in the community to lead an active and meaningful life. A common form of support for people with severe mental health problems in Sweden is attendance at community-based day centres (DCs). However, knowledge of staff and managers’ experiences of how people ageing with severe mental health problems are supported in DCs is scarce. Aim: The aim was to explore DC staff and managers' experiences of how people ageing with severe mental health problems are supported in DCs during the retirement process. Method/Procedure: Telephone interviews were conducted with managers in 27 municipalities in southern... (More)

Background: Existing research shows that older people with severe mental health problems need different forms of support in daily life and in the community to lead an active and meaningful life. A common form of support for people with severe mental health problems in Sweden is attendance at community-based day centres (DCs). However, knowledge of staff and managers’ experiences of how people ageing with severe mental health problems are supported in DCs is scarce. Aim: The aim was to explore DC staff and managers' experiences of how people ageing with severe mental health problems are supported in DCs during the retirement process. Method/Procedure: Telephone interviews were conducted with managers in 27 municipalities in southern Sweden. In addition, focus groups were held with personnel from a total of nine different DCs. The material was analysed using content analysis. Results: The results showed that older people who receive support in community-based mental health care were viewed as a neglected group with complex needs, and the informants (managers and staff) had few policies to guide them when providing support. This made the informants desire more knowledge about best practices to support the target group. One theme emerged, Minding the gap between ideal and reality while working with a neglected group with complex needs, with three categories: Reasoning around unmet needs, Navigating in a muddled organisation, and Wishing for an enriched service. Conclusion/Practical Application: Together with previous research, the results can contribute to increase awareness about an overlooked group at risk of being neglected and the pitfalls that impact the possibility to guide this target group in their recovery journey. Further research focusing on the target group's own experience of their everyday life situations is also needed.

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Please use this url to cite or link to this publication:
author
; ; and
organization
publishing date
type
Contribution to journal
publication status
in press
subject
keywords
ageing, community-based care, mental health problems
in
Scandinavian Journal of Caring Sciences
publisher
Wiley-Blackwell
external identifiers
  • pmid:38702941
  • scopus:85192196361
ISSN
0283-9318
DOI
10.1111/scs.13269
language
English
LU publication?
yes
id
06a1e76f-3475-4fee-a0d4-905f76758737
date added to LUP
2024-05-21 13:45:07
date last changed
2024-06-18 15:23:09
@article{06a1e76f-3475-4fee-a0d4-905f76758737,
  abstract     = {{<p>Background: Existing research shows that older people with severe mental health problems need different forms of support in daily life and in the community to lead an active and meaningful life. A common form of support for people with severe mental health problems in Sweden is attendance at community-based day centres (DCs). However, knowledge of staff and managers’ experiences of how people ageing with severe mental health problems are supported in DCs is scarce. Aim: The aim was to explore DC staff and managers' experiences of how people ageing with severe mental health problems are supported in DCs during the retirement process. Method/Procedure: Telephone interviews were conducted with managers in 27 municipalities in southern Sweden. In addition, focus groups were held with personnel from a total of nine different DCs. The material was analysed using content analysis. Results: The results showed that older people who receive support in community-based mental health care were viewed as a neglected group with complex needs, and the informants (managers and staff) had few policies to guide them when providing support. This made the informants desire more knowledge about best practices to support the target group. One theme emerged, Minding the gap between ideal and reality while working with a neglected group with complex needs, with three categories: Reasoning around unmet needs, Navigating in a muddled organisation, and Wishing for an enriched service. Conclusion/Practical Application: Together with previous research, the results can contribute to increase awareness about an overlooked group at risk of being neglected and the pitfalls that impact the possibility to guide this target group in their recovery journey. Further research focusing on the target group's own experience of their everyday life situations is also needed.</p>}},
  author       = {{Tordai, Carina and Schmidt, Steven M. and Eklund, Mona and Argentzell, Elisabeth}},
  issn         = {{0283-9318}},
  keywords     = {{ageing; community-based care; mental health problems}},
  language     = {{eng}},
  publisher    = {{Wiley-Blackwell}},
  series       = {{Scandinavian Journal of Caring Sciences}},
  title        = {{Experiences of managers and staff working in community-based mental health with people ageing with severe mental health problems}},
  url          = {{http://dx.doi.org/10.1111/scs.13269}},
  doi          = {{10.1111/scs.13269}},
  year         = {{2024}},
}