An Overview of Patient Satisfaction With Psychiatric Treatment

Kalman, Thomas P.

doi:10.1176/ps.34.1.48

Cited by 64 publications

(54 citation statements)

References 38 publications

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“…This may be the reason why patients, in retrospect, considered the measure to have been justified and useful. Similar findings have been made in psychotic patients who were committed to psychiatric hospitalization and involuntarily treated with anti-psychotic medications [7][8][9]. This assumption is also emphasized by reported findings showing that committed patients do have a similar and sometimes even better level of adherence to treatment than other patients [10, 12-14, 16, 17].…”

Section: Discussionsupporting

confidence: 75%

“…medication) has been supported by decisions of many civil courts [1], while several scientific studies have demonstrated that clinical decisions to commit and treat psychotic patients are highly reproducible and clinically sound across psychiatrists [4][5][6]. Moreover, patients' retrospective opinions about commitment and involuntary treatment generally support the usefulness of these practices [7][8][9].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Involuntary Treatment of Alcohol-Dependent Patients: A Study of 17 Consecutive Cases of Civil Commitment

Bourquin-Tièche

Besson²,

Lambert³

et al. 2001

Eur Addict Res

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Aim: To investigate the baseline and follow-up characteristics of a group of alcohol-dependent patients being treated under civil commitment. Methods: This study involved a cross-sectional comparative analysis of baseline characteristics and a follow-up survey of a group of committed alcoholic patients. The study was undertaken in the Alcohol Unit of a 1,000-bed general and university hospital. The study included 17 consecutive cases of civil commitment (representing 15 patients, of whom 2 were committed twice) and a comparative group of 34 randomly selected age- and sex-matched patients. Baseline characteristics of the cases (at the time of commitment) and of patients from the comparative group were collected from medical records, including sociodemographic data, medical condition, patterns of drinking and number and dates of previous treatments for alcohol-related problems. A structured follow-up interview of the cases provided information on their medical condition, social status, patterns of alcohol use, type and duration of residential treatment as well as their perceptions of commitment. Results: During a 4-year period, our Unit referred 23 cases of alcohol-dependent patients (out of 367) to the Guardianship Authority, requesting civil commitment. On 17 occasions, patients were committed to residential treatment, including 2 patients who underwent commitment on two separate occasions, thus representing a total of 15 different patients. In comparison with age- and sex-matched patients seen at the Unit, the cases were characterized by multiple medical, social and psychological alcohol-related impairments. At the time of follow-up, 14 out of 15 patients were alive, among whom 10 agreed to be interviewed. Eight of these reported complete abstinence, whereas 9 considered their alcohol problem as less severe than before. The average duration of commitment was 29 weeks. The majority of patients retrospectively considered the measure as having been justified and useful. The patients’ satisfaction with the decision to commit was higher among women than among men. Health-related quality of life at the time of follow-up, as assessed by the MOS 36-Item Short Form Health Survey questionnaire, was good on average and better than that usually reported by other cohorts of alcoholics undergoing treatment. Conclusions: The usefulness of residential civil commitment of certain severely impaired alcohol-dependent patients is underscored. This study suggests that civil commitment not only may save the lives of endangered patients but could also be a health-promoting measure that may sometimes allow for recovery from dependence. Unexpectedly, this measure was retrospectively well accepted by many patients, who considered the commitment decision as having been justified and useful.

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Section: Discussionsupporting

confidence: 75%

Section: Introductionmentioning

confidence: 99%

Involuntary Treatment of Alcohol-Dependent Patients: A Study of 17 Consecutive Cases of Civil Commitment

Bourquin-Tièche

Besson²,

Lambert³

et al. 2001

Eur Addict Res

View full text Add to dashboard Cite

show abstract

“…This adult treatment literature has found therapist credibility and influence to be related to degree of patients' treatment engagement and compliance, relationship with the therapist, and number of sessions attended (e.g., Kalman, 1983;Kirsch & Henry, 1977;Nelson & Borkovec, 1989;Scheel, Seaman, Roach, Mullin, & Blackwell-Mahoney, 1999).…”

Section: Therapist Credibility/ Persuasivenessmentioning

confidence: 99%

A Theoretical Model of Common Process Factors in Youth and Family Therapy

Karver

Handelsman

Fields

et al. 2005

Ment Health Serv Res

182

172

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Recently there has been an increasing emphasis in the youth and family mental health treatment literature on the use of empirically supported treatments (ESTs). In contrast there has been scant attention paid to more universal aspects of the therapy process that may have even greater impact upon therapy outcomes. It is likely that the success of the techniques proposed by ESTs may depend on the presence of common process factors. In this article, the authors explore the status of common process factors research in the youth and family therapy literature, and propose a theoretical model linking specific therapeutic relationship variables and treatment outcomes for children and adolescents. This model is intended to guide synthesis of the empirical evidence for common process factors in youth and family treatment and to stimulate future research on common process factors.

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“…However, neither of these studies assessed patient satisfaction with treatment. Kalman (1983) reviewed studies on patient satisfaction, and concluded that satisfaction with involuntary treatment had been inadequately investigated. Kane, Quitkin, Rifkin, Wegner, Rosenberg, & Borenstein (1983) interviewed 35 involuntary patients admitted to a private psychiatric hospital.…”

Section: Introductionmentioning

confidence: 99%