GPs and involuntary admission: a qualitative study

Jepsen, Britta; Lomborg, Kirsten; Engberg, Marianne

doi:10.3399/bjgp10x515115

Cited by 16 publications

(14 citation statements)

References 8 publications

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“…Being stressed (24) Being satisfied (24) Connectedness (19) Attitudes (17,21,28) Admission criteria (3,9,17,28,31,34) Attitudes of the professional that influence the willingness to admit a patient were described as important: attitudes about the personality of the patient, symptom characteristics (21) and the assumption that the patient is responsible for his own condition (28). For example, the attitude that patients who do not pose a danger to others may not be coerced under any circumstance regardless of how much they suffer as a consequence of their disease.…”

Section: The Outside Perspective On the Professionalmentioning

confidence: 99%

How to increase quality of care during coercive admission? A review of literature

Hooff

Goossensen

2013

Scandinavian Caring Sciences

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Articles were divided between those describing themes from patients' perspective and articles describing themes from professionals' perspective. Findings show that most experiences of patients can be traced back to one core experience: not being listened to or listened to. When patients experience being listened to genuinely, they feel more respected as a human being. The challenge for the professional carer seems to explicitly pay attention and stay in touch with the patients' emotional struggles while making the necessarily decision to admit the patient to prevent harm. Quality of care during coercive admission improves when professionals are able to do justice to both inside and outside perspectives simultaneously.

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Section: The Outside Perspective On the Professionalmentioning

confidence: 99%

How to increase quality of care during coercive admission? A review of literature

Hooff

Goossensen

2013

Scandinavian Caring Sciences

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“…Many professional stakeholders were concerned about the lengthy and cumbersome transfer process to the hospital. These findings are supported by existing evidence that also found the process of involuntary detention complex and time-consuming, and that there were significant time delays in organizing the transport of distressed people to hospital, and substantial stakeholder dissatisfaction with the transfer process to hospital (Jankovic et al 2011;Jespen et al 2010;Kelly et al 2011;Røtvold & Wynn 2014). Individuals reported the distressing effects of being taken against their will from their homes or a public place, and the lasting impact this had.…”

Section: Discussionmentioning

confidence: 58%

“…; Jespen et al . ; Røtvold & Wynn ). Studies exploring GP perspectives highlight the complexity of the admission process and associated stresses.…”

Section: Introductionmentioning

confidence: 99%

“…Other stakeholders, including GP, relatives, and MHN, report that the application process of involuntary detention is time-consuming and complex, and impacts negatively on long-term relationships with individuals. These stakeholders also report often feeling alone when dealing with the crisis (Doherty et al 2014;van den Hooff & Goossensen 2015;Jabbar et al 2010;Jankovic et al 2011;Jespen et al 2010;Røtvold & Wynn 2014). Studies exploring GP perspectives highlight the complexity of the admission process and associated stresses.…”

Section: Introductionmentioning

confidence: 99%

“…Studies exploring GP perspectives highlight the complexity of the admission process and associated stresses. Jespen et al (2010) explored 13 Danish GPs' experiences of involuntary admissions. Most GPs described the process as stressful and time consuming, that psychiatrists did not understand or value their contribution, and that individuals were frequently discharged from hospital without modification of treatment.…”

Section: Introductionmentioning

confidence: 99%

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Qualitative exploration of stakeholders’ perspectives of involuntary admission under the Mental Health Act 2001 in Ireland

Smyth

Casey

Cooney

et al. 2016

Int J Mental Health Nurs

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There is international interest in, and continued concern about, the potential long-term impact of involuntary admission to psychiatric institutions, and the effect this coercive action has on a person's well-being and human rights. Involuntary detention in hospital remains a controversial process that involves stakeholders with competing concerns and who often describe negative experiences of the process, which can have long-lasting effects on the therapeutic relationship with service users. The aim of the present study was to explore the perspectives of key stakeholders involved in the involuntary admission and detention of people under the Mental Health Act 2001 in Ireland. Focus groups were used to collect data. Stakeholders interviewed were service users, relatives, general practitioners, psychiatrists, mental health nurses, solicitors, tribunal members, and police. Data were analysed using a general inductive approach. Three key categories emerged: (i) getting help; (ii) detention under the Act; and (iii) experiences of the tribunal process. This research highlights gaps in information and uncertainty about the involuntary admission process for stakeholders, but particularly for service users who are most affected by inadequate processes and supports. Mental health law has traditionally focussed on narrower areas of detention and treatment, but human rights law requires a greater refocussing on supporting service users to ensure a truly voluntary approach to care. The recent human rights treaty, the UN Convention on the Rights of Persons with Disabilities, is to guarantee a broad range of fundamental rights, such as liberty and integrity, which can be affected by coercive processes of involuntary admission and treatment.

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Length of Involuntary Hospitalization Related to the Referring Physician’s Psychiatric Emergency Experience

Hotzy

Kieber-Ospelt

Schneeberger

et al. 2017

Adm Policy Ment Health

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Although involuntary commitment (IC) is a serious intervention in psychiatry and must always be regarded as an emergency measure, the knowledge about influencing factors is limited. Aims were to test the hypothesis that duration of involuntary hospitalization and associated parameters differ for IC's mandated by physicians with or with less routine experience in psychiatric emergency situations. Duration of involuntary hospitalization and duration until day-passes of 508 patients with IC at the University Hospital of Psychiatry Zurich were analyzed using a generalized linear model. Durations of involuntary hospitalization and time until day-passes were significantly shorter in patients referred by physicians with less routine experience in psychiatric emergency situations than compared to experienced physicians. Shorter hospitalizations following IC by less-experienced physicians suggest that some IC's might be unnecessary. A specific training or restriction to physicians being capable of conducting IC could decrease the rate of IC.

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GPs and involuntary admission: a qualitative study

Cited by 16 publications

References 8 publications

How to increase quality of care during coercive admission? A review of literature

How to increase quality of care during coercive admission? A review of literature

Qualitative exploration of stakeholders’ perspectives of involuntary admission under the Mental Health Act 2001 in Ireland

Length of Involuntary Hospitalization Related to the Referring Physician’s Psychiatric Emergency Experience

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