“Voluntarily Admitted Against My Will”: Patient Perspectives on Effects of, and Alternatives to, Coercion in Psychiatric Care for Self-Injury

Gerle, Ellen; Fischer, Anne; Lundh, Lars‐Gunnar

doi:10.1177/2374373518800811

Cited by 4 publications

(2 citation statements)

References 31 publications

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“…(17) The use of such coercive practices can be highly traumatic, causing feelings of hopelessness and powerlessness. Psychiatrists already have the power to hold patients against their will, leaving the potential for significant harm and ultimately highlighting the need for clear and honest communication in care (20). Not only did patients not know when staff members were being dishonest, but they also feared that staff members would lie at their expense.…”

Section: Coercion and Obediencementioning

confidence: 99%

Fear, Neglect, Coercion, and Dehumanization: Is Inpatient Psychiatric Trauma Contributing to a Public Health Crisis?

Jina-Pettersen

2022

Journal of Patient Experience

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Inpatient psychiatric hospitalization is often negatively experienced, with previous studies indicating a high frequency of traumatic occurrences. This study aimed to expand upon such research, by obtaining service user perspectives on how inpatient psychiatric hospitalization may constitute an experience of trauma. Relevant posts and comments on the Reddit community r/PsychWardChronicles were collected that described potentially traumatic experiences associated with hospitalization. Reflexive thematic analysis of the data led to the development of 3 themes: neglect and abuse, coercion and obedience, as well as dehumanization and fear. Overall, hospitalization was found to induce significant fear, which eventually acted as a deterrent to seeking future mental healthcare services. Many traumatic occurrences were found to arise from care providers’ behaviors. As hospitalization was experienced to be harmful, many patients reported complying in the hopes of being discharged. Increased fear and traumatic stress due to inpatient stays coupled with the subsequent avoidance of mental health services may contribute to a significant public health problem as many previous patients may then avoid needed mental health support.

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Section: Coercion and Obediencementioning

confidence: 99%

Fear, Neglect, Coercion, and Dehumanization: Is Inpatient Psychiatric Trauma Contributing to a Public Health Crisis?

Jina-Pettersen

2022

Journal of Patient Experience

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“…The actions to carry out from the first level of care are related to the promotion of patient-centred care, recognising the reality of the problems that people with mental disorders face, talking to them without stigmatising them, and listening with empathy [15].…”

Section: Introductionmentioning

confidence: 99%

Mental Health Patients’ Expectations about the Non-Medical Care They Receive in Primary Care: A Cross-Sectional Descriptive Study

et al. 2020

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A health system’s responsiveness is the result of patient expectations for the non-medical care they receive. The objective of this study was to assess mental patients’ responsiveness to the health system in primary care, as related to the domains of dignity, autonomy, confidentiality, and communication. Data were collected from 215 people over the age of 18 with mental disorders, using the Multi-Country Survey Study (MCSS) developed by the World Health Organization. Of them, 95% reported a good experience regarding the dignity, confidentiality, communication, and autonomy domains. Regarding responsiveness, patients valued the dignity domain as the most important one (25.1%). Among the patients who experienced poor confidentiality, five out of seven earned less than 900 euros per month (Χ2 = 10.8, p = 0.004). Among those who experienced good autonomy, 85 out of 156 belonged to the working social class (90.4%), and among those who valued it as poor (16.1%), the highest proportion was for middle class people (Χ2 = 13.1, p = 0.028). The two students and 87.5% of retirees experienced this dimension as good, and most patients who valued it as poor were unemployed (43.5%) (Χ2 = 13.0, p = 0.011). Patients with a household income higher than 900 euros more frequently valued responsiveness as good, regarding those domains related to communication, with OR = 3.84, 95% CI = 1.05–14.09, and confidentiality, with OR = 10.48, 95% CI = 1.94–56.59. To conclude, as regards responsiveness in primary care, the dignity domain always obtained the best scores by people with mental disorders. Low economic income is related to a poor assessment of confidentiality. Working class patients, students, and retirees value autonomy as good.

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Reducing Involuntary Admissions

Maguire,

Hatling,

Kjus

2024

Coercion and Violence in Mental Health Settings

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Involuntary admission or detention of persons is a controversial though widespread practice in modern mental health services. Accordingly, for decades now, there have been calls and initiatives to try to reduce the practice. Human rights-based mental health care has gained considerable momentum in recent decades and integral to that approach is the push for reduction or abolition of coercive practices within psychiatry. A key juncture in this movement has been the formulation of the UN Convention on the Rights of Persons with Disabilities in 2006, in particular, articles 12 and 14, which call respectively for equal recognition of persons with disabilities before the law, and for those persons not to be deprived of their liberty unlawfully or arbitrarily. This chapter discusses the concept and practice of involuntary admission, and the views and experiences of some who have assisted with, or who have been subject to such admissions. It considers some of the authoritative stipulations of the CRPD and the feasibility of implementing them in legislation and practice. Concepts of advance directives and supported versus substitute decision-making are analysed. It looks at justifications offered for the continued use of involuntary admission and concludes with an examination of the better known initiatives to reduce involuntary detention rates.

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“Voluntarily Admitted Against My Will”: Patient Perspectives on Effects of, and Alternatives to, Coercion in Psychiatric Care for Self-Injury

Cited by 4 publications

References 31 publications

Fear, Neglect, Coercion, and Dehumanization: Is Inpatient Psychiatric Trauma Contributing to a Public Health Crisis?

Fear, Neglect, Coercion, and Dehumanization: Is Inpatient Psychiatric Trauma Contributing to a Public Health Crisis?

Mental Health Patients’ Expectations about the Non-Medical Care They Receive in Primary Care: A Cross-Sectional Descriptive Study

Reducing Involuntary Admissions

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