Table 4.

Distrust group: unmet expectations and unaddressed needs

Theme	Example quotations
Unmet expectations	“My only experience with inpatient stuff was from movies, which was not accurate. I expected it to be more like [‘To the Bone’ on Netflix]. You were just kind of at a hotel, and you were allowed to do your own thing and…in the movie they had their phones. So I expected, I was like I’ll be able to have my computer and all this stuff. It shouldn’t be too bad. I won’t get behind in school. [But] It was not like the movie at all, obviously.”
	“I didn’t know what involuntary inpatient even was. What I thought something like that would be, would be more like a lot of counseling, a lot more help in that sense. But, it was less of help and more of like, ‘Oh, we’re just going to keep you for 72 [hours] …’”
Unaddressed needs	“…that’s the thing, it makes you feel worse afterwards than you did before. I’m sitting here, I’m more depressed and stressed coming out of that, and freaked out, than I was going in before”
	“It was so unhelpful. There wasn’t any kind of psychological help really to it. It wasn’t like therapeutic in any way.”