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The Capital Region of Denmark - a part of Copenhagen University Hospital

Cross-sectoral Service Provision combining psychoatric treatment and employment services to improve mental health - Exploring the patients' perspectives

Project: Types of projectsProject

  • Laugesen, Henriette (Project Manager, academic)
  • Carlsson, Jessica Mariana (Project Manager, organisational)
  • Skovdal, Morten, University of Copenhagen, Centre for Medical Science and Technology Studies, Denmark (Project participant)
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Treatment of trauma-affected refugees diagnosed with PTSD is often challenging and with limited effectiveness. For many refugees, the PTSD is complex and influenced by several factors contributing to its severity such as childhood trauma, war related experiences, torture, persecution and dangerous journeys during flight. In addition, social stressors occurring during resettlement seem to add to the complexity of the everyday life and mental health. One of the proposed solutions to managing and treating the complexity of PTSD is cross-sectoral service provision that aims at attaining a more holistic treatment approach. Such an approach proposes that trauma-focused treatment should be carried out in concurrence with managing social stressors in order to improve PTSD symptoms and thus enhance treatment effect. Knowledge and research about cross-sectoral service provision is very limited and no attention has been given to understanding the perspective of refugee patients and how they perceive such collaborations.
At the Competence Centre for Transcultural Psychiatry (CTP) a cross-sectoral treatment model has been developed. It includes multi disciplinary treatment with both medical doctors and psychologists (treatment as usual) plus three collaborative roundtable meetings as well a systematic focus on stressors and management of such stressors during PTSD treatment sessions.

To investigate the refugee patients’ perspectives, explore their preferences, satisfaction, position and interaction with professionals in cross-sectoral service provision and shed light on how it influences their every-day life and mental well-being.

The project has a Qualitative Longituninal Research (QLR) design informed by the approach Interpretive Descriptions formulated by Sally Thorne. Observations, informal conversations and interviews are carried out with the same 15-20 patients, multiple times during the project. This includes follow-up interviews six months after their mental health treatment has ended. Informal conversations are also done with other stakeholders participating in the collaborative meetings to get their perspectives on ‘what happened’. As part of the analytical process, QLR analysis will be perfomed along with the construction of maps showing variations, power relations, contradictions, relatedness, silences and differences in the data material.

Expected results:
The results will contribute important knowledge about the refugee patient perspective of cross-sectoral service provision, which can be used to adapt collaborative models of service provision to better meet the needs of the consumer.

Expected Impact:

ID: 65155718