ArticleInternational journal of mental health systems2016
More than just a bed: mental health service users' experiences of self-referral admission.
Article in International journal of mental health systems, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Patient Experiences of Patient-Initiated Brief Admission in Psychiatric Care: A Systematic Review.International journal of mental health nursing · 2025Pooled it
- Self-referral to inpatient treatment program in a community mental health Centre in Central Norway: investigating the implementation, professionals' experiences and costs.BMC health services research · 2021Trial
- A retrospective medical record review of patients' decisions to utilise or refrain from brief admission.Discover mental health · 2026Article
- The development and evaluation of the Patient-Controlled Admission Fidelity Checklist.Frontiers in psychiatry · 2026Article
- Safe spaces as an alternative to the emergency department for suicidal distress: exploring guests' experiences.BMC health services research · 2025Article
- Brief Admission by Self-Referral: A 4-Year Follow-Up on Utilisation Patterns and Experiences.International journal of mental health nursing · 2025Article
- Article
- Staff's experiences of implementing patient-initiated brief admission for adolescents from the perspective of epistemic (in)justice.Frontiers in psychiatry · 2022Article
- The Lost Social Context of Recovery Psychiatrization of a Social Process.Frontiers in sociology · 2022Article
- Patient-controlled admissions to inpatient care: A twelve-month naturalistic study of patients with schizophrenia spectrum diagnoses and the effects on admissions to and days in inpatient care.BMC health services research · 2021Article
- Patient-controlled admission contracts: a longitudinal study of patient evaluations.BMC health services research · 2021Article
- Building patient capacity to participate in care during hospitalisation: a scoping review.BMJ open · 2019Article
- ["But you know Mr. M., you won't get hospitalised" : A qualitative study on service users' experience of seeking psychiatric inpatient admission].Neuropsychiatrie : Klinik, Diagnostik, Therapie und Rehabilitation : Organ der Gesellschaft Osterreichischer Nervenarzte und Psychiater · 2019Article
- Patient-Centered Values and Experiences with Emergency Department and Mental Health Crisis Care.Administration and policy in mental health · 2018Article
- Self-admission to inpatient treatment in psychiatry: lessons on implementation.BMC psychiatry · 2017Article
- How mental health service systems are organized may affect the rate of acute admissions to specialized care: Report from a natural experiment involving 5338 admissions.SAGE open medicine · 2017Article
- Re-establishing and preserving hope of recovery through user participation in patients with a severe mental disorder: the self-referral-to-inpatient-treatment project.Nursing open · 2016Article
- Article
- Short time effect of a self-referral to inpatient treatment for patients with severe mental disorders: a randomized controlled trial.BMC health services research · 2016Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSeveral community mental health centres and mental hospitals in Norway now allow users with a diagnosis of severe mental illness to self-refer for admission. This give a group of service users who are well-known to service providers the opportunity to refer themselves for short inpatient stays without contacting their doctor, a duty doctor or emergency department. Evidence on self-referral admissions is lacking.
aimTo explore service users' experiences of having the opportunity to refer themselves for a short inpatient stay.
methodsForty-two qualitative semi-structured interviews were undertaken between 2010 and 2014 in a group of 28 service users with serious mental illness and with or without substance abuse problems. All respondents had a contract which allowed them to self-refer for inpatient treatment. Systematic text condensation was applied in the analyses.
resultsSelf-referral inpatient admission is more than just a bed. It was perceived as a new, unconventional health service, which differed substantially from earlier experiences of inpatient care and was characterised by different values and treatment principles. The differences were related to the content, quality and organisation of treatment. Having the option to decide about admission for oneself and having access to services focusing on individual needs seem to enhance service users' confidence, both in the services they use and in their own ability to cope with everyday life.
conclusionsSelf-referral inpatient admission is a concrete example of how a user involvement policy can be implemented in mental health services. It is important to emphasise that the self-referral admission process described here is an offer in development and that we are awaiting findings from a larger RCT study. More evidence is needed to determine what aspects of the service are helpful to service users, the long-term effects, appropriateness and cost-effectiveness, and how the service can be integrated into the mental health system.
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