Understanding the milieu experiences of patients on an acute inpatient psychiatric unit

Archives of Psychiatric Nursing
Catherine A ThibeaultTeresa Brown

Abstract

The role of inpatient mental health units is changing. Increasingly, people with acute and severe mental illness are admitted for short periods of intense treatment and are discharged quickly to community-based care. Reduction in average lengths of stay for psychiatric inpatients has been accompanied by a marginalization of the concept of therapeutic milieu in the mental health discourse. This phenomenological inquiry focuses on understanding the life-world of six people with acute psychiatric illness who were hospitalized on an acute inpatient psychiatric unit. Working together, a team of four, including mental health clinicians and consumers, developed and implemented this interpretive study using the phenomenology of Heidegger and Taylor. The principle investigator conducted the interviews, and the research team engaged in a complex interpretive process, reviewing narrative accounts, exploring personal meanings and key themes, and reconstructing shared meaning as lived and shared by participants. In this report, the authors describe patient experiences of a rule-bound, controlling, and sometimes oppressive milieu while highlighting patient experiences of healing and health as lived within that same milieu. The authors descri...Continue Reading

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Citations

Mar 9, 2011·International Journal of Qualitative Studies on Health and Well-being·Per EnarssonOve Hellzén
Jun 20, 2015·Issues in Mental Health Nursing·Kathleen R Delaney
Mar 3, 2015·Perspectives in Psychiatric Care·Robert StantonBrenda Happell
Nov 19, 2015·Archives of Psychiatric Nursing·Marta PaludettoVincenzo Baldo
Jun 3, 2015·Perspectives in Psychiatric Care·Willem NugterenBerno van Meijel
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Sep 12, 2018·Issues in Mental Health Nursing·Maryam VahidiMichelle Cleary
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Sep 27, 2019·The American Journal of Bioethics : AJOB·Adam BoreckyAlex Dubov

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