Evidence map›Paper›PMID 26921216›Full record

ArticleBMC psychiatry2016

Integrated care in German mental health services as benefit for relatives--a qualitative study.

Jan Valentini, Daniel Ruppert, Julia Magez, Constance Stegbauer, Anke Bramesfeld, Katja Goetz

Open access · goldAbstract read
In one paragraph

Article in BMC psychiatry, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.5field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 15 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 2 countries.

Jan ValentiniDepartment of General Practice and Health Services Research, University Hospital Heidelberg, Voßstr. 2, 69115, Heidelberg, Germany. jan.valentini@med.uni-heidelberg.de.
Daniel RuppertDepartment of General Practice and Health Services Research, University Hospital Heidelberg, Voßstr. 2, 69115, Heidelberg, Germany. daniel2.ruppert@med.uni-heidelberg.de.
Julia MagezDepartment of General Practice and Health Services Research, University Hospital Heidelberg, Voßstr. 2, 69115, Heidelberg, Germany. julia.magez@med.uni-heidelberg.de.
Constance StegbauerAQUA - Institute for Applied Quality Improvement and Research in Health Care, Maschmühlenweg 8-10, 37073, Göttingen, Germany. constance.stegbauer@aqua-institut.de.
Anke BramesfeldAQUA - Institute for Applied Quality Improvement and Research in Health Care, Maschmühlenweg 8-10, 37073, Göttingen, Germany. anke.bramesfeld@aqua-institut.de.
Katja GoetzDepartment of General Practice and Health Services Research, University Hospital Heidelberg, Voßstr. 2, 69115, Heidelberg, Germany. katja.goetz@med.uni-heidelberg.de.
Heidelberg University · DEAquatic Systems (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAs 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.

methodsSemi-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.

resultsFour 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.

conclusionRelatives 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.

Indexed as

Professional-Family RelationsAgedCaregiversFamilyFemaleHumansMaleMental DisordersMental Health ServicesMiddle AgedPersons with Psychiatric DisordersQualitative ResearchStress, Psychological

Identifiers

PMID26921216
PMCPMC4769565
OpenAlexW2285241077

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.