Impact of coercive measures on life stories: qualitative
                        study

Sibitz, Ingrid; Scheutz, Alexandra; Lakeman, Richard; Schrank, Beate; Schaffer, Markus; Amering, Michaela

doi:10.1192/bjp.bp.110.087841

Cited by 79 publications

(143 citation statements)

References 22 publications

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“…The project reported here helps address this gap and raises important questions for future research. First, participants' narratives replicate some of the tensions found in the broader literature (Piat et al, 2009;Sibitz et al, 2011). Different groups of participants affirmed or sharply criticized the concept of compliance, with still others describing a more complicated developmental trajectory in which strong external motivations or influences (including coercion) were integrated with their own goals and values over time.…”

Section: Discussionmentioning

confidence: 90%

Peer support, self-determination, and treatment engagement: A qualitative investigation.

Jones

Corrigan

James

et al. 2013

Psychiatric Rehabilitation Journal

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Section: Discussionmentioning

confidence: 90%

Peer support, self-determination, and treatment engagement: A qualitative investigation.

Jones

Corrigan

James

et al. 2013

Psychiatric Rehabilitation Journal

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“…Whilst involuntary detention was difficult to accept, sometimes followed by an acting out (Norton & Dolan, 1995) or withdrawing response, with hindsight the temporary suspension of responsibility was perceived to be a necessary intervention. This has been similarly described in other (non-forensic) hospital settings as a 'necessary emergency brake' (Sibitz et al, 2011). During this time, it was important to balance the return of responsibility and have autonomy in care decisions.…”

Section: Discussionmentioning

confidence: 99%

What do the experts by experience tell us about ‘what works’ in high secure forensic inpatient hospital services?

Tapp

Warren

Fife‐Schaw

et al. 2013

The Journal of Forensic Psychiatry & Psychology

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The evidence base for 'what works' for patients detained in high secure hospitals has predominantly been established from a clinical perspective, with the voices of those at the centre of care, the expert by experience, absent. Neglecting this voice renders an important source of information for evidence-based practice inaccessible to outcome evaluators. Twelve high secure patients considered 'ready' to be discharged were interviewed to explore what in their view had helped or hindered their progress to this stage. Thematic analysis steps were applied to interviews and eight themes were generated that represented valued elements of high security: temporary suspension of responsibility, collaboration in care, learning from others, supportive alliances, specific interventions (medical and psy-chotherapeutic), a safe environment and opportunities for work. Narratives demonstrated the complementary and unique contribution of the patient experience in informing 'what works', and are discussed alongside existing theories relevant to promoting clinical change and risk reduction.

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“…Six of the qualitative studies mentioned theoretical bases; three of them were based on grounded theory [40,14,43], two on hermeneutic theory [7,41] and one on ethnographic theory [8]. A participatory approach was used in one study, meaning that consumer researchers were used as data collectors [42].…”

Section: Resultsmentioning

confidence: 99%

Methodological and ethical challenges in studying patients’ perceptions of coercion: a systematic mixed studies review

et al. 2014

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BackgroundDespite improvements in psychiatric inpatient care, patient restrictions in psychiatric hospitals are still in use. Studying perceptions among patients who have been secluded or physically restrained during their hospital stay is challenging. We sought to review the methodological and ethical challenges in qualitative and quantitative studies aiming to describe patients’ perceptions of coercive measures, especially seclusion and physical restraints during their hospital stay.MethodsSystematic mixed studies review was the study method. Studies reporting patients’ perceptions of coercive measures, especially seclusion and physical restraints during hospital stay were included. Methodological issues such as study design, data collection and recruitment process, participants, sampling, patient refusal or non-participation, and ethical issues such as informed consent process, and approval were synthesized systematically. Electronic searches of CINALH, MEDLINE, PsychINFO and The Cochrane Library (1976-2012) were carried out.ResultsOut of 846 initial citations, 32 studies were included, 14 qualitative and 18 quantitative studies. A variety of methodological approaches were used, although descriptive and explorative designs were used in most cases. Data were mainly collected in qualitative studies by interviews (n = 13) or in quantitative studies by self-report questionnaires (n = 12). The recruitment process was explained in 59% (n = 19) of the studies. In most cases convenience sampling was used, yet five studies used randomization. Patient’s refusal or non-participation was reported in 37% (n = 11) of studies. Of all studies, 56% (n = 18) had reported undergone an ethical review process in an official board or committee. Respondents were informed and consent was requested in 69% studies (n = 22).ConclusionsThe use of different study designs made comparison methodologically challenging. The timing of data collection (considering bias and confounding factors) and the reasons for non-participation of eligible participants are likewise methodological challenges, e.g. recommended flow charts could aid the information. Other challenges identified were the recruitment of large and representative samples. Ethical challenges included requesting participants’ informed consent and respecting ethical procedures.

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Impact of coercive measures on life stories: qualitative study

Cited by 79 publications

References 22 publications

Peer support, self-determination, and treatment engagement: A qualitative investigation.

Peer support, self-determination, and treatment engagement: A qualitative investigation.

What do the experts by experience tell us about ‘what works’ in high secure forensic inpatient hospital services?

Methodological and ethical challenges in studying patients’ perceptions of coercion: a systematic mixed studies review

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