Development and initial validation of an instrument to measure perceived coercion to enter treatment for substance abuse.

Klag, Stefanie Marie Luise; Creed, Peter Alexander; O’Callaghan, Frances Veronica

doi:10.1037/0893-164x.20.4.463

Cited by 22 publications

(28 citation statements)

References 52 publications

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“…According to Klag (2006), critics of legal coercion argue that compulsory treatment may violate basic civil rights [2]. Furthermore, they hold that autonomy should be safeguarded, because free will can provide psychological and therapeutic benefits.…”

Section: Introductionmentioning

confidence: 99%

Perceived coercion to enter treatment among involuntarily and voluntarily admitted patients with substance use disorders

Opsal

Kristensen

Vederhus

et al. 2016

BMC Health Serv Res

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BackgroundPerceived coercion is a sense of pressure related to the experience of being referred to treatment. The sense of pressure arises from the patient’s internal perception of coercion. The sources of coercion may be the legal system, the family, the health system, or self-criticism (internal sources). Here, we studied patients diagnosed with substance use disorders that were involuntarily admitted to hospital, pursuant to a social services act. We sought to determine whether these patients perceived coercion differently than patients that were admitted voluntarily.MethodsThis study included patients admitted to combined substance use disorder and psychiatry wards in three publicly funded treatment centres in Norway in the period 2009–2011. Participants included 63 patients that were admitted involuntarily, pursuant to the Norwegian Public Health Act, and 129 patients that were admitted voluntarily. All participants completed the Perceived Coercion Questionnaire. Sociodemographic variables were determined with the European Addiction Severity Index. The range of psychopathological symptoms was evaluated with the Symptom Checklist-90-R. Independent sample t-tests, the chi-squared test, and Fisher’s exact test were used to detect statistically significant differences between groups.ResultsScores on the Perceived Coercion Questionnaire showed that patients admitted voluntarily and those admitted involuntarily experienced similar levels of perceived coercion. Those admitted voluntarily reported higher levels of perceived coercion from internal sources, and those admitted involuntarily perceived significantly higher coercion from legal sources. No differences between groups were found with the other tests.ConclusionsOur results suggested that assumptions about involuntary admissions should be evaluated carefully to determine how best to alleviate counterproductive feelings of coercion when a coerced admission is planned. Informing and collaborating with the patient will most likely facilitate a better experience during admission and treatment. Moreover, the patient is more likely to experience a better recovery process.Electronic supplementary materialThe online version of this article (doi:10.1186/s12913-016-1906-4) contains supplementary material, which is available to authorized users.

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Section: Introductionmentioning

confidence: 99%

Perceived coercion to enter treatment among involuntarily and voluntarily admitted patients with substance use disorders

Opsal

Kristensen

Vederhus

et al. 2016

BMC Health Serv Res

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show abstract

“…The instrument used to measure perceived coercion, the McArthur Perceived Coercion Scale, was originally developed for mental health patients, and it has not been validated on a sample of substance-abusing offenders. The recently developed Perceived Coercion Questionnaire (PCQ) 61 is intended for substance abuse clients and assesses perceptions of coercion from a variety of sources. Use of such a population-specific instrument might be better suited to assessing perceived coercion in research studies or as part of a clinical assessment protocol.…”

Section: Implications For Addiction Health Servicesmentioning

confidence: 99%

Influence of Perceived Coercion and Motivation on Treatment Completion and Re-Arrest among Substance-Abusing Offenders

Prendergast¹,

Greenwell²,

Farabee³

et al. 2008

J Behav Health Serv Res

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The effects of perceived coercion and motivation on treatment completion and subsequent rearrest were examined in a sample of substance-abusing offenders assessed for California's Substance Abuse and Crime Prevention Act (SACPA) program. Perceived coercion was measured with the McArthur Perceived Coercion Scale; motivation was measured with the subscales of the Stages of Change Readiness and Treatment Eagerness Scale (SOCRATES). At treatment entry, clients were more likely to believe that they had exercised their choice in entering treatment than that they had been coerced into treatment. SACPA clients scored relatively low on Recognition and Ambivalence regarding their drug use but relatively high on Taking Steps to address their drug problem. Correlations between perceived coercion and motivation measures at treatment entry indicated that these are separate constructs. In logistic regression models, the Recognition subscale of the SOCRATES significantly predicted "any re-arrest," and Ambivalence and Taking Steps predicted "any drug arrest."

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“…Future studies with larger samples may clarify what appear to be contrasting perceptions of coercive events that lead to treatment entry by utilizing factor analysis in order to better understand the construct validity of coercion for clinicians relative to clients. A better understanding of these potentially divergent perceptions could be facilitated through the use of validated standardized measures to assess perceived coercion, such as the one recently published by Klag, Creed, & O'Callaghan (2006). Given the findings of the present study, it would be informative to also administer and validate this measure for clinicians treating the substance abusing population, and to determine whether the degree of agreement between substance abusers and their clinicians is predictive of successful treatment outcomes.…”

Section: Discussionmentioning

confidence: 93%

Perceived coercion in substance abuse treatment: The eye of the beholder?

MacKain

Lecci

2010

Journal of Substance Use

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Aims: To examine potential differences in subjective perceptions of coercion between substance abuse professionals and clients in how they view events that trigger entry to treatment. Such differences may influence both the clinician's approach and the client's response to treatment. Participants, measurement and findings: Seventy-four substance abuse treatment outpatients and 75 certified substance abuse clinicians rated 15 treatment entry-related events based on the degree of choice an individual would have in entering treatment. Clients perceived internal sources of coercion as more coercive, whereas the clinicians perceived external items as more coercive. Furthermore, clients' views of external coercive events appeared to be more uni-dimensional than for internal events, whereas clinicians perceived internal events as more cohesive relative to external events. Conclusions: Discrepant perceptions of treatment entry triggers may impact the development of a working alliance and the use of motivational strategies intended to enhance readiness to change. Further investigation into these divergent perceptions is needed to untangle the relationships among client and clinician assumptions, readiness for change, and treatment outcome.

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Development and initial validation of an instrument to measure perceived coercion to enter treatment for substance abuse.

Cited by 22 publications

References 52 publications

Perceived coercion to enter treatment among involuntarily and voluntarily admitted patients with substance use disorders

Perceived coercion to enter treatment among involuntarily and voluntarily admitted patients with substance use disorders

Influence of Perceived Coercion and Motivation on Treatment Completion and Re-Arrest among Substance-Abusing Offenders

Perceived coercion in substance abuse treatment: The eye of the beholder?

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