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User and Carer Involvement in Child and Adolescent Mental Health Services: A Norwegian Staff Perspective

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Abstract

It has been suggested that user involvement in heath care leads to improved services. The aim of the study was to explore attitudes towards user involvement of staff employed in Norwegian Child and Adolescent Mental Health Services (CAMHS). Most of the investigated mental health service staff expressed the opinion that users should be involved in the planning of their own treatment and generally have a positive attitude towards user involvement. Skepticism was related to some aspects of involvement and does not contradict their generally positive attitude towards user involvement.

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Acknowledgments

The authors would like to thank Anne Andersen, Inger Hodne and Knut Halvard Bronder who took part in the planning and implementation of this work and were members of the project group. Thanks are also due to the participants in this study and to the leaders at all clinics who helped distribute the questionnaire. Thanks are also due to Professor Horwitz for her guidance and comments on this piece. The project was carried out with financial support from the Norwegian Directorate of Health and Social Services.

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Authors and Affiliations

  1. Centre for Child and Adolescent Mental Health, Regions East and South, Nydalen, P. O. Box 4623, 0405, Oslo, Norway

    J. Richter & L. I. Grømer

  2. Institute of Medicine Law & Bioethics, Liverpool Law School, University of Liverpool, Liverpool, UK

    S. Halliday

  3. Norwegian Agency for Development Cooperation (Norad), Oslo, Norway

    R. Dybdahl

Authors
  1. J. Richter
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  2. S. Halliday
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  3. L. I. Grømer
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  4. R. Dybdahl
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Corresponding author

Correspondence to J. Richter.

Appendix 1

Appendix 1

Substantial relationships between CPQ items; Norwegian CAMHS version; χ 2 scores; p.

  • Item 1 with item 2.aN: χ 2 (4) = 58.61; p < 0.001/item 2.bN: χ 2 (4) = 32.83; p < 0.001/with item 8: χ 2 (4) = 15.81; p = 0.003/with item 9: χ 2 (4) = 15.33; p = 0.004/with item 12: χ 2 (4) = 14.96; p = 0.005.

  • Item 2.aN: with item 2.bN: χ 2 (4) = 95.80; p < 0.001/with item 15: χ 2 (4) = 13.85; p = 0.008.

  • Item 2.bN: with item 15: χ 2 (4) = 16.96; p = 0.002/with item 19.1: χ 2 (2) = 9.58; p = 0.008.

  • Item 3: with item 4: χ 2 (4) = 52.03; p < 0.001/with item 10: χ 2 (4) = 18.57; p < 0.001/with item 12: χ 2 (4) = 14.56; p = 0.006.

  • Item 6N: with item 11: χ 2 (4) = 32.49; p < 0.001/with item 16: χ 2 (4) = 17.23; p = 0.002.

  • Item 7N: with item 6: χ 2 (20) = 70.27; p < 0.001/with item 14: χ 2 (16) = 33.29; p = 0.007/with item 16: χ 2 (8) = 29.88; p < 0.001/with item 19.3: χ 2 (4) = 15.45; p = 0.004 with item 20.6: χ 2 (4) = 14.01; p = 0.007.

  • Item 8N: with item 14: χ 2 (16) = 41.14; p = 0.001.

  • Item 6: with item 14: χ 2 (20) = 37.53; p = 0.010/with item 15: χ 2 (10) = 23.16; p = 0.010.

  • Item 7: with item 13: χ 2 (4) = 14.99; p = 0.005/with item 16: χ 2 (4) = 13.70; p = 0.008.

  • Item 8: with item 9: χ 2 (4) = 57.90; p < 0.001/with item 10: χ 2 (4) = 15.20; p = 0.004/with item 12: χ 2 (4) = 18.62; p = 0.001/with item 20.1: χ 2 (2) = 9.46; p = 0.009.

  • Item 8: with item 20.6: χ 2 (2) = 12.41; p = 0.002.

  • Item 9: with item 10: χ 2 (4) = 17.64; p = 0.001/with item 11: χ 2 (4) = 30.89; p < 0.001/with item 12: χ 2 (4) = 17.89; p = 0.001/with item 16: χ 2 (4) = 14.45; p = 0.006.

  • Item 11: with item 16: χ 2 (4) = 19.90; p = 0.001.

  • Item 12: with item 20.1: χ 2 (2) = 9.58; p = 0.008.

  • Item 13: with item 20.1: χ 2 (2) = 10.13; p = 0.006.

  • Item 14: with item 16: χ 2 (4) = 67.44; p < 0.001.

  • Item 15: with item 19.2: χ 2 (2) = 14.63; p = 0.001/with item 20.2: χ 2 (2) = 15.42; p < 0.001.

  • Item 16: with item 20.6: χ 2 (2) = 13.96; p < 0.001.

  • Item 17: with item 18: χ 2 (24) = 45.95; p = 0.004/with item 20.3: χ 2 (6) = 19.49; p = 0.003/with item 20.6: χ 2 (6) = 19.48; p = 0.003/with item 20.7: χ 2 (6) = 19.52; p = 0.003/with item 20.8: χ 2 (6) = 32.74; p < 0.001.

  • Item 18: with item 19.3: χ 2 (4) = 16.20; p = 0.003/with item 19.4: χ 2 (4) = 13.24; p = 0.010/with item 20.3: χ 2 (4) = 23.57; p < 0.001/with item 20.5: χ 2 (4) = 23.27; p < 0.001/with item 20.7: χ 2 (4) = 14.43; p = 0.006/with item 20.8: χ 2 (4) = 20.10; p < 0.001.

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Richter, J., Halliday, S., Grømer, L.I. et al. User and Carer Involvement in Child and Adolescent Mental Health Services: A Norwegian Staff Perspective. Adm Policy Ment Health 36, 265–277 (2009). https://doi.org/10.1007/s10488-009-0219-x

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