Volume 30, Issue 6 pp. 1620-1629
Original Article

Exploring the experience of acute inpatient mental health care from the perspective of family and carers of people experiencing psychosis: A qualitative thematic analysis study conducted during the COVID-19 pandemic

Lisa Wood BSc, MRes, DClinPsy, PhD

Corresponding Author

Lisa Wood BSc, MRes, DClinPsy, PhD

Acute and Rehabilitation Directorate, North East London NHS Foundation Trust, Ilford, UK

Division of Psychiatry, University College London, London, UK

Correspondence: Lisa Wood, North East London NHS Foundation Trust, Goodmayes Hospital, Barley Lane, Ilford, IG3 8XJ. Email: [email protected]

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Callam Constant BSc

Callam Constant BSc

Acute and Rehabilitation Directorate, North East London NHS Foundation Trust, Ilford, UK

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Alison Byrne BSc MSc

Alison Byrne BSc MSc

Acute and Rehabilitation Directorate, North East London NHS Foundation Trust, Ilford, UK

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First published: 27 July 2021
Citations: 9

Declaration of Conflict of interest: The researchers also worked clinically in the hospital where this research was conducted. To manage this, none of the researchers recruited participants from the wards they worked in.

Abstract

Family and carers play an important role in supporting service users who are in receipt of acute mental health inpatient care, but they can also be significantly emotionally and physically impacted. The aim of this study was to examine their needs and priorities during this time. Fourteen family and carers of inpatients experiencing psychosis completed semi-structured interviews examining their experiences of inpatient care during the COVID-19 pandemic. Thematic analysis was used to analyse data. Four key themes were identified: ‘A turbulent journey to hospital admission’, ‘I need information and support’, ‘Maintaining my relationship with my loved one’ and ‘Inpatient care is a mixed bag’. Each theme comprised four or five subthemes. The findings demonstrated that family and carers feel excluded from inpatient care and struggled to maintain contact with their loved ones, which was exacerbated by COVID-19 related restrictions. Communication and being regularly informed about their loved one’s care, as well as visiting loved ones, was particularly problematic. Inpatient care needs to be more inclusive of family and carers and ensure they are kept in mind at every stage of the admission.

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