Satisfaction and coercion among voluntary, persuaded/pressured and committed patients in acute psychiatric treatment

Abstract

The data were limited to the patients' subjective reports.

A systematic review of factors associated with service user satisfaction with psychiatric inpatient services

“…Additionally, satisfaction appeared to be negatively associated with residing on a closed ward and experiencing coercion. Several studies proposed a link between these factors (Greenwood et al, 1999;Smith et al, 2014;Sorgaard, 2007). Experiences of coercion are more common in those who are admitted involuntarily (Fiorillo et al, 2012).…”

“…The quantitative non-randomised papers (Kohler et al, 2015;Muller et al, 2002;Shiva et al, 2009;Sorgaard, 2007) showed a good level of quality, with all four scoring 75%, although some studies reported a low response rate. Of the quantitative descriptive papers reviewed, nine scored 25% (Berghofer et al, 2001;Brunero et al, 2009;Cleary et al, 2009;Gebhardt et al, 2013;Kelstrup et al, 1993;Middelboe et al, 2001;Prince, 2006;Ruggeri et al, 2003;Soergaard et al, 2008), seven scored 50% (Alexius et al, 2000;Barker et al, 1996;Boydell et al, 2012;Gigantesco et al, 2002;Gjerden, 1997;Howard et al, 2003;Smith et al, 2014;Zendjidjian et al, 2014) and three scored 75% (Kuosmanen et al, 2006;Olusina et al, 2002;Zahid et al, 2010).…”

“…Of the eight studies that examined the impact of admission status, six found that satisfaction was significantly higher in those admitted voluntarily, compared to those admitted involuntarily (Barker et al, 1996;Greenwood et al, 1999;Howard et al, 2003;Smith et al, 2014;Sorgaard, 2007;Zendjidjian et al, 2014). The studies that found an effect utilised a range of measures of satisfaction, which had either been piloted, or independently validated and were carried out in a variety of settings, including acute and closed wards, and wards located within a general hospital.…”

Why do some voluntary patients feel coerced into hospitalisation? A mixed-methods study

“…Admissions formally defined as voluntary are often the outcome of a complex process involving advice, persuasion, pressure and threats from patients' families or professionals (Kjellin et al, 2004). Hence, the legal status of admission is only a crude proxy for experienced coercion and many 'voluntary' patients feel excluded from treatment decisions and psychologically forced into hospitalisation (Sorgaard, 2007;Bindman et al, 2005).…”

Coercion in psychiatric care: where are we now, what do we know, where do we go?

“…Four studies have identified interactive processes, broadly related to 'being heard' that are important in the patients' experience of coercion. 23,[27][28][29] Using different measures, these studies all show that patients' who experienced professional staff as listening to their views as feeling less coerced, even if involved in legally mandated treatment. Qualitative research mirrors this finding.…”