Abstract
<p class="Toverskrift3" style="margin: 0cm 0cm 6pt; mso-pagination: none;"><span style="mso-ansi-language: EN-US;" lang="EN-US"><strong><span style="font-size: large;"><span style="font-family: Times New Roman;">Summary </span></span></strong></span></p><p class="Toverskrift3" style="margin: 0cm 0cm 6pt; mso-pagination: none;"><span style="mso-ansi-language: EN-US;" lang="EN-US"><strong><span style="font-size: large;"><span style="font-family: Times New Roman;">&ldquo;Without us there is nothing&rdquo; &ndash; relatives experiences of mental health crisis.</span></span></strong></span></p><p class="MsoNormal" style="margin: 0cm 0cm 0pt; background: whitesmoke; vertical-align: top; mso-pagination: none;"><span style="font-size: small;"><span style="font-family: Times New Roman;"><em style="mso-bidi-font-style: normal;"><span style="line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-size: 12.0pt;" lang="EN-US">As Norway moves toward the provision of home-based crisis response, more knowledge is needed about understandings of mental health crisis and effective ways of addressing crises within the home context. The objective of this study was to explore and learn from relatives&rsquo; experiences about the subjective meanings of crisis and meaningful and efficient crisis support. Findings were clustered into three themes: </span></em><em style="mso-bidi-font-style: normal;"><span style="line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-size: 12.0pt; mso-fareast-language: NO-BOK;" lang="EN-US">1) Experiences of rejection and responsibility, 2) Living with contradictions, and 3) The art of balancing openness. The findings indicate that it is crucial to transform the recent knowledge about family and social network involvement in crisis resolution into a new practice. Family and network expect to be treated with reciprocal trust and respect by services, and guidance on how they can help. Least of all they accept discharge to the family without any information or guidance. Neither do they want to be deprived the opportunity to tell their part of the story.</span></em></span></span></p><p class="MsoNormal" style="margin: 0cm 0cm 0pt; mso-pagination: none;"><span style="line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-size: 12.0pt; mso-bidi-font-family: 'Times New Roman';" lang="EN-US"><span style="font-family: Times New Roman; font-size: small;">&nbsp;</span></span></p>
Highlights
As Norway moves toward the provision of home-based crisis response, more knowledge is needed about understandings of mental health crisis and effective ways of addressing crises within the home context
The findings indicate that it is crucial to transform the recent knowledge about family and social network involvement in crisis resolution into a new practice
I Norge har etableringen av LPP - Landsforeningen for Pårørende innen Psykiatri - i vesentlig grad bidratt til å belyse de pårørendes situasjon og deres erfaringsbaserte kunnskap
Summary
Relatives, experience-based knowledge, mental health crisis, mental health services. Siden tusenårsskiftet har faglig og forskningsbasert kunnskap gjennom sosiale nettverksorienterte (Seikkulla & Arnkil 2007), systemteoretiske og psykoedukative (Nichols 2008) tilnærminger utvidet forståelsene av pårørendes situasjon og hva som kan være god og nyttig hjelp (Norcross & Lambert 2011). Mange vil være en naturlig del av familien, og de fleste pårørende vil være interessert i informasjon fra, og være i dialog med fagpersoner, samt ha behov for støtte og hjelp selv (Sosial- og helsedirektoratet 2008). Ulike lokalbaserte hjelpetiltak er etablert med mål om å styrke pasienters muligheter til å mestre sine psykiske problemer og sin situasjon, samt å være en støtte for den enkeltes familie og nettverk. Nyere forskning knyttet til akutte psykiske kriser dokumenterer at det handler om menneskelige lidelser som berører mange; både personen selv, familien og andre nærstående (Bridgett & Gijsman 2008; Joy, Adams & Rice 2008; Karlsson, Borg & Sjølie 2011). Intervjuene ble analysert av de tre artikkelforfatterne som beskrevet senere
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