Evidence map›Paper›PMID 41578886›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2026

Turning to Service Users for the Understanding of Current and Future Mental Health Services in the Development Process of Research and Practice: A Qualitative Study.

Emmy Nilsson, Carina Tjörnstrand, Daniel Lindqvist, Jenny Wetterling, Annika Lexén, Ulrika Bejerholm

Abstract read
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2026. 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
–field-weighted citation impact
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.

  1. Article
  2. Turning to Service Users for the Understanding of Current and Future Mental Health Services in the Development Process of Research and Practice: A Qualitative Study.Health expectations : an international journal of public participation in health care and health policy · 2026
    Article
  3. Review
  4. Article
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.

Emmy NilssonDepartment of Health Sciences, Mental Health, Activity and Participation, Lund University, Lund, Sweden.ORCID 0000-0003-2841-3758
Carina TjörnstrandDepartment of Health Sciences, Mental Health, Activity and Participation, Lund University, Lund, Sweden.ORCID 0000-0001-6018-0777
Daniel LindqvistDepartment of Psychiatry, Skåne University Hospital, Lund, Sweden.ORCID 0000-0002-3472-327X
Jenny WetterlingCentre of Evidence-based Psychosocial Interventions, CEPI, Lund University, Lund, Sweden.
Annika LexénDepartment of Health Sciences, Mental Health, Activity and Participation, Lund University, Lund, Sweden.ORCID 0000-0002-9776-9304
Ulrika BejerholmDepartment of Health Sciences, Mental Health, Activity and Participation, Lund University, Lund, Sweden.ORCID 0000-0001-7505-6955

Funding

Swedish Research Council for Health, Working Life and Welfare (FORTE) 2019-01730
6 · The paper itself

Abstract

backgroundA person-centred and recovery-oriented approach is an integral part of modern mental health services founded on the experiential knowledge of service users. Their reflections as experts, grounded in their unique experience as service users, play a significant role in developing and improving the existing care. Experiential knowledge is therefore a means to enhance the relevance of research, inform the development of care, and bridge research and practice.

aimTo understand service users' experiences of their current mental health services and explore reflections on the Flexible Assertive Community Treatment (FACT) model and its role in future practice.

methodsA total of 17 experts participated in individual and dyadic in-depth interviews. A reflexive thematic analysis was performed on the participants' experiences of current mental health services and on their reflections on a vignette describing an integrative, recovery-oriented care and support model-FACT.

resultsThe analysis resulted in three themes. The first theme, 'Losing value and credibility as a person when becoming a service user', reflected participants' experiences of being reduced to the signs and symptoms of their mental health problems. The second theme, 'Navigating through the mental health maze', describes participants view on the current mental health services, while the last theme, 'Involving service users in their care and support would be empowering', holds participants' views on the importance of greater involvement in future service design and delivery.

conclusionsThese results underscore the necessity for enhanced collaboration to empower and provide inclusive, tailored care and support, which the participants emphasised as essential for the future of mental health services. The participants reflected on certain structural concepts, such as hierarchy, caring culture, and financial strains, prior to the implementation of FACT, which need to be addressed before an adaptation of integrative, recovery-oriented care and support models. PUBLIC AND SERVICE USER CONTRIBUTION: The study planning and process involved stakeholders, including user organisations, Swedish Partnership for Mental Health (NSPH), Skåne and their sister organisation LIBRA Skåne, as well as managers and professionals of mental health services. One of the authors has own experience of mental illness and contributed greatly to the data analysis and the finalising of the manuscript, and two authors have experience as relatives.

Indexed as

Community Mental Health ServicesMental DisordersMental Health ServicesAdultFemaleHealth Services ResearchHumansInterviews as TopicMalePatient-Centered CareQualitative Researchcommunity mental health servicesevidence‐based practiceexperience lifeFlexible Assertive Community Treatmentmental health servicespsychiatry

Identifiers

PMID41578886
PMCPMC12831172

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.