Patients’ Experiences of Participation in High-Security, Forensic Psychiatric Care

Söderberg, Andreas; Wallinius, Märta; Munthe, Christian; Rask, Mikael; Hörberg, Ulrica

doi:10.1080/01612840.2022.2033894

Cited by 15 publications

(12 citation statements)

References 35 publications

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“…The experience of care quality, patient participation, and good and significant relationships is very much associated with an experience of being listened to and getting fair and honest explanations about the decisions concerning one’s care ( 13 ). The current results provide strong reasons for emphasizing the importance of carers adopting a caring approach and a patient perspective, something which is embedded in nursing studies performed in this kind of environment ( 46 , 48–50 ).…”

Section: Discussionmentioning

confidence: 99%

“…One reason may be that the forensic psychiatric process is difficult to understand and is experienced as being slow and complex. The perception of participation seems to be linked to the experience of transparency and honesty in the care process ( 13 ). How these hearings in mental health review tribunals were perceived by patients, their family members and by professionals were investigated in a qualitative study from Canada.…”

Section: Introductionmentioning

confidence: 99%

“…Both staff and patients have reported patient participation being a challenge in forensic psychiatry in previous studies (11)(12)(13)(14)(15)(16). One reason may be that the forensic psychiatric process is difficult to understand and is experienced as being slow and complex.…”

Section: Introductionmentioning

confidence: 99%

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Forensic psychiatric patients’ experiences of participating in administrative court proceedings concerning the continuation of forensic psychiatric care

et al. 2023

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IntroductionPrevious studies show that both staff and patients describe patient participation as a challenge in forensic psychiatry. One reason may be that the forensic psychiatric process is difficult to understand and is experienced as being slow and complex. The proceedings in an administrative court are a core element in forensic psychiatric care as it constitutes the legal authority that legitimizes the deprivation of liberty. A better understanding about how patients experience these proceedings can contribute with important knowledge about how forensic psychiatric care can be understood from a patient perspective. The aim of the study was to describe patients’ lived experiences of participating in oral hearings in an administrative court concerning the continuation of their forensic psychiatric care.Materials and methodsThis is a phenomenological study performed in a Swedish context with a total of 20 interviews conducted with a Reflective Lifeworld Research (RLR) approach.ResultsThe results reveal three themes; A significant, correct but meaningless formality; An imbalance of power within the hearings; and Existential and practical disorientation.ConclusionThe findings show how these court proceedings concerning the continuation of forensic psychiatric care are often experienced as challenging. This is partly due to the care structure in forensic psychiatry and that the purpose of the hearings is difficult to comprehend and is perceived as unjust by patients. Another challenge is of a more existential dimension, where the main character in a hearing is most likely in a situation that would be stressful for anyone. However, the focus on danger can make this experience even more intense. An increased transparency on this legal process along with more discussion and education for both patients and staff is called for based on the results.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Forensic psychiatric patients’ experiences of participating in administrative court proceedings concerning the continuation of forensic psychiatric care

et al. 2023

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“…Forensic psychiatry is a speciality within the mental healthcare system and emphasizes providing care to patients with severe mental disorders with a focus on creating a safe and secure environment (Seppänen et al, 2018 ; Söderberg et al, 2022 ; Tomlin et al, 2018 ). Patients in forensic psychiatry wards are vulnerable and exposed because they suffer from severe mental disorders, have committed serious crimes and are being cared for against their will in a secure hospital environments with a high level of security (Cartwright et al, 2022 ; Hörberg, 2018 ).…”

Section: Introductionmentioning

confidence: 99%

“…Healthcare professionals in forensic psychiatric settings are expected to balance patients’ desires, needs for care and safety routines and constraints in everyday life activities (Söderberg et al, 2022 ). Marklund et al ( 2020 ) suggest that more patient participation may give meaning and empowerment to patients in the context of a meagre existence and restricted life in forensic care wards.…”

Section: Introductionmentioning

confidence: 99%

Facilitating a safe and caring atmosphere in everyday life in forensic mental health wards - a qualitative study

Sollied,

Lauritzen,

Damsgaard

et al. 2023

International Journal of Qualitative Studies on Health and Well

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Purpose To explore healthcare professionals’ experiences with facilitating a safe and caring atmosphere in patients’ everyday lives in forensic mental health wards. Methods This qualitative study employed interviews with 16 healthcare professionals working shifts in two forensic mental healthcare wards in Norway. Data were analysed using phenomenological hermeneutic analysis. Results The findings are presented in terms of two themes. The first theme is “Creating a calming atmosphere” and includes the subthemes “Creating caring surroundings with safety, comfort and trust” and “Balancing everyday life activities”. The second theme is “Facilitating risk assessments and care” and includes the subthemes “Acting as a team”, “Becoming aware of the meaning in signs” and “Becoming aware of vulnerability and the window of tolerance”. Conclusions Involvement in patients’ history and lived lives is important both for understanding general social behaviour as well as for assessing signs, symptoms, and changes in patients’ conditions; furthermore, it provides valuable information that allows healthcare professionals to become aware of the underlying meanings in signs, which can facilitate examinations and treatment. Acting as a team is essential to solve issues in a calm and safe way when signs of violence occur. In addition, our participants highlighted the need to be aware of individual patients’ vulnerability and windows of tolerance to obtain a deeper understanding of patients’ lived lives as a whole in the context of providing therapy and care to patients.

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Experiences of forensic mental health patients and professionals with shared violence risk assessment and management: A scoping review of qualitative studies

Luigi,

Martinez,

Roy

et al. 2024

Aggression and Violent Behavior

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Patients’ Experiences of Participation in High-Security, Forensic Psychiatric Care

Cited by 15 publications

References 35 publications

Forensic psychiatric patients’ experiences of participating in administrative court proceedings concerning the continuation of forensic psychiatric care

Forensic psychiatric patients’ experiences of participating in administrative court proceedings concerning the continuation of forensic psychiatric care

Facilitating a safe and caring atmosphere in everyday life in forensic mental health wards - a qualitative study

Experiences of forensic mental health patients and professionals with shared violence risk assessment and management: A scoping review of qualitative studies

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