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  • 1.
    Lindgren, Eva
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Gabrielsson, Sebastian
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Kostenius, Catrine
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation.
    A method to give voice to young people with experience of mental ill-health2019In: 5TH HORATIO FESTIVAL OF PSYCHIATRIC NURSING, 2019Conference paper (Refereed)
  • 2.
    Kostenius, Catrine
    et al.
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation.
    Lindgren, Eva
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Egenmakt, jämlikhet och effektivitet: hur kan e-hälsotjänster inom barn- och ungdomspsykiatrin möta de ungas behov?2018In: BUP kongress: Moderna tider på BUP, Luleå, april 24-25, 2018, 2018Conference paper (Other (popular science, discussion, etc.))
  • 3.
    Lindgren, Eva
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    It’s all about survival: Överflyttning från Barn- och Ungdomspsykiatrin till vuxenpsykiatrin - från unga vuxnas och närståendes perspektiv2018In: BUP kongress: Moderna tider på BUP, Luleå, april 24-25, 2018, 2018Conference paper (Other (popular science, discussion, etc.))
  • 4.
    Kostenius, Catrine
    et al.
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation.
    Gard, Gunvor
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation.
    Lindgren, Eva
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Bykachev, Kirsi
    University of Eastern Finland.
    Karppi, Jussi
    University of Eastern Finland.
    Kumpulainen, Kirsti
    University of Eastern Finland.
    Sormunen, Marjorita
    University of Eastern Finland.
    Turunen, Outi
    University of Eastern Finland.
    Turunen, Hannele
    University of Eastern Finland.
    Thompson, Lucy
    University of Aberdeen.
    Wilson, Philip
    University of Aberdeen.
    Breivik, Elin Anne
    Norwegian Centre for e-Health Research.
    Hege Fagerheim, Siv
    Norwegian Centre for e-Health Research.
    Larsen, Frank
    Norwegian Centre for e-Health Research.
    Experiences of using eHealth to improve psychiatry services for children andadolescents in peripheral areas2017In: Ninth International Congress of Arctic Social Sciences: People and Place (ICASS IX), 2017Conference paper (Refereed)
  • 5.
    Lindgren, Eva
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Well-being of parents' caring for young adults with mental illness transitioning to adulthood2017In: 17th International ESCAP Congress, Geneva, July 9-11, 2017: Transition, Child and adolescent psychiatry in a world of change, 2017Conference paper (Refereed)
    Abstract [en]

    Objectives: When young adults with mental illness become of age they have to be transferred to adult psychiatry if they need continued psychiatric care. This transfer is more than a change of caring units, as they undergo multiple transitions during this period in life. Transitioning to adulthood can be a critically period and as the young adults are considered adults they need to take responsibility for their matter of health and make decisions about care and treatment, even though they may not be mature to make such decisions. A prolonged transition to adulthood may further put demands on parents to continue providing support even though the young adult already reached the age of majority. The aim of my studies was to explore young adults’ transitions within psychiatric care from the perspective of young adults and relatives. Method: To reach the aim individual interviews were conducted with young adults aged 18-26 years and parents to young adults with mental illness. The method for data selection and analysis was Grounded Theory. Result: The analysis resulted in a grounded theory explaining that support and intrinsic motivation are prerequisites for young adults’ transition and recovery. Intrinsic motivation was created by trustful caring relationships and a supportive care environment. Furthermore, the young adults were dependent on support from their parents to manage transition. Without those conditions the risk for dropping out of care increased. From the parents’ perspective, the prolonged responsibility of parenting had impact of their well-being, as it implied a round-a-clock caring for their children. The parents needed support for their own sake to manage life. With an inclusive attitude from the professionals and a possibility to participate in care, the parents could find relief from their inescapable duties of parenting. Conclusion: To facilitate young adults’ transitions, transition planning should be carried out in cooperation with the caring units and the family. To reduce the risk of “falling into the caring gap”, individual assessment of the young adult’s intrinsic motivation to receive care and level of support from parents should be considered. Professionals need to offer parents support, otherwise, there is a risk of young adults dropping out of care as they need support from their parents to manage transition to adulthood and recovery.

  • 6.
    Lindgren, Eva
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Söderberg, Siv
    Mid Sweden University, Östersund, Department of Nursing and Health Sciences.
    Skär, Lisa
    Blekinge Institute of Technology, Department of Health, Karlskrona.
    Being a Parent to a Young Adult with Mental Illness in Transition to Adulthood2016In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 37, no 2, p. 98-105Article in journal (Refereed)
    Abstract [en]

    Parents of young adults with mental illness may face a continueddemand for support, even though their children have reachedthe age of majority. The aim of this study was to explore relatives’experiences of parenting a young adult with mental illnessin transition to adulthood. Individual interviews were conductedand analysed according to Grounded Theory. The results showedthat relatives experienced powerlessness and a sense of inescapableduty with limited possibilities to be relieved.With a family nursingapproach, relatives can be supported and, when the young adults’needs of care are met, they can be relieved from their burden ofresponsibility.

  • 7.
    Bykachev, Kirsi
    et al.
    University of Eastern Finland.
    Tossavainen, Kerttu
    University of Eastern Finland.
    Kumpulainen, Kirsti
    University of Eastern Finland.
    Wilson, Philip
    University of Aberdeen.
    Kostenius, Catrine
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Gard, Gunvor
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Lindgren, Eva
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Bjørvig, Siri
    University Hospital of North Norway.
    Borgen, Morten
    University Hospital of North Norway.
    Improving psychiatry services for children and adolescents with eHealth in peripheral areas2016Conference paper (Other academic)
  • 8.
    Bykachev, Kirsi
    et al.
    University of Eastern Finland.
    Tossavainen, Kerttu
    University of Eastern Finland.
    Kumpulainen, Kirsti
    University of Eastern Finland.
    Kostenius, Catrine
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Gard, Gunvor
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Lindgren, Eva
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Wilson, Philip
    University of Aberdeen.
    Bjørvig, Siri
    University Hospital of North Norway.
    Borgen, Morten
    University Hospital of North Norway.
    Multi-professional collaboration and consultation: Improving child and adolescent psychiatry with eHealth2016Conference paper (Other academic)
  • 9.
    Lindgren, Eva
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Söderberg, Siv
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Skär, Lisa
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Swedish young adults’ experiences of psychiatric care during transition to adulthood2015In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 36, no 3, p. 182-189Article in journal (Refereed)
    Abstract [en]

    The number of young adults with mental illness and the need of psychiatric care has increased during the last decades. The aim of the study was to explore young adults’ experiences of psychiatric care during transition to adulthood. Individual interviews were conducted with 11 young adults and analysed according to Grounded Theory. The analyses results showed that support was a prerequisite for transition to adulthood and striving to reach recovery. By being encountered as a person and with a supportive environment, young adults can be motivated to continue care and be encouraged to express feelings.

  • 10.
    Lindgren, Eva
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    “It’s all about survival”: Young adults’ transitions within psychiatric care from the perspective of young adults, relatives, and professionals2014Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Aim:The overall aim of this thesis was to explore young adults’ transitions within psychiatric care from the perspective of young adults, relatives, and professionals. Method: The thesis includes four studies (I–IV) with a qualitative approach. Data for study I were collected through focus group discussionswith professionals of child and adolescent psychiatry (CAP) and general psychiatry (GenP), and analyzed using deductive content analysisbased on Meleis’s theory of transition. Data for studies II–IVwere collected from individualinterviews with young adults and relatives withexpectations and experiences of transfer from CAP to GenP (II), from young adults with experiences of care in both CAP and GenP (III), andfrom relatives with experiences of parenting young adults with mental illness (IV). The data from studies II–IV were analyzed using grounded theory(GT) as described by Corbin and Strauss.Results:The synthesis of the four studies (I–IV) resulted in a grounded theory, “Support and intrinsic motivation as prerequisites for transition and recovery,” describing young adults’ transitions within psychiatric care. The result shows that young adults with mental illness undergo multiple simultaneous transitions during transfer from CAP to GenP, and that theseinclude developmental, situational/organizational, and health/illness transitions. It was important for the young adult to achieve intrinsic motivation in order to take responsibility for healthcare matters, to continue care, and to strive for recovery. Intrinsic motivation to continue care was created by trustful, caring relationships with professionals who encountered the young adults as a person, with respect to maturity. Furthermore, the result shows the importance of inclusive attitudes towards relatives, with possibilities for them to participate in young adults’ care as well as opportunities to receive professional support for themselves, which facilitated relatives’ abilities to manage their own lives and, moreover, to continue to providesupport to young adults with mental illness.Conclusions:This thesis highlights knowledge about the multiple simultaneous transitions that young adults experience when they reach the age of 18 and have closure of their care at CAP and continue care at GenP. To facilitate these transitions and empower young adults to continue care when it is needed and to strive for recovery, professionals need to take into account the factorsthat facilitate or inhibit healthy outcomes. Transition planning in cooperation with CAP, GenP, the young adult, and his or her relatives is recommended in order to reduce uncertainty about the new situation. It is also important to take into account that young adults need continuity andsupport in order to create trustful relationships. To reduce the risk of “falling into the caring gap,” individual assessments about young adults’ needs,intrinsic motivation to receive care, and access to support from relatives should be implemented in the transition planning. If the young adultsand their relatives fail to receive the support they need, the risk for their dropping out of care is increased.

  • 11.
    Lindgren, Eva
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Söderberg, Siv
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Skär, Lisa
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Managing transition with support: Experiences of transition from child and adolescent psychiatry to general adult psychiatry narrated by young adults and relatives2014In: Psychiatry Journal, ISSN 2314-4327, E-ISSN 2314-4335, article id 457160Article in journal (Refereed)
    Abstract [en]

    Young adults with mental illness who need continuing care when they turn 18 are referred from child and adolescent psychiatry to general adult psychiatry. During this process, young adults are undergoing multiple transitions as they come of age while they transfer to another unit in healthcare. The aim of this study was to explore expectations and experiences of transition from child and adolescent psychiatry to general adult psychiatry as narrated by young adults and relatives. Individual interviews were conducted with three young adults and six relatives and analysed according to grounded theory. The analysis resulted in a core category: managing transition with support, and three categories: being of age but not mature, walking out of security and into uncertainty, and feeling omitted and handling concerns. The young adults’ and relatives' main concerns were that they might be left out and feel uncertainty about the new situation during the transition process. To facilitate the transition process, individual care planning is needed. It is essential that young adults and relatives are participating in the process to be prepared for the changes and achieve a successful transition. Knowledge about the simultaneous processes seems to be an important issue for facilitating transition.

  • 12.
    Lindgren, Eva
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Stort steg till vuxenvård2014In: Vaardfokus, ISSN 2000-5717, Vol. 2014, no 4, p. 46-47Article in journal (Other (popular science, discussion, etc.))
  • 13.
    Lindgren, Eva
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Glappet mellan BUP och vuxenpsykiatrin2013In: Psyche, ISSN 0283-3468, no 4, p. 18-19Article in journal (Other (popular science, discussion, etc.))
  • 14.
    Lindgren, Eva
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Söderberg, Siv
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Skär, Lisa
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    The gap in transition between child and adolescent psychiatry and general adult psychiatry2013In: Journal of Child and Adolescent Psychiatric Nursing, ISSN 1073-6077, E-ISSN 1744-6171, Vol. 26, no 2, p. 103-9Article in journal (Refereed)
    Abstract [en]

    BackgroundDuring transition from child and adolescent psychiatry (CAP) to general adult psychiatry (GenP) young adults with mental illness face multilevel transitions along with a risk for disruption in continuity of care. The aim of this study was to describe professionals' experiences and views of the transition process from CAP to GenP. MethodData were collected through six focus group discussions with professionals from both CAP and GenP and analyzed by content analysis. ResultsThe results showed a gap in transition between CAP and GenP when different perspectives and care cultures meet in a complex process. ConclusionsCooperation, transition planning, and a mutual understanding of care can support young adults in transition from CAP to GenP.

  • 15.
    Lindgren, Eva
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Söderberg, Siv
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Skär, Lisa
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    The gap in transition between child and adolescent psychiatry and general psychiatry2013Conference paper (Refereed)
    Abstract [en]

    BACKGROUND: During transition between Child and adolescent psychiatry (CAP) and General adult psychiatry (GenP) young adults with mental illness face multilevel transitions along with a risk for disruption in continuity of care. Rigid boundaries between the disciplines can be a disadvantage and to decrease the risk transition planning and cooperation are needed.AIM: The aim of this study was to describe professionals’ experiences and views of the transition process from CAP to GenP. METHOD: Data were collected through six focus group discussions with professionals from both CAP and GenP. RESULTS: Data were analysed by content analysis with an deductive approach based on Meleis' middle-range theory of transition. The results showed that young adults were undergoing developmental transitions simultaneous with situational transitions, and they were expected to take responsibility despite they still were in need of support. A gap in transition between CAP and GenP arises when different perspectives, i.e. family and individual perspective, and care cultures meet in a complex process. Lack of knowledge, a mutual understanding and cooperation could also increase the gap. To be able to support the young adult the professionals suggested an individual approach in the transition process.CONCLUSIONS: It is important that professionals at both CAP and GenP focus on transition issues to support young adults to reach a successful transition and adjust to the new situation as adults and user of health care at GenP. Cooperation, transition planning, and a mutual understanding of care can support young adults in transition from CAP to GenP.

1 - 15 of 15
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