Decentralization matters – Differently organized mental health services relationship to staff competence and treatment practice: the VELO study
Abstract Background The VELO study is a comparative study of two Community Mental Health Centres (CMHC) in Northern Norway. The CMHCs are organized differently: one has no local inpatient unit, the other has three. Both CMHCs use the Central Mental Hospital situated rather far away for compulsory an...
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ftdoajarticles:oai:doaj.org/article:349b5d890ef946078d12f3498734eb59 2023-05-15T17:24:41+02:00 Decentralization matters – Differently organized mental health services relationship to staff competence and treatment practice: the VELO study Molvik Stian Olstad Reidun Myklebust Lars H Bjorbekkmo Svein Nymann Asle Sørgaard Knut 2009-05-01T00:00:00Z https://doi.org/10.1186/1752-4458-3-9 https://doaj.org/article/349b5d890ef946078d12f3498734eb59 EN eng BMC http://www.ijmhs.com/content/3/1/9 https://doaj.org/toc/1752-4458 doi:10.1186/1752-4458-3-9 1752-4458 https://doaj.org/article/349b5d890ef946078d12f3498734eb59 International Journal of Mental Health Systems, Vol 3, Iss 1, p 9 (2009) Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 article 2009 ftdoajarticles https://doi.org/10.1186/1752-4458-3-9 2022-12-31T08:27:52Z Abstract Background The VELO study is a comparative study of two Community Mental Health Centres (CMHC) in Northern Norway. The CMHCs are organized differently: one has no local inpatient unit, the other has three. Both CMHCs use the Central Mental Hospital situated rather far away for compulsory and other admissions, but one uses mainly local beds while the other uses only central hospital beds. In this part of the study the ward staffs level of competence and treatment philosophy in the CMHCs bed units are compared to Central Mental Hospital units. Differences may influence health service given, resulting in different treatment for similar patients from the two CMHCs. Methods 167 ward staff at Vesterålen CMHCs bed units and the Nordland Central Mental Hospital bed units answered two questionnaires on clinical practice: one with questions about education, work experience and clinical orientation; the other with questions about the philosophy and practice at the unit. An extended version of Community Program Philosophy Scale (CPPS) was used. Data were analyzed with descriptive statistics, non-parametric test and logistic regression. Results We found significant differences in several aspects of competence and treatment philosophy between local bed units and central bed units. CMHC staff are younger, have shorter work experience and a more generalised postgraduate education. CMHC emphasises family therapy and cooperation with GP, while Hospital staff emphasise diagnostic assessment, medication, long term treatment and handling aggression. Conclusion The implications of the differences found, and the possibility that these differences influence the treatment mode for patients with similar psychiatric problems from the two catchment areas, are discussed. Article in Journal/Newspaper Nordland Nordland Northern Norway Vesterålen Nordland Directory of Open Access Journals: DOAJ Articles Norway Vesterålen ENVELOPE(14.939,14.939,68.754,68.754) International Journal of Mental Health Systems 3 1 9 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
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ftdoajarticles |
language |
English |
topic |
Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 |
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Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Molvik Stian Olstad Reidun Myklebust Lars H Bjorbekkmo Svein Nymann Asle Sørgaard Knut Decentralization matters – Differently organized mental health services relationship to staff competence and treatment practice: the VELO study |
topic_facet |
Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 |
description |
Abstract Background The VELO study is a comparative study of two Community Mental Health Centres (CMHC) in Northern Norway. The CMHCs are organized differently: one has no local inpatient unit, the other has three. Both CMHCs use the Central Mental Hospital situated rather far away for compulsory and other admissions, but one uses mainly local beds while the other uses only central hospital beds. In this part of the study the ward staffs level of competence and treatment philosophy in the CMHCs bed units are compared to Central Mental Hospital units. Differences may influence health service given, resulting in different treatment for similar patients from the two CMHCs. Methods 167 ward staff at Vesterålen CMHCs bed units and the Nordland Central Mental Hospital bed units answered two questionnaires on clinical practice: one with questions about education, work experience and clinical orientation; the other with questions about the philosophy and practice at the unit. An extended version of Community Program Philosophy Scale (CPPS) was used. Data were analyzed with descriptive statistics, non-parametric test and logistic regression. Results We found significant differences in several aspects of competence and treatment philosophy between local bed units and central bed units. CMHC staff are younger, have shorter work experience and a more generalised postgraduate education. CMHC emphasises family therapy and cooperation with GP, while Hospital staff emphasise diagnostic assessment, medication, long term treatment and handling aggression. Conclusion The implications of the differences found, and the possibility that these differences influence the treatment mode for patients with similar psychiatric problems from the two catchment areas, are discussed. |
format |
Article in Journal/Newspaper |
author |
Molvik Stian Olstad Reidun Myklebust Lars H Bjorbekkmo Svein Nymann Asle Sørgaard Knut |
author_facet |
Molvik Stian Olstad Reidun Myklebust Lars H Bjorbekkmo Svein Nymann Asle Sørgaard Knut |
author_sort |
Molvik Stian |
title |
Decentralization matters – Differently organized mental health services relationship to staff competence and treatment practice: the VELO study |
title_short |
Decentralization matters – Differently organized mental health services relationship to staff competence and treatment practice: the VELO study |
title_full |
Decentralization matters – Differently organized mental health services relationship to staff competence and treatment practice: the VELO study |
title_fullStr |
Decentralization matters – Differently organized mental health services relationship to staff competence and treatment practice: the VELO study |
title_full_unstemmed |
Decentralization matters – Differently organized mental health services relationship to staff competence and treatment practice: the VELO study |
title_sort |
decentralization matters – differently organized mental health services relationship to staff competence and treatment practice: the velo study |
publisher |
BMC |
publishDate |
2009 |
url |
https://doi.org/10.1186/1752-4458-3-9 https://doaj.org/article/349b5d890ef946078d12f3498734eb59 |
long_lat |
ENVELOPE(14.939,14.939,68.754,68.754) |
geographic |
Norway Vesterålen |
geographic_facet |
Norway Vesterålen |
genre |
Nordland Nordland Northern Norway Vesterålen Nordland |
genre_facet |
Nordland Nordland Northern Norway Vesterålen Nordland |
op_source |
International Journal of Mental Health Systems, Vol 3, Iss 1, p 9 (2009) |
op_relation |
http://www.ijmhs.com/content/3/1/9 https://doaj.org/toc/1752-4458 doi:10.1186/1752-4458-3-9 1752-4458 https://doaj.org/article/349b5d890ef946078d12f3498734eb59 |
op_doi |
https://doi.org/10.1186/1752-4458-3-9 |
container_title |
International Journal of Mental Health Systems |
container_volume |
3 |
container_issue |
1 |
container_start_page |
9 |
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1766115796258390016 |