Involving patients and family in the analysis of a suicide (attempt) or other sentinel events in mental healthcare

A qualitative study in the Netherlands

R.J.R. Bouwman, B. de Graaff, D. de Beurs, H. van de Bovenkamp, I.P. Leistikow, R. Friele

Research output: Contribution to journalArticleScientificpeer-review

4 Downloads (Pure)

Abstract

Involving patients and families in mental healthcare is becoming more commonplace, but little is known about how they are involved in the aftermath of serious adverse events related to quality of care (sentinel events, including suicides). This study explores the role patients and families have in formal processes after sentinel events in Dutch mental healthcare. We analyzed the existing policies of 15 healthcare organizations and spoke with 35 stakeholders including patients, families, their counselors, the national regulator, and professionals. Respondents argue that involving patients and families is valuable to help deal with the event emotionally, provide additional information, and prevent escalation. Results indicate that involving patients and families is only described in sentinel event policies to a limited extent. In practice, involvement consists mostly of providing aftercare and sharing information about the event by providers. Complexities such as privacy concerns and involuntary admissions are said to hinder involvement. Respondents also emphasize that involvement should not be obligatory and stress the need for patients and families to be involved throughout the process of treatment. There is no one-size-fits-all strategy for involving patients and families after sentinel events. The first step seems to be early involvement during treatment process itself.
Original languageEnglish
Article number1104
Number of pages20
JournalInternational Journal of Environmental Research and Public Health
Volume15
Issue number6
DOIs
Publication statusPublished - 2018

Fingerprint

Netherlands
Delivery of Health Care
Information Dissemination
Privacy
Organizations

Keywords

  • BEHAVIOR
  • COMPLAINTS
  • EXPERIENCES
  • bereaved
  • family
  • incident
  • incident analysis
  • incident management
  • mental healthcare
  • participation
  • root cause analysis
  • sentinel event
  • suicide
  • suicide attempt

Cite this

@article{d16fa90a4ad24c0eb380ddb9c3d020a4,
title = "Involving patients and family in the analysis of a suicide (attempt) or other sentinel events in mental healthcare: A qualitative study in the Netherlands",
abstract = "Involving patients and families in mental healthcare is becoming more commonplace, but little is known about how they are involved in the aftermath of serious adverse events related to quality of care (sentinel events, including suicides). This study explores the role patients and families have in formal processes after sentinel events in Dutch mental healthcare. We analyzed the existing policies of 15 healthcare organizations and spoke with 35 stakeholders including patients, families, their counselors, the national regulator, and professionals. Respondents argue that involving patients and families is valuable to help deal with the event emotionally, provide additional information, and prevent escalation. Results indicate that involving patients and families is only described in sentinel event policies to a limited extent. In practice, involvement consists mostly of providing aftercare and sharing information about the event by providers. Complexities such as privacy concerns and involuntary admissions are said to hinder involvement. Respondents also emphasize that involvement should not be obligatory and stress the need for patients and families to be involved throughout the process of treatment. There is no one-size-fits-all strategy for involving patients and families after sentinel events. The first step seems to be early involvement during treatment process itself.",
keywords = "BEHAVIOR, COMPLAINTS, EXPERIENCES, bereaved, family, incident, incident analysis, incident management, mental healthcare, participation, root cause analysis, sentinel event, suicide, suicide attempt",
author = "R.J.R. Bouwman and {de Graaff}, B. and {de Beurs}, D. and {van de Bovenkamp}, H. and I.P. Leistikow and R. Friele",
year = "2018",
doi = "10.3390/ijerph15061104",
language = "English",
volume = "15",
journal = "International Journal of Environmental Research and Public Health",
issn = "1661-7827",
publisher = "MDPI AG",
number = "6",

}

Involving patients and family in the analysis of a suicide (attempt) or other sentinel events in mental healthcare : A qualitative study in the Netherlands. / Bouwman, R.J.R.; de Graaff, B.; de Beurs, D. ; van de Bovenkamp, H.; Leistikow, I.P.; Friele, R.

In: International Journal of Environmental Research and Public Health, Vol. 15, No. 6, 1104, 2018.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Involving patients and family in the analysis of a suicide (attempt) or other sentinel events in mental healthcare

T2 - A qualitative study in the Netherlands

AU - Bouwman, R.J.R.

AU - de Graaff, B.

AU - de Beurs, D.

AU - van de Bovenkamp, H.

AU - Leistikow, I.P.

AU - Friele, R.

PY - 2018

Y1 - 2018

N2 - Involving patients and families in mental healthcare is becoming more commonplace, but little is known about how they are involved in the aftermath of serious adverse events related to quality of care (sentinel events, including suicides). This study explores the role patients and families have in formal processes after sentinel events in Dutch mental healthcare. We analyzed the existing policies of 15 healthcare organizations and spoke with 35 stakeholders including patients, families, their counselors, the national regulator, and professionals. Respondents argue that involving patients and families is valuable to help deal with the event emotionally, provide additional information, and prevent escalation. Results indicate that involving patients and families is only described in sentinel event policies to a limited extent. In practice, involvement consists mostly of providing aftercare and sharing information about the event by providers. Complexities such as privacy concerns and involuntary admissions are said to hinder involvement. Respondents also emphasize that involvement should not be obligatory and stress the need for patients and families to be involved throughout the process of treatment. There is no one-size-fits-all strategy for involving patients and families after sentinel events. The first step seems to be early involvement during treatment process itself.

AB - Involving patients and families in mental healthcare is becoming more commonplace, but little is known about how they are involved in the aftermath of serious adverse events related to quality of care (sentinel events, including suicides). This study explores the role patients and families have in formal processes after sentinel events in Dutch mental healthcare. We analyzed the existing policies of 15 healthcare organizations and spoke with 35 stakeholders including patients, families, their counselors, the national regulator, and professionals. Respondents argue that involving patients and families is valuable to help deal with the event emotionally, provide additional information, and prevent escalation. Results indicate that involving patients and families is only described in sentinel event policies to a limited extent. In practice, involvement consists mostly of providing aftercare and sharing information about the event by providers. Complexities such as privacy concerns and involuntary admissions are said to hinder involvement. Respondents also emphasize that involvement should not be obligatory and stress the need for patients and families to be involved throughout the process of treatment. There is no one-size-fits-all strategy for involving patients and families after sentinel events. The first step seems to be early involvement during treatment process itself.

KW - BEHAVIOR

KW - COMPLAINTS

KW - EXPERIENCES

KW - bereaved

KW - family

KW - incident

KW - incident analysis

KW - incident management

KW - mental healthcare

KW - participation

KW - root cause analysis

KW - sentinel event

KW - suicide

KW - suicide attempt

U2 - 10.3390/ijerph15061104

DO - 10.3390/ijerph15061104

M3 - Article

VL - 15

JO - International Journal of Environmental Research and Public Health

JF - International Journal of Environmental Research and Public Health

SN - 1661-7827

IS - 6

M1 - 1104

ER -