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Social inclusion and prevention of violence: Patients’, staff members’ and ward managers’ descriptions of meetings in psychiatric inpatient care in Sweden
Örebro University, School of Medical Sciences. Örebro University Hospital.ORCID iD: 0000-0002-3509-8701
Örebro University, School of Health Sciences.
2019 (English)Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

The professionals’ beliefs about the meeting with the patient have a crucial impact on the framing of the situation and thereby on patient’s possibilities to participate in the process. It is possible to identify three ethical perspectives through history in the normative medical and psychiatric ethics literature: paternalism, autonomy and social inclusion, which reflect a historical development of complementary values in psychiatry. The latest of these perspectives, social inclusion can be defined as a process to improve the terms of participation in society; to enhance the opportunities for people who are disadvantaged to get access to resources, get their voice heard and rights respected. The meetings with caregivers should be characterized by participation of the patient. The research of prevention of violence have been quite instrumental, it has focused on “what works”. Interestingly, this empirical perspective has essentially given recommendations that have been in line with the values in social inclusion and the recovery approach. The aim of this presentation is to investigate the possibilities and obstacles for patients to be socially included in his/her own care and in the psychiatric inpatient environment. The empirical material comes from the project “Prevention of violence in psychiatric inpatient care, aspects of ethics and safety in encounters with patients”. Included participants in this study is 13 patients, 17 staff members in three focus groups, and six ward managers on three clinics, a general psychiatric, a psychiatric addiction and a forensic psychiatric clinic. We will analyse all interviews with stakeholders with the framework method in order to describe inclusion and exclusion processes in psychiatric inpatient care. Through a literature review and pre-study of the material four main areas were identified: •Interpersonal meetings: to have respectful meetings and “see the patient” was important according to all stakeholders. •Patient involvement in care: Staff stress the importance of patient involvement and being honest to the patient, they seem to describe a more inclusive care than patients. •Organizational conditions for care: Delayed care, the competence of the present staff and other organizational issues could affect the relation between patients and staff. •Coercive measures. All stakeholders tried to minimize these in various ways, even though there were suspicions that some staff members wanted to provoke patients into conflicts. At the conference we will present the complete result from the analysis and discuss how stakeholders look at the possibility of social inclusion in the limited environment of a psychiatric ward. Educational goals 1.Learn about the possibilities of social inclusion of patients in the limited environment of a psychiatric ward. 2.To gain understanding of the role of social inclusion in primary prevention of violence. 3.To get some ideas and facts to the discussion on values in primary prevention of violence.

Place, publisher, year, edition, pages
2019.
National Category
Psychology
Identifiers
URN: urn:nbn:se:oru:diva-77684OAI: oai:DiVA.org:oru-77684DiVA, id: diva2:1366609
Conference
European Congress on Violence in Clinical Psychiatry 2019, Oslo, Norway, 24-26 October, 2019
Available from: 2019-10-30 Created: 2019-10-30 Last updated: 2020-12-01Bibliographically approved

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Pelto-Piri, VeikkoKjellin, Lars

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CiteExportLink to record
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Citation style
  • apa
  • ieee
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Language
  • de-DE
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Output format
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