ArticleBMC health services research2011
Psychiatry out-of-hours: a focus group study of GPs' experiences in Norwegian casualty clinics.
Article in BMC health services research, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 15 citations in OpenAlex.
- Pragmatic Clinical Trial of Population Health, Portal-Based Depression Screening: the PORTAL-Depression Study.Journal of general internal medicine · 2023Trial
- Exploring Admission Decisions in Psychiatrists in Emergency Services: A Vignette-based Qualitative Study.Indian journal of psychological medicine · 2026Article
- Urgent care centres for reducing the demand on emergency departments: a scoping review of published quantitative and qualitative studies.The Medical journal of Australia · 2025Article
- Polyphonic perspectives: a focus group study of interprofessional staff's perceptions of music therapy at an inpatient unit for children in mental health care.International journal of qualitative studies on health and well-being · 2023Article
- The Helpfulness of Web-Based Mental Health and Well-being Forums for Providing Peer Support for Young People: Cross-sectional Exploration.JMIR formative research · 2022Article
- Involuntary admission in Norwegian adult psychiatric hospitals: a systematic review.International journal of mental health systems · 2018Review
- Involuntary psychiatric admission: how the patients are detected and the general practitioners' expectations for hospitalization. An interview-based study.International journal of mental health systems · 2016Article
- Dealing with workplace violence in emergency primary health care: a focus group study.BMC family practice · 2015Article
- Demand and characteristics of a psychiatric 24-hour emergency service performed by mandatory rotation of licensed psychiatrists in Swiss primary care.Patient preference and adherence · 2014Article
- Safety measures to prevent workplace violence in emergency primary care centres--a cross-sectional study.BMC health services research · 2013Article
- Scanning for satisfaction or digging for dismay? Comparing findings from a postal survey with those from a focus group-study.BMC medical research methodology · 2012Article
- Primary care physician perceptions on caring for complex patients with medical and mental illness.Journal of general internal medicine · 2012Article
- How Norwegian casualty clinics handle contacts related to mental illness: A prospective observational study.International journal of mental health systems · 2012Article
- Factors associated with physician self-efficacy in mental illness management and team-based care.General hospital psychiatryArticle
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFor Norwegian general practitioners (GPs), acute treatment of mental illness and substance abuse are among the most commonly experienced emergency situations in out-of-hours primary healthcare. The largest share of acute referrals to emergency psychiatric wards occurs out-of-hours, and out-of-hours services are responsible for a disproportionately high share of compulsory referrals. Concerns exist regarding the quality of mental healthcare provided in the out-of-hours setting. The aim of this study was to explore which challenges GPs experience when providing emergency care out-of-hours to patients presenting problems related to mental illness or substance abuse.
methodsWe conducted a qualitative study based on two individual interviews and six focus groups with purposively sampled GPs (totally 45 participants). The interviews were analysed successively in an editing style, using a thematic approach based on methodological descriptions by Charmaz and Malterud.
resultsSafety and uncertainty were the dominating themes in the discussions. The threat to personal safety due to unpredictable patient behaviour was a central concern, and present security precautions in the out-of-hours services were questioned. The GPs expressed high levels of uncertainty in their work with patients presenting problems related to mental illness or substance abuse. The complexity of the problems presented, shortage of time, limited access to reliable information and limited range of interventions available during out-of-hours contributed to this uncertainty. Perceived access to second opinion seemed to have a major impact on subjectively experienced work stress.
conclusionsThe GPs experienced out-of-hours psychiatry as a field with high levels of uncertainty and limited support to help them meet the experienced challenges. This might influence the quality of care provided. If the current organisation of emergency mental healthcare is to be kept, we need to provide GPs with a better support framework out-of-hours.
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