Patients’ views and experiences of involuntary hospitalization in Greece: a focus group study

Stylianidis, Stelios; Peppou, Lily Εvangelia; Drakonakis, Nektarios; Iatropoulou, Georgia Olga; Nikolaidi, Sofia; Tsikou, Kyriaki; Souliotis, Kyriakos

doi:10.1080/17542863.2017.1409778

Cited by 47 publications

(49 citation statements)

References 14 publications

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“…Karen described being in a police cell and feeling “terrible, and majorly confused.” Simon was also detained by police and had no sense of what was happening when he was locked in a cell. In the absence of any explanation, Simon made sense of his situation as being under attack and in danger.’ 14 …”

Section: Resultsmentioning

confidence: 99%

“…17 Of these, 50 focused on the experiences of solely patients and 6 focused on the experiences of both patients and carers. In total, 30 studies were conducted in the UK (including England and Scotland), 11,18–46 9 in Sweden, 13,47–54 5 in Australia, 55–59 5 in Ireland, 60–64 2 in Norway, 65,66 and a study each were identified from Austria, 67 Finland, 68 Greece, 14 Israel 12 and the USA. 69 All papers identified were reported in the English language.…”

Section: Resultsmentioning

confidence: 99%

“…Although Seed and colleagues broadened their search slightly, they did not run the search for years prior to 2006. In the period since Seed et al 's search, additional relevant studies have been published 11 – 14 that are important to include. An updated synthesis of qualitative studies, using a broader search strategy, is warranted, to explore experiences of the process of assessment for involuntary admission and detention in hospital for people worldwide with a range of mental conditions.…”

Section: Introductionmentioning

confidence: 99%

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Patients' experiences of assessment and detention under mental health legislation: systematic review and qualitative meta-synthesis

et al. 2019

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Background Understanding patient experiences of detention under mental health legislation is crucial to efforts to reform policy and practice. Aims To synthesise qualitative evidence on patients' experiences of assessment and detention under mental health legislation. Method Five bibliographic databases were searched, supplemented by reference list screening and citation tracking. Studies were included if they reported on patient experiences of assessment or detention under mental health legislation; reported on patients aged 18 years or older; collected data using qualitative methods; and were reported in peer-reviewed journals. Findings were analysed and synthesised using thematic synthesis. Results The review included 56 papers. Themes were generally consistent across studies and related to information and involvement in care, the environment and relationships with staff, as well as the impact of detention on feelings of self-worth and emotional state. The emotional impact of detention and views of its appropriateness varied, but a frequent theme was fear and distress during detention, including in relation to the use of force and restraint. Where staff were perceived as striving to form caring and collaborative relationships with patients despite the coercive nature of treatment, and when clear information was delivered, the negative impact of involuntary care seemed to be reduced. Conclusions Findings suggest that involuntary in-patient care is often frightening and distressing, but certain factors were identified that can help reduce negative experiences. Coproduction models may be fruitful in developing new ways of working on in-patient wards that provide more voice to patients and staff, and physical and social environments that are more conducive to recovery. Declaration of interest None.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Patients' experiences of assessment and detention under mental health legislation: systematic review and qualitative meta-synthesis

et al. 2019

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“…A decisão de internar um indivíduo contra a sua vontade neste país é regulada por uma lei datada de 1992 que preconiza duas vias, a regular e a de emergência, que se distinguem apenas pela sequência de eventos, não pelo seu conteúdo. Um promotor público, após uma avaliação psiquiátrica, emite um mandado segundo o qual a polícia deve escoltar o indivíduo para internação 26,27 .…”

Section: Métodounclassified

Hospitalização involuntária de usuários de drogas: um estudo comparativo sobre leis e abordagens entre o Brasil e outros países

Teixeira

Pacheco

Fernandes

et al. 2020

Debates em Psiquiatria

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A dependência química é uma questão complexa, que motiva várias discussões, entre as quais destacam-se as alternativas terapêuticas, notadamente as modalidades contra a vontade do paciente hospitalização involuntária e compulsória. O objetivo deste estudo foi estudar e comparar abordagens e leis sobre hospitalização involuntária como tratamento para dependentes de drogas em diferentes países do mundo. Foi realizada pesquisa bibliográfica eletrônica nas bases de dados MEDLINE, PubMed, SciELO e LILACS entre os anos de 2008 e 2018. Foram considerados artigos nas línguas inglesa, espanhola e portuguesa que abordavam hospitalização psiquiátrica involuntária ou compulsória, além de terem sido colhidos dados sobre a legislação do país em questão, quando disponíveis. Foram encontrados 76 artigos, dos quais 53 foram selecionados. As regiões abrangidas pela pesquisa incluíram Europa (Itália, Noruega, Inglaterra, Portugal e Grécia), América (Canadá, Estados Unidos da América, Jamaica, Barbados, Chile e Brasil), Ásia (Rússia, China, Índia e Paquistão), Oceania (Austrália e Nova Zelândia) e África (África do Sul). Foi encontrada uma tendência mundial de aprovar leis que resguardem direitos dos pacientes. A decisão sobre a internação involuntária ou compulsória é de um profissional médico na maioria dos países estudados, além de serem necessários dois profissionais dessa categoria na tomada de decisão. O tratamento psiquiátrico involuntário ainda gera muitas discussões, apesar dos avanços nas legislações mais modernas nos diversos países estudados. Há uma tendência jurídica de reforçar a necessidade de avaliar o risco que o indivíduo oferece aos outros ou a si próprio para justificar a hospitalização. O Brasil seguiu essa tendência estabelecendo três modalidades de hospitalização e priorizando o tratamento voluntário em uma interlocução entre os campos da saúde e do direito.

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“…In Greece, the debate on the concept of recovery [ 31 ] is growing steadily [ 32 ] in alignment with many other countries in Europe and the US [ 33 ] while emphasis is placed on social justice issues [ 34 ], the education of mental health professionals [ 28 ], service users experiences [ 35 – 37 ] and trauma-informed care and education [ 34 , 38 , 39 ]. Positive initiatives include an anti-stigma movement, the development of societies comprising the families of service users, and a Greek Hearing Voices Network [ 40 ].…”

Section: Introductionmentioning

confidence: 99%

Containment and therapeutic relationships in acute psychiatric care spaces: the symbolic dimensions of doors

et al. 2022

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Background There is an increasing trend of door locking practices in acute psychiatric care. The aim of the present study was to illuminate the symbolic dimensions of doors in Greek mental health nurses’ experiences of open and locked working spaces. Results A sequential mixed-method designexplored the experiences of nurses working in both open and locked psychiatric acute care units. Participants experiences revealed four types of doors related to the quality of recovery-oriented care: (a) the open door, (b) the invisible door, (c) the restraining door, and (d) the revolving door. Open doors and permeable spacesgenerated trust and facilitated the diffusion of tension and the necessary perception of feeling safe in order to be involved in therapeutic engagement. When the locked unit was experienced as a caring environment, the locked doors appeared to be “invisible”. The restraining doors symbolized loss of control, social distance and stigma echoing the consequences of restrictingpeople’s crucial control over spaceduring the COVID-19 pandemicin relation toviolence within families, groups and communities. The revolving door (service users’ abscondence/re-admission) symbolised the rejection of the offered therapeutic environment and was a source of indignation and compassion fatigue in both open and locked spaces attributed to internal structural acute care characteristics (limited staffing levels, support, resources and activities for service users) as well as ‘locked doors’ in the community (limited or no care continuity and stigma). Conclusions The impact of COVID-19 restrictions on people’s crucial control of space provides an impetus for erecting barriers masked by the veil of habit and reconsidering the impact of the simple act of leaving the door open/locked to allow both psychiatric acute care unit staff and service users to reach their potential.

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Patients’ views and experiences of involuntary hospitalization in Greece: a focus group study

Cited by 47 publications

References 14 publications

Patients' experiences of assessment and detention under mental health legislation: systematic review and qualitative meta-synthesis

Patients' experiences of assessment and detention under mental health legislation: systematic review and qualitative meta-synthesis

Hospitalização involuntária de usuários de drogas: um estudo comparativo sobre leis e abordagens entre o Brasil e outros países

Containment and therapeutic relationships in acute psychiatric care spaces: the symbolic dimensions of doors

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