What Should Inpatient Psychological Therapies be for? Qualitative Views of Service Users on Outcomes

Ceri Morgan, Lucy Clarkson, Rebecca Hiscocks, Katherine Berry, Natasha Tyler, Lisa Wood, Pamela Jacobsen

Research output: Contribution to journalArticlepeer-review

Abstract

Background
There is limited research on what, when and how outcomes should be measured in psychological therapy trials in acute mental health inpatient wards.

Objectives
This study aimed to consider what outcomes service users think are important to measure.

Methods
This qualitative study explored the views of 14 participants, who had an inpatient admission within the last year, on outcomes of psychological therapies using semistructured interviews. Data were analysed using thematic analysis from a critical realist perspective with both inductive and deductive coding.

Results
The 126 outcomes that were important to participants were mapped onto an established taxonomy of outcomes across different health areas and the socioecological framework to consider the wider context and help summarise the outcomes. Most of the outcomes were mapped to the intrapersonal and interpersonal level. In addition to the outcome mapping, three themes were constructed from the qualitative data: (1) I am not a problem I am a person, (2) Feeling cared for and loved, (3) What does getting better look like.

Conclusions
Our results highlight the need for patient-reported outcomes which are cocreated with service users, disseminating research and training on preventing dehumanising experiences, enhancing psychological safety and therapeutic relationships and improving access to psychological therapy.

Patient or Public Contribution
The wider People with Personal Experience Involvement Committee at the University of Bath were consulted which included a focus group during the early planning stages. We also collaborated with a person with personal experience, at every stage of the research. This included developing our research question and aims, protocol, participant documents (e.g., information and debrief forms), advertisement and recruitment strategy, interview topic guide, the codes, the final themes and quotes and reviewing the manuscript. People with lived experience of being admitted to an acute mental health inpatient ward participated in our study.
Original languageEnglish
Article numbere13889
JournalHealth Expectations
Volume27
Issue number1
Early online date12 Oct 2023
DOIs
Publication statusPublished - 29 Feb 2024

Bibliographical note

The University of Bath funded the project costs (people with lived experience time and participant vouchers).

DATA AVAILABILITY STATEMENT
The data that support the findings of this study are openly available in the University of Bath repository (https://doi.org/10.15125/BATH-01265).

Keywords

  • acute
  • inpatient
  • mental health
  • outcomes
  • patient-reported outcomes
  • psychological therapies
  • service users
  • views

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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