Joachim Eckerström

Research problem This project investigates whether the crisis intervention patient-initiated brief admission (PIBA) can prevent involuntary psychiatric care and reduce severe deteriorations (including suicidality) among children and adolescents with complex psychiatric problems. It also examines the organizational, competence-related, and economic prerequisites for a sustainable, equitable implementation, as well as patients’ and relatives’ experiences of PIBA. Specific questions Effects on Healthcare Utilization and Acute Deterioration How does PIBA affect the extent of involuntary measures, inpatient care, emergency visits, and outpatient interventions, and can it prevent severe deterioration (including suicidality)? Organizational and Competence Requirements Which resources and structures are needed for long-term, equitable implementation of PIBA within Child and Adolescent Psychiatry (BUP), and how are workload and collaboration affected? Patient and Family Perspectives How do children and adolescents, as well as their relatives, experience PIBA in terms of well-being and participation, and how can these experiences help reduce inequalities in care? Data and Methods Study 1 (Quasi-experimental Register Study): Analyzes healthcare utilization and involuntary measures before/after PIBA, using national registry data. Study 2 (Mixed Methods): Combines surveys and qualitative methods to explore organizational and health-economic aspects of PIBA. Study 3 (Qualitative Interview Study): Provides in-depth understanding of how children, adolescents, and their relatives experience PIBA. Societal relevance and utilization Evaluating PIBA may help reduce the need for involuntary measures and prolonged hospital stays in BUP, strengthening evidence for early, person-centered interventions. The findings are expected to inform policies, routines, and support materials that foster equitable care and improved collaboration between outpatient and inpatient services. Plan for project realization Conducted over four years in close collaboration with BUP leadership, staff, and patient representatives, the studies will gather national registry data, distribute surveys to relevant staff, and conduct interviews with patients and relatives. Results will be communicated via scientific publications, conferences, and support materials to facilitate the implementation of PIBA.