{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T18:29:05Z","timestamp":1779301745123,"version":"3.51.4"},"reference-count":39,"publisher":"Royal College of Psychiatrists","issue":"2","license":[{"start":{"date-parts":[[2025,3,26]],"date-time":"2025-03-26T00:00:00Z","timestamp":1742947200000},"content-version":"unspecified","delay-in-days":25,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["BJPsych open"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:sec id=\"S205647242500016X_as1\">\n\t    <jats:title>Background<\/jats:title>\n\t    <jats:p>Care planning for recovery and to work towards hospital discharge is integral to good practice in mental health in-patient settings. Authorised leave from hospital, especially for those who are detained, can be used to check readiness for discharge and to maintain social connections that support a patient\u2019s recovery journey. Leave therefore often involves friends and family, or \u2018carers\u2019. However, carer involvement in planning leave is limited, and carers struggle with feeling unsupported during the leave.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S205647242500016X_as2\">\n\t    <jats:title>Aims<\/jats:title>\n\t    <jats:p>This study aimed to explore carers\u2019 and mental health practitioners\u2019 subjective experiences of leave in the context of implementing a set of practice guidelines for involving carers in planning and undertaking leave from hospital.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S205647242500016X_as3\">\n\t    <jats:title>Method<\/jats:title>\n\t    <jats:p>Nine wards in six National Health Service trusts were recruited to implement the guidelines. Interviews were undertaken with carers (<jats:italic>n<\/jats:italic> = 6) and practitioners (<jats:italic>n<\/jats:italic> = 3) from these implementation wards and with carers (<jats:italic>n<\/jats:italic> = 7) from nine usual care wards. A further ten practitioners completed an anonymous online survey. Data were analysed thematically.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S205647242500016X_as4\">\n\t    <jats:title>Results<\/jats:title>\n\t    <jats:p>Carers\u2019 experiences on both implementation and usual care wards indicated variable levels of involvement, with carers positioned as partners in care, observers of care or outsiders to care. Practitioner perspectives highlighted practical, structural and conceptual challenges in working with carers, which precluded effective implementation of the guidelines.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S205647242500016X_as5\">\n\t    <jats:title>Conclusions<\/jats:title>\n\t    <jats:p>The guidelines reflected what both carers and practitioners described as good practice, but resource limitations, unclear responsibilities and perceptions of carer roles limited engagement. Implementing approaches to working with carers in in-patient settings requires resourcing and clear role definition within staff\u2013carer relationships.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1192\/bjo.2025.16","type":"journal-article","created":{"date-parts":[[2025,3,26]],"date-time":"2025-03-26T07:28:31Z","timestamp":1742974111000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":1,"title":["Supporting unpaid carers during section 17 leave from mental health in-patient wards: carer and practitioner perspectives"],"prefix":"10.1192","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-4602-4237","authenticated-orcid":false,"given":"Laura","family":"Tucker","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicola","family":"Moran","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ruth","family":"Naughton-Doe","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emma","family":"Wakeman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark","family":"Wilberforce","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Webber","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"170","published-online":{"date-parts":[[2025,3,26]]},"reference":[{"key":"S205647242500016X_ref17","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-024-05602-9"},{"key":"S205647242500016X_ref2","doi-asserted-by":"crossref","first-page":"328","DOI":"10.1097\/PSY.0000000000000871","article-title":"Mental health during COVID-19 lockdown in the United Kingdom","volume":"83","author":"Pieh","year":"2021","journal-title":"Psychosomat Med"},{"key":"S205647242500016X_ref36","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2021.114523"},{"key":"S205647242500016X_ref11","volume-title":"Service User Experience in Adult Mental Health Services: Improving the Experience of Care for People Using Adult NHS Mental Health Services. Clinical Guideline 136","year":"2011"},{"key":"S205647242500016X_ref39","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2020.09.040"},{"key":"S205647242500016X_ref9","doi-asserted-by":"publisher","DOI":"10.1192\/bjo.2019.101"},{"key":"S205647242500016X_ref22","volume-title":"Qualitative Methods for Health Research","author":"Green","year":"2021"},{"key":"S205647242500016X_ref38","doi-asserted-by":"crossref","first-page":"591","DOI":"10.1177\/1049732316665344","article-title":"Code saturation versus meaning saturation: how many interviews are enough?","volume":"27","author":"Hennink","year":"2017","journal-title":"Qual Health Res"},{"key":"S205647242500016X_ref10","doi-asserted-by":"crossref","first-page":"e535","DOI":"10.1111\/hsc.12796","article-title":"Caregivers\u2019 experiences of service transitions in adult mental health: an integrative qualitative synthesis","volume":"27","author":"Clibbens","year":"2019","journal-title":"Health Soc Care Commun"},{"key":"S205647242500016X_ref19","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-6427.2012.00584.x"},{"key":"S205647242500016X_ref23","doi-asserted-by":"publisher","DOI":"10.1177\/1470785318805305"},{"key":"S205647242500016X_ref29","doi-asserted-by":"publisher","DOI":"10.1080\/09638237.2022.2069702"},{"key":"S205647242500016X_ref15","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1186\/s12888-017-1259-5","article-title":"How to make carer involvement in mental health inpatient units happen: a\u00a0focus group study with patients, carers and clinicians","volume":"17","author":"Giacco","year":"2017","journal-title":"BMC Psychiatry"},{"key":"S205647242500016X_ref28","doi-asserted-by":"publisher","DOI":"10.1017\/S2045796020000426"},{"key":"S205647242500016X_ref18","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1080\/09638237.2020.1818195","article-title":"Great expectations: views and perceptions of professionalism amongst mental health services staff, patients and carers","volume":"31","author":"Aylott","year":"2022","journal-title":"J Mental Health"},{"key":"S205647242500016X_ref1","volume-title":"Supporting Carers: Mental Health Carers\u2019 Assessments in Policy and Practice","author":"Matthews","year":"2017"},{"key":"S205647242500016X_ref31","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-018-0726-9"},{"key":"S205647242500016X_ref35","volume-title":"Leadership for a Collaborative and Inclusive Future","year":"2022"},{"key":"S205647242500016X_ref33","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1016\/j.ijlp.2018.07.005","article-title":"Non-medical approved clinicians: results of a first national survey in England and Wales","volume":"60","author":"Oates","year":"2018","journal-title":"Int J Law Psychiatry"},{"key":"S205647242500016X_ref20","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0025425"},{"key":"S205647242500016X_ref24","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-74173-4_10"},{"key":"S205647242500016X_ref27","doi-asserted-by":"publisher","DOI":"10.1111\/jep.13622"},{"key":"S205647242500016X_ref8","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-022-03872-9"},{"key":"S205647242500016X_ref7","volume-title":"State of Caring: A Snapshot of Unpaid Care in the UK","year":"2022"},{"key":"S205647242500016X_ref26","volume-title":"Thematic Analysis: A Practical Guide","author":"Braun","year":"2021"},{"key":"S205647242500016X_ref30","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2021.103870"},{"key":"S205647242500016X_ref5","doi-asserted-by":"crossref","first-page":"25","DOI":"10.31389\/jltc.3","article-title":"Review of the international evidence on support for unpaid carers","author":"Brimblecombe","year":"2018","journal-title":"J Long-Term Care"},{"key":"S205647242500016X_ref37","doi-asserted-by":"publisher","DOI":"10.1177\/1525822X05279903"},{"key":"S205647242500016X_ref34","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2524.2007.00748.x"},{"key":"S205647242500016X_ref3","volume-title":"Covid-19 and the Nation\u2019s Mental Health: Forecasting Needs and Risks in the UK October 2020","author":"O\u2019Shea","year":"2020"},{"key":"S205647242500016X_ref4","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.o1336"},{"key":"S205647242500016X_ref16","first-page":"133","article-title":"The missing voices: carers\u2019 experiences of section 17 leave (Mental Health Act 1983) in England","volume":"34","author":"Wakeman","year":"2022","journal-title":"Pract Soc Work Action"},{"key":"S205647242500016X_ref21","doi-asserted-by":"publisher","DOI":"10.1186\/s12982-017-0063-5"},{"key":"S205647242500016X_ref32","doi-asserted-by":"publisher","DOI":"10.1192\/bjo.2020.70"},{"key":"S205647242500016X_ref12","volume-title":"Refocusing the Care Programme Approach: Policy and Positive Practice Guidance","year":"2008"},{"key":"S205647242500016X_ref13","doi-asserted-by":"publisher","DOI":"10.1177\/1049731517753685"},{"key":"S205647242500016X_ref6","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-017-2213-4"},{"key":"S205647242500016X_ref14","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.110.083733"},{"key":"S205647242500016X_ref25","doi-asserted-by":"publisher","DOI":"10.1002\/nur.22227"}],"container-title":["BJPsych Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S205647242500016X","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,26]],"date-time":"2025-03-26T07:30:16Z","timestamp":1742974216000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S205647242500016X\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3]]},"references-count":39,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2025,3]]}},"alternative-id":["S205647242500016X"],"URL":"https:\/\/doi.org\/10.1192\/bjo.2025.16","relation":{},"ISSN":["2056-4724"],"issn-type":[{"value":"2056-4724","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,3]]},"assertion":[{"value":"\u00a9 The Author(s), 2025. Published by Cambridge University Press on behalf of Royal College of Psychiatrists","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e71"}}