eprintid: 20346
rev_number: 11
eprint_status: archive
userid: 1589
dir: disk0/00/02/03/46
datestamp: 2016-03-02 10:52:13
lastmod: 2024-09-08 19:19:01
status_changed: 2016-03-02 10:52:13
type: article
metadata_visibility: show
creators_name: Valentini, Jan
creators_name: Ruppert, Daniel
creators_name: Magez, Julia
creators_name: Stegbauer, Constance
creators_name: Bramesfeld, Anke
creators_name: Götz, Katja
title: Integrated care in German mental health services as benefit for relatives – a qualitative study
subjects: ddc-610
divisions: i-910100
abstract: Background: As mental health services undergo the process of deinstitutionalization, this is resulting in a higher burden of care for relatives. Evidence suggests that interventions for carers have a beneficial impact on their psychological health. A reduction of responsibility for relatives is linked with a significantly improved outcome for the severely mentally ill. The aim of the study was to explore the relatives’ experiences with severely mentally ill patients in different integrated care service providers.   Methods: Semi-structured focus groups and interviews were conducted with 24 relatives of patients receiving community based integrated care for severe mental illness. The collected data was transcribed and evaluated using qualitative content analysis. A deductive-inductive approach was used in generating thematic categories.   Results: Four main categories were found related to the structural aspects of the integrated care services and for the experiences of the relatives within these services. Relatives reported that the services offered significant relief and substantial support in daily life. In addition, relatives felt a reduced burden of carer responsibility and therefore that they were provided with more protection and stability. This resulted in a sense of encouragement and not feeling left alone to face challenges.   Conclusion: Relatives are a critical resource for patients suffering from mental health problems and benefit from formal structures and interventions to support them in carer role. An important need is to ensure continuity of care for patients and the bridging of gaps concerning information and support needs for relatives when providing integrated mental health services in the community.
date: 2016
publisher: BioMed Central; Springer
id_scheme: DOI
ppn_swb: 1655493302
own_urn: urn:nbn:de:bsz:16-heidok-203469
language: eng
bibsort: VALENTINIJINTEGRATED2016
full_text_status: public
publication: BMC Psychiatry
volume: 16
number: 48
place_of_pub: London; Berlin; Heidelberg
pagerange: 1-9
issn: 1471-244X
citation:   Valentini, Jan ; Ruppert, Daniel ; Magez, Julia ; Stegbauer, Constance ; Bramesfeld, Anke ; Götz, Katja  (2016) Integrated care in German mental health services as benefit for relatives – a qualitative study.  BMC Psychiatry, 16 (48).  pp. 1-9.  ISSN 1471-244X     
document_url: https://archiv.ub.uni-heidelberg.de/volltextserver/20346/1/12888_2016_Article_760.pdf