“This is not a Life Anyone would want”—A Qualitative Study of Norwegian ACT Service users' Experience with Mental Health Treatment

ABSTRACT

We discuss Norwegian service users' experiences with community mental health treatment in general, and the interprofessional Assertive Community Treatment (ACT) model in particular. To gain the right to treatment, service users have to accept certain limitations, such as medication and community treatment orders (CTOs). Seventy participants responded to five open-ended questions. In addition, eight of them participated in either focus group or interviews.

A collaborative approach, using Stepwise-Deductive Induction (SDI) method was used to analyze the participants' experiences. The results showed that the treatment contributes to an experience of autonomy but also one of restriction. It provides service users with enhanced normalcy, but simultaneously a feeling of deviance. There needs to be an ongoing reflection and discussion about those paradoxes in treatment, and service users have to be involved.

Acknowledgments

We gratefully acknowledge the support and generosity of the National Centre for Knowledge through Experience in Mental Health and Regional Research Network in Psychotic Disorders.

Declaration of interest

The author(s) declares no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Additional information

Funding

Norwegian Directorate of Health