Sammendrag
Background: Reducing involuntary psychiatric admissions is a global concern. In Norway, the rate of involuntary
admissions was 199 per 100,000 people 16 years and older in 2020. Individuals’ paths towards involuntary psychiatric
admissions usually unfold when they live in the community and referrals to such admissions are often initiated by
primary health care professionals. Interventions at the primary health care level can therefore have the potential to
prevent such admissions. Interventions developed specifically for this care level are, however, lacking. To enhance
the quality and development of services in a way that meets stakeholders’ needs and facilitates implementation to
practice, involving both persons with lived experience and service providers in developing such interventions is
requested.
Aim: To develop a comprehensive intervention for primary mental health care aiming to prevent involuntary admis-
sions of adults.
Methods: This study had an action research approach with a participatory research design. Dialogue conferences
with multiple stakeholders in five Norwegian municipalities, inductive thematic analysis of data material from the
conferences, and a series of feedback meetings were conducted.
Results: The co-creation process resulted in the development of the ReCoN (Reducing Coercion in Norway) interven-
tion. This is a comprehensive intervention that includes six strategy areas: [1] Management, [2] Involving Persons with
Lived Experience and Family Carers, [3] Competence Development, [4] Collaboration across Primary and Specialist
Care Levels, [5] Collaboration within the Primary Care Level, and [6] Tailoring Individual Services. Each strategy area
has two to four action areas with specified measures that constitute the practical actions or tasks that are believed to
collectively impact the need for involuntary admissions
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