Bruk av tvang i psykisk helsevern – dilemmaer i beslutningsprosessen

Berge, Torkil; Bjøntegård, Kjersti Sunniva; Ekern, Petter; Furan, Martin; Landrø, Nils Inge; Larsen, Grete J. Sølvberg; Osnes, Kåre; Selvaag, Inger; Vedlog, Anne Helene

doi:10.4045/tidsskr.17.0338

Cited by 10 publications

(15 citation statements)

References 9 publications

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“…The experience of users can also be improved by placing attention on therapeutic relationships and on the attitudes and behaviour of professionals, in addition to reducing coercive measures. According to Berge et al (2018), professionals should express their concern and empathy towards users and strive to improve their own communication abilities before, during and after a coercive incident. When treated with respect and involved in the decision-making process, users report a less negative perception of coercion and greater satisfaction with mental health services.…”

Section: Discussionmentioning

confidence: 99%

Evidence synthesis on coercion in mental health: An umbrella review

Aragonés‐Calleja,

Sánchez‐Martínez

2023

Int J Mental Health Nurs

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Coercion in mental healthcare is ubiquitous and affects the physical health, recovery and psychological and emotional well‐being of those who experience it. Numerous studies have explored different issues related to coercion, and the present umbrella review aims to gather, evaluate and synthesise the evidence found across systematic reviews. The protocol, registered in the International Prospective Register of Systematic Reviews (PROSPERO registration number: CRD42020196713), included 46 systematic reviews and meta‐analyses of primary studies whose main theme was coercion and which were obtained from databases (Medline/PubMed, PsycINFO, EMBASE and CINAHL) and repositories of systematic reviews following the Preferred Reporting Items for Systematic reviews and Meta‐Analyses guidelines. All the reviews were subjected to independent assessment of quality and risk of bias and were grouped in two categories: (1) evidence on specific coercive measures (including Community Treatment Orders, forced treatment, involuntary admissions, seclusion and restriction and informal coercion), taking into account their prevalence, related factors, effectiveness, harmful effects and alternatives to reduce their use; and (2) experiences, perceptions and attitudes concerning coercion of professionals, mental health service users and their caregivers or relatives. This umbrella review can be useful to professionals and users in addressing the wide variety of aspects encompassed by coercion and the implications for professionals' daily clinical practice in mental health units. This research received funding from two competitive calls.

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Section: Discussionmentioning

confidence: 99%

Evidence synthesis on coercion in mental health: An umbrella review

Aragonés‐Calleja,

Sánchez‐Martínez

2023

Int J Mental Health Nurs

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“…Decision-making processes leading to involuntary admission often imply uncertainty and doubt among the clinicians in charge (16). In a qualitative interview involving psychiatrists, Feiring and Ugstad showed that legal criteria regulating the use of compulsory admissions are often being interpreted by clinicians and that decisions are influenced by extra-legal factors, such as patients’ needs and attitudes toward treatment, follow-up options, and social circumstances (17).…”

Section: Discussionmentioning

confidence: 99%

Same, Same But Different: How the Interplay of Legal Procedures and Structural Factors Can Influence the Use of Coercion

et al. 2019

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“…Dessuten ble det foretatt bruker-spør-brukerintervjuer av pasienter som var involvert i de samme samtalene. Resultatene fra intervjuene med de øyeblikkelig hjelp-ansvarlige er publisert (9).…”

Section: Man Må Forsøke å Påføre Pasienten Minst Mulig Tap Av Verdighetunclassified