Expectations vs reality: The expectations and experiences of psychiatric treatment reported by young adults at a mood and anxiety outpatient mental health program

被引:10
作者
Armstrong, Sarah [1 ,2 ]
Wammes, Michael [1 ]
Arcaro, Justin [2 ]
Hostland, Amanda [2 ]
Summerhurst, Carolyn [2 ]
Osuch, Elizabeth [1 ,2 ,3 ,4 ]
机构
[1] Univ Western Ontario, Schulich Sch Med & Dent, Dept Psychiat, 860 Richmond St, London, ON N6A 3H8, Canada
[2] London Hlth Sci Ctr, London, ON, Canada
[3] Lawson Hlth Res Inst, London, ON, Canada
[4] Univ Western Ontario, Dept Med Biophys, London, ON, Canada
关键词
attitudes; mental health services; patient satisfaction; treatment; young adult; CARE; PEOPLE; DEPRESSION; PSYCHOTHERAPY; DISORDERS; ALLIANCE; ILLNESS; ONSET;
D O I
10.1111/eip.12550
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Aim To compare young adults' expectations of psychiatric treatment to their actual experiences and identify myths and assumptions that youth might hold prior to receiving care. Methods We interviewed youth who engaged in at least 4 months of treatment at the First Episode Mood and Anxiety Program to theme saturation (N = 20). They were asked about their experience of treatment and the expectations they had prior to care. Transcribed interviews were analysed for themes. Results Results indicated that participants often expected a cold, serious atmosphere, a "quick fix," and a directive therapeutic relationship. Although most patients had a negative experience at some point in their care, they overall described a welcoming environment with engaged providers and a collaborative therapeutic relationship. Participants found treatment more complex than they had anticipated, but ultimately experienced strengthening of agency and a change in perspective. Conclusions These results identify a need to recognize assumptions held by young adults seeking treatment for mental health symptoms. Addressing these preconceptions might reduce apprehension and improve readiness for treatment. This research provides direction on how to dispel myths and better prepare youth for the work involved in effective psychiatric care.
引用
收藏
页码:633 / 638
页数:6
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