@phdthesis{24b42900-cec8-4c5a-8b52-8e8c7178e6da,
  abstract     = {{Background: The prevalence of mental health problems is increasing, placing growing pressure on mental health<br/>services to provide care that is meaningful, accessible, and supportive for those who require it. However, current<br/>practices often do not fully meet individuals’ needs for person-centred, recovery-oriented, and integrated care and<br/>support. As these care and support models are being introduced, it is essential to first explore the experiential<br/>knowledge of current practices, those who use services and those who provide them. Such experiential knowledge is<br/>vital for informing future initiatives and ensuring that service development is grounded in scientific evidence,<br/>relevance, and experience-based knowledge.<br/>Aims: To explore the experiential knowledge of individuals who require care and support for their mental health<br/>problems, as well as of the mental health service providers who deliver such care and support within Swedish primary<br/>and specialist mental health services.<br/>Methods: A thematic synthesis was conducted to address the overall aim and was based on the results of four<br/>qualitative methodologies, each applied to meet the specific aim of its respective study. Study I employed descriptive<br/>phenomenology and Study II a constructivist grounded theory these were situated within the context of primary<br/>services. Study III applied a reflexive thematic analysis and Study IV employed a content analysis, both conducted<br/>within the context of specialist services.<br/>Results. The thematic synthesis emerged in one overarching theme: ‘The need to strengthen the culture and<br/>structures of services to address human vulnerability’ grounded in three themes, Vulnerability as not being seen or<br/>having influence, Current organisational structures can constrain the conditions for delivering meaningful care and<br/>support and Strengthening a culture of safety and belonging through practical collaboration. The results for each<br/>study-specific aim are presented in the respective study.<br/>Conclusion The experiential knowledge of primary and specialist services reveals and highlights that an<br/>understanding of human vulnerability, as experienced by both individuals in need of care and support for their mental<br/>health problems, and by the mental health service providers themselves, is central to the provision of meaningful<br/>mental health care and support. Thus, strengthening the structures and culture of services requires not only<br/>organisational reform, but also relational and moral awareness among all actors involved.}},
  author       = {{Nilsson, Emmy}},
  isbn         = {{978-91-8021-841-2}},
  issn         = {{1652-8220}},
  keywords     = {{experiential knowledge; person-centred; Recovery; integrated services; Caring; Mental health services; capability approach}},
  language     = {{swe}},
  number       = {{2026:43}},
  publisher    = {{Lund University, Faculty of Medicine}},
  school       = {{Lund University}},
  series       = {{Lund University, Faculty of Medicine Doctoral Dissertation Series}},
  title        = {{Experiential knowledge in mental health services - experiences of individuals with mental health problems and service providers in primary and specialist healthcare}},
  url          = {{https://lup.lub.lu.se/search/files/244144083/Emmy_Nilsson_-_WEBB.pdf}},
  year         = {{2026}},
}