'Don't abandon me': Young people's experiences of child and adolescent psychiatric inpatient care supporting recovery described in blogs.
Rebecca Wallström, Eva Lindgren, Sebastian Gabrielsson
PMID 33098232WHAT IT FOUND
Young people in child and adolescent psychiatric inpatient care described recovery support when staff listened, believed in them and made them feel safe.
Being ignored, distrusted, humiliated or discharged when they did not feel ready was experienced as abandonment.
Key findings
01Being listened to was described as helping young people begin to understand their feelings and as a prerequisite for adequate care.
02Staff not giving up, believing in young people's future and involving them in care were described as experiences that supported hope.
03Staff presence was described as helping young people feel safe, while public restraint and humiliating treatment were described as violating.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study analysed blogs, so it only represents young people willing and able to write publicly about their care. The blogs were written by women and likely focused on eating disorders, so it says little about young men, non-binary people or a wider range of mental-health conditions. The study did not check ethnicity, socio-economic status or other background variation. Bloggers were not asked to review the findings. The material came from Swedish inpatient care during 2010-2018.
The easy way to misread this
Do not read these themes as evidence that listening, believing and safety practices improve recovery. They are experiences reported in 27 blogs by young women, mostly with eating disorders, and the study describes experiences rather than testing whether care changes recovery.