Blar i forfatter "Myklebust, Lars Henrik Ryther"
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Decentralization matters : differently organized mental health services relationship to staff competence and treatment practice : the VELO study
Bjorbekkmo, Svein; Olstad, Reidun E.; Sørgaard, Knut; Myklebust, Lars Henrik Ryther; Molvik, Stian; Nymann, Asle (Journal article; Tidsskriftartikkel; Peer reviewed, 2009) -
The factor structure and psychometric properties of the Clinical Outcomes in Routine Evaluation – Outcome Measure (CORE-OM) in Norwegian clinical and non-clinical samples
Skre, Ingunn; Friborg, Oddgeir; Elgarøy, Sigmund; Evans, Chris; Myklebust, Lars Henrik Ryther; Lillevoll, Kjersti; Sørgaard, Knut; Hansen, Vidje (Journal article; Tidsskriftartikkel; Peer reviewed, 2013)Background The Clinical Outcomes in Routine Evaluation - Outcome Measure (CORE-OM) is a 34-item instrument developed to monitor clinically significant change in out-patients. The CORE-OM covers four domains: well-being, problems/symptoms, functioning and risk, and sums up in two total scores: the mean of All items, and the mean of All non-risk items. The aim of this study was to examine the ... -
How mental health service systems are organized may affect the rate of acute admissions to specialized care: Report from a natural experiment involving 5338 admissions
Myklebust, Lars Henrik Ryther; Sørgaard, Knut W.; Wynn, Rolf (Journal article; Tidsskriftartikkel; Peer reviewed, 2017-07-10)Objectives: Studies on the dynamics between service organization and acute admissions to psychiatric specialized care have given ambiguous results. We studied the effect of several variables, including service organization, coercion, and patient characteristics on the rate of acute admissions to psychiatric specialist services. In a natural experiment-like study in Norway, we compared a ... -
Impact on continuity of care of decentralized versus partly centralized mental health care in Northern Norway
Myklebust, Lars Henrik Ryther; Olstad, Reidun E.; Bjorbekkmo, Svein; Eisemann, Martin; Wynn, Rolf; Sørgaard, Knut (Journal article; Tidsskriftartikkel; Peer reviewed, 2011)The issue of continuity of care is central in contemporary psychiatric services research. In Norway, inpatient admissions are mainly to take place locally, in a system of small bed-units that represent an alternative to traditional central psychiatric hospitals. This type of organization may be advantageous for accessibility and cooperation, but has been given little scientific attention. To study ... -
Local inpatient units may increase patients' utilization of outpatient services: A comparative cohort-study in Nordland County, Norway
Myklebust, Lars Henrik Ryther; Sørgaard, Knut W.; Wynn, Rolf (Journal article; Tidsskriftartikkel; Peer reviewed, 2015-10-28)Objectives: In the last few decades, there has been a restructuring of the psychiatric services in many countries. The complexity of these systems may represent a challenge to patients that suffer from serious psychiatric disorders. We examined whether local integration of inpatient and outpatient services in contrast to centralized institutions strengthened continuity of care. <p>Methods: Two ... -
Local psychiatric beds appear to decrease the use of involuntary admission: A case-register study
Myklebust, Lars Henrik Ryther; Sørgaard, Knut; Wynn, Rolf (Journal article; Tidsskriftartikkel; Peer reviewed, 2014)Background: Studies on the effect of organizational factors on the involuntary admission of psychiatric patients have been few and yielded inconclusive results. The objective was to examine the importance of type of service-system, level of care, length of inpatient stay, gender, age, and diagnosis on rates of involuntary admission, by comparing one deinstitutionalized and one locally institutionalized ...