Cand.polit. Hanne Kilen Stuens disputas
Hanne Kilen Stuen disputerer for ph.d.-graden i Helsevitenskapelige fag og vil offentlig forsvare avhandlingen:
“Community treatment orders in an Assertive Community Treatment setting: a qualitative study of experiences of patients, care providers and responsible clinicians”
Kort populærvitenskapelig sammendrag av avhandlingen:
This study is part of the national research-based evaluation of the 12 first assertive community treatment (ACT) teams in Norway that took place between 2009 and 2014. The purpose of this study was to investigate patients’, care providers’ and responsible clinicians’ experiences with community treatment orders (CTOs) and CTO decision making in relatively newly established ACT teams. ACT is a model of multidisciplinary community-based treatment teams that aims to provide a full range of medical, psychosocial and rehabilitation services to people with severe mental illness. In this study, 15 in-depth interviews with patients subject to CTOs were conducted. We also interviewed 8 responsible clinicians and conducted four focus group interviews with 20 providers. The data were analysed using a modified grounded theory approach.
CTOs, which is a legal tool to compel patients with severe mental illness in the community, have been widely used since the implementation of the Mental Health Care Act in 1961. The results show that patients have mixed views of CTOs. However, the ACT team’s availability and the flexible combination of interventions, continued care and possibility to make choices were considered as important improvements to traditional office-based mental health services. Several of the patients described a gradual transition of regarding the CTO as an acceptable solution, provided that they received other services they found beneficial. CTO decisions involve dilemmas and difficult professional judgments, and the clinicians highlighted the importance of frequent patient contact, multidisciplinary team discussions and sharing ideas about clinical problems allowed for more flexibility and more voluntary treatment.
Hovedveileder Rolf Wynn, Institutt for klinisk medisin, Det helsevitenskapelige fakultet, UiT Norges arktiske universitet
Biveileder seniorforsker Jorun Rugkåsa, HØKH, Avdeling for helsetjenesteforskning. Akershus universitetssykehus og professor ved Senter for omsorgsforskning sør, Universitet i Sørøst-Norge.
Biveileder professor Anne Landheim, Høgskolen Innlandet og forskningsleder Nasjonal kompetansetjeneste for samtidig rusmisbruk og psykisk lidelse.
Professor Stefan Sjøstrøm, Sociologiska institutionen, Uppsala universitet, Sverige - 1.opponent
Forsker Tonje Lossius Husum, Institutt for helse og samfunn, UiO – 2.opponent
Professor Gunnar Ellingsen, Institutt for klinisk medisin, Det helsevitenskapelige fakultet, UiT Norges arktiske universitet – leder av komité
Disputasleder: Professor Inigo Zubiavrre Matinez, Institutt for klinisk medisin, Det helsevitenskapelige fakultet, UiT Norges arktiske universitet
Prøveforelesning over oppgitt emne holdes kl. 10.15, samme sted:” Teoretiska perspektiv på tvång, vårdkultur och organisation inom somatisk vård och omsorg”