“I was worried if I don’t have a broken leg they might not take it seriously": Experiences of men accessing ambulance services for mental health and/or alcohol and other drug problems

Nyssa Ferguson, Michael Savic, Terence McCann, Kate Emond, Emma Sandral, Karen Smith, Louise Roberts, Emma Bosley, Dan Lubman

Research output: Contribution to journalArticle

Abstract

Background: A large proportion of ambulance callouts are for men with mental health and/or alcohol and other drug (AOD) problems, but little is known about their experiences of care. This study aimed to describe men's experiences of ambulance care for mental health and/or AOD problems, and factors that influence their care. Methods: Interviews were undertaken with 30 men who used an ambulance service for mental health and/or AOD problems in Australia. Interviews were analysed using the Framework approach to thematic analysis. Results: Three interconnected themes were abstracted from the data: (a) professionalism and compassion, (b) communication and (c) handover to emergency department staff. Positive experiences often involved paramedics communicating effectively and conveying compassion throughout the episode of care. Conversely, negative experiences often involved a perceived lack of professionalism, and poor communication, especially at handover to emergency department staff. Conclusion: Increased training and organizational measures may be needed to enhance paramedics' communication when providing care to men with mental health and/or AOD problems.

Original languageEnglish
Pages (from-to)565-574
Number of pages10
JournalHealth Expectations
Volume22
Issue number3
Early online date4 Apr 2019
DOIs
Publication statusPublished - Jun 2019

Bibliographical note

This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
© 2019 The Authors Health Expectations published by John Wiley & Sons Ltd

Keywords

  • alcohol and other drugs
  • ambulance services
  • mental health
  • paramedics
  • qualitative research
  • stigma

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