How can we best help this patient? Exploring mental health therapists’ reflections on medication-free care for patients with psychosis in Norway

• DOI: 10.1186/s13033-022-00529-8
• Publication Date: 2022-04-04T04:02:39Z
• Authors: Christine Henriks...; Ana Lorena Ruano; Anne Blindheim; Marius Veseth; Brynjulf Stige; Larry Davidson; Ingunn Marie Stad...
• Keywords: Health administration; Mental Health Care; Mental health care

Since 2015, Norwegian Regional Health Authorities have followed new government policy and gradually implemented medication-free services for patients with psychosis. The aim of this qualitative study was to explore the tension between practice, how health care workers in Bergen reflect on their role implementing treatment. We performed three focus group discussions including 17 therapists working within medication free services, asking about experiences treatment program. used Systematic Text Condensation data analysis. findings were discussed using Michael Lipsky's theoretical framework public play implementation. Following Norway's challenging our study, particularly balancing a patient's needs guidelines, legal available resources. Therapists had an overarching wish help through cooperation therapeutic alliance, but alliance sometimes fragile, worried patients' conditions worsening. Democratization choices, empowering mental care, challenges level professional discretion given that might conflicting goals. Balancing desire help, responsibility, perceived lack resources, certain patient choices created can leave feeling disempowered alienated from work. N/A.