Involving Patients and Families in the Analysis of Suicides, Suicide Attempts, and Other Sentinel Events in Mental Healthcare: A Qualitative Study in The Netherlands

International Journal of Environmental Research and Public Health
Renée BouwmanRoland Friele

Abstract

Involving patients and families in mental healthcare is becoming more commonplace, but little is known about how they are involved in the aftermath of serious adverse events related to quality of care (sentinel events, including suicides). This study explores the role patients and families have in formal processes after sentinel events in Dutch mental healthcare. We analyzed the existing policies of 15 healthcare organizations and spoke with 35 stakeholders including patients, families, their counselors, the national regulator, and professionals. Respondents argue that involving patients and families is valuable to help deal with the event emotionally, provide additional information, and prevent escalation. Results indicate that involving patients and families is only described in sentinel event policies to a limited extent. In practice, involvement consists mostly of providing aftercare and sharing information about the event by providers. Complexities such as privacy concerns and involuntary admissions are said to hinder involvement. Respondents also emphasize that involvement should not be obligatory and stress the need for patients and families to be involved throughout the process of treatment. There is no one-size-fits-al...Continue Reading

References

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Apr 7, 2018·BMJ Quality & Safety·Bev Fitzsimons, Jocelyn Cornwell

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Citations

May 15, 2020·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Siri WiigJeffrey Braithwaite
Sep 20, 2018·International Journal of Environmental Research and Public Health·Louise Brådvik
Dec 29, 2020·International Journal of Mental Health Nursing·Sarah WaylandMyfanwy Maple

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