Mental health care professionals' accounts of actions and responsibilities related to managing physical health among people with severe mental illness

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Standard

Mental health care professionals' accounts of actions and responsibilities related to managing physical health among people with severe mental illness. / Lerbæk, Birgitte; Jørgensen, Rikke; Aagaard, Jørgen; Nordgaard, Julie; Buus, Niels.

I: Archives of Psychiatric Nursing, Bind 33, Nr. 2, 2019, s. 174-181.

Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt

Harvard

Lerbæk, B, Jørgensen, R, Aagaard, J, Nordgaard, J & Buus, N 2019, 'Mental health care professionals' accounts of actions and responsibilities related to managing physical health among people with severe mental illness', Archives of Psychiatric Nursing, bind 33, nr. 2, s. 174-181. https://doi.org/10.1016/j.apnu.2018.11.006

APA

Lerbæk, B., Jørgensen, R., Aagaard, J., Nordgaard, J., & Buus, N. (2019). Mental health care professionals' accounts of actions and responsibilities related to managing physical health among people with severe mental illness. Archives of Psychiatric Nursing, 33(2), 174-181. https://doi.org/10.1016/j.apnu.2018.11.006

Vancouver

Lerbæk B, Jørgensen R, Aagaard J, Nordgaard J, Buus N. Mental health care professionals' accounts of actions and responsibilities related to managing physical health among people with severe mental illness. Archives of Psychiatric Nursing. 2019;33(2):174-181. https://doi.org/10.1016/j.apnu.2018.11.006

Author

Lerbæk, Birgitte ; Jørgensen, Rikke ; Aagaard, Jørgen ; Nordgaard, Julie ; Buus, Niels. / Mental health care professionals' accounts of actions and responsibilities related to managing physical health among people with severe mental illness. I: Archives of Psychiatric Nursing. 2019 ; Bind 33, Nr. 2. s. 174-181.

Bibtex

@article{57301f8348954c4da5c40d0f6d5eb055,
title = "Mental health care professionals' accounts of actions and responsibilities related to managing physical health among people with severe mental illness",
abstract = "Background: Life expectancy of people with severe mental illness (SMI) is greatly shortened compared to the general population, and despite extensive research, this issue is unsolved. Although it is widely recognised that people with SMI need support from health care services to manage health related issues, profound health inequalities exist within provision of health care. The aim of this study was to examine how mental health care professionals accounted for their actions and responsibilities related to managing physical health issues among people with SMI. Methods: Three focus groups were conducted with 22 mental health care professionals, employed at three mental health care locations. Participants' situated accounts were subjected to discourse analysis. Results: Participants accounted for actions and responsibilities in three typical ways; 1) by positioning people with SMI as difficult to motivate and actively resisting intervention, 2) by positioning people with SMI as so impaired that intervention was futile, and 3) by arguing they are undertreated for physical conditions and might have physical illnesses that staff are not aware of because of prominent mental illness. These discursive strategies seemed to legitimise situations where participants described not responding to physical health issues, and to downplay potential trouble in situations where participants described not succeeding in facilitating lifestyle changes or promoting compliance to treatment of physical conditions. Discussion and conclusion: Mental health care professionals need to increase their awareness of latent discriminating attitudes towards people with SMI. Such attitudes are suggested to reinforce barriers for people with SMI receiving physical health care.",
keywords = "Discourse analysis, Focus groups, Physical health, Schizophrenia, Severe mental illness",
author = "Birgitte Lerb{\ae}k and Rikke J{\o}rgensen and J{\o}rgen Aagaard and Julie Nordgaard and Niels Buus",
year = "2019",
doi = "10.1016/j.apnu.2018.11.006",
language = "English",
volume = "33",
pages = "174--181",
journal = "Archives of Psychiatric Nursing",
issn = "0883-9417",
publisher = "W.B.Saunders Co.",
number = "2",

}

RIS

TY - JOUR

T1 - Mental health care professionals' accounts of actions and responsibilities related to managing physical health among people with severe mental illness

AU - Lerbæk, Birgitte

AU - Jørgensen, Rikke

AU - Aagaard, Jørgen

AU - Nordgaard, Julie

AU - Buus, Niels

PY - 2019

Y1 - 2019

N2 - Background: Life expectancy of people with severe mental illness (SMI) is greatly shortened compared to the general population, and despite extensive research, this issue is unsolved. Although it is widely recognised that people with SMI need support from health care services to manage health related issues, profound health inequalities exist within provision of health care. The aim of this study was to examine how mental health care professionals accounted for their actions and responsibilities related to managing physical health issues among people with SMI. Methods: Three focus groups were conducted with 22 mental health care professionals, employed at three mental health care locations. Participants' situated accounts were subjected to discourse analysis. Results: Participants accounted for actions and responsibilities in three typical ways; 1) by positioning people with SMI as difficult to motivate and actively resisting intervention, 2) by positioning people with SMI as so impaired that intervention was futile, and 3) by arguing they are undertreated for physical conditions and might have physical illnesses that staff are not aware of because of prominent mental illness. These discursive strategies seemed to legitimise situations where participants described not responding to physical health issues, and to downplay potential trouble in situations where participants described not succeeding in facilitating lifestyle changes or promoting compliance to treatment of physical conditions. Discussion and conclusion: Mental health care professionals need to increase their awareness of latent discriminating attitudes towards people with SMI. Such attitudes are suggested to reinforce barriers for people with SMI receiving physical health care.

AB - Background: Life expectancy of people with severe mental illness (SMI) is greatly shortened compared to the general population, and despite extensive research, this issue is unsolved. Although it is widely recognised that people with SMI need support from health care services to manage health related issues, profound health inequalities exist within provision of health care. The aim of this study was to examine how mental health care professionals accounted for their actions and responsibilities related to managing physical health issues among people with SMI. Methods: Three focus groups were conducted with 22 mental health care professionals, employed at three mental health care locations. Participants' situated accounts were subjected to discourse analysis. Results: Participants accounted for actions and responsibilities in three typical ways; 1) by positioning people with SMI as difficult to motivate and actively resisting intervention, 2) by positioning people with SMI as so impaired that intervention was futile, and 3) by arguing they are undertreated for physical conditions and might have physical illnesses that staff are not aware of because of prominent mental illness. These discursive strategies seemed to legitimise situations where participants described not responding to physical health issues, and to downplay potential trouble in situations where participants described not succeeding in facilitating lifestyle changes or promoting compliance to treatment of physical conditions. Discussion and conclusion: Mental health care professionals need to increase their awareness of latent discriminating attitudes towards people with SMI. Such attitudes are suggested to reinforce barriers for people with SMI receiving physical health care.

KW - Discourse analysis

KW - Focus groups

KW - Physical health

KW - Schizophrenia

KW - Severe mental illness

U2 - 10.1016/j.apnu.2018.11.006

DO - 10.1016/j.apnu.2018.11.006

M3 - Journal article

C2 - 30927987

AN - SCOPUS:85057056275

VL - 33

SP - 174

EP - 181

JO - Archives of Psychiatric Nursing

JF - Archives of Psychiatric Nursing

SN - 0883-9417

IS - 2

ER -

ID: 237153908