Processes of disengagement and engagement in assertive outreach patients: qualitative study
438 - 443
BRIT J PSYCHIAT
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Background: Assertive outreach has been established to care for‘difficult to engage’ patients, yet little is known about how patients experience their disengagement with mainstream services and later engagement with outreach teams.Aims: To explore the views of disengagement and engagement held by patients of assertive outreach teams.Method: In-depth interviews were conducted with 40 purposefully selected patients and analysed using components of both thematic analysis and grounded theory.Results: Patients reported a desire to be independent, a poor therapeutic relationship and a loss of control due to medication effects as most important for disengagement. Time and commitment of staff, social support and engagement without a focus on medication, and a partnership model of the therapeutic relationship were most relevant for engagement.Conclusions: The findings underline the importance of a comprehensive care model, committed staff with sufficient time, and a focus on relationship issues in dealing with ‘difficult to engage’ patients.
AuthorsPriebe, S; Watts, J; Chase, M; Matanov, A
- College Publications