Mental health professionals' feelings and attitudes towards coercion

Morandi, Stéphane; Silva, Benedetta; Rubio, Monserrat Mendez; Bonsack, Charles; Golay, Philippe

doi:10.1016/j.ijlp.2020.101665

Cited by 23 publications

(27 citation statements)

References 35 publications

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“…Studies have suggested that attitudes to the use of coercion vary according to a range of different factors of the health professionals, including age, gender, professional role, work experience, own experiences with mental illness, personality, and values (Diseth et al., 2011 ; Husum et al., 2011 ; Morandi et al., 2021 ; Steinert, 2007 ; Wynn et al., 2011 ). It is possible that this effort paid off especially in some regional health areas and in some hospitals where staff were particularly aligned to the goal of reduced coercion or where the prior rates where relatively high, as they were in our study area.…”

Section: Discussionmentioning

confidence: 99%

“…Among the later contributions to the debate is Morandi et al. ( 2021 ) presenting findings from a study of mental health professionals' feelings and attitudes towards coercion. Rates of involuntary hospital admissions vary considerably between countries.…”

Section: Introductionmentioning

confidence: 99%

“…However, the staff's attitudes to coercion and how the law is interpreted may also vary within and between national institutions, and between different groups of staff (Diseth et al., 2011 ; Husum et al., 2011 ; Lepping et al., 2004 ; Luchins et al., 2004 ; Morandi et al., 2021 ; Swartz et al., 2003 ; Wynn, 2003 ; Wynn et al., 2006 , 2007 , 2011 ).…”

Section: Introductionmentioning

confidence: 99%

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Changes in patterns of coercion during a nine‐year period in a Norwegian psychiatric service area

Lassemo

Myklebust

2021

Int J Methods Psych Res

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Objective There is debate regarding the use of coercion in the psychiatric services and how to minimize its use. We examine changes in the use of coercion in one Norwegian psychiatric service area during a nine‐year period. Methods All patients receiving psychiatric services during the periods 2003–2006 and 2008–2012 in the study area were identified, subsequently also only those who had been involuntarily admitted or subjected to involuntary outpatient treatment. Yearwise rates of patients admitted to coercion and coercive treatment‐episodes throughout the study period were calculated. Results The overall number and the rate of coerced patients decreased to the total patient population. Most of the reduction were initially of the observational period. However, the number of coercive episodes per coerced patient increased. The pattern of outpatient versus inpatient modes of coercion both reflected this main trend. Conclusion The use of coercion seem to be reduced overall, although the increase in treatment‐episodes per patient may indicate a complex pattern in use and registration of coercion. The results may be related to legislative changes, restructuring of psychiatric services, or/and modified attitudes of health‐personnel to coercion following a range of efforts to reduce it.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Changes in patterns of coercion during a nine‐year period in a Norwegian psychiatric service area

Lassemo

Myklebust

2021

Int J Methods Psych Res

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“…painful questions, one deeply understands why there is such a shortage of personal accounts on how it is feels to apply restraints and coercion in psychiatry and as a psychiatrist-a shortage that is striking given that this question of how it feels is often asked by survivors or lay people if one talks about this topic. To our knowledge, only a scant dozen articles deal with this topic (Aasland et al 2018;Bigwood and Crowe 2008;Bregar et al 2018;Dahan et al 2018;Morandi et al 2021;Van Doeselaar et al 2008;Husum et al 2011;Kinner et al 2017;Lepping et al 2004;Marangos-Frost and Wells 2000;Molewijk et al 2017;Raveesh et al 2016;Nielsen et al 2018), which from our point of view does not satisfy the underlying ethical problem. Facing this shortage, one may ask how both the authors mentioned above managed to confront themselves with their experiences, and write about them in public?…”

Section: How To Cope With Criticismmentioning

confidence: 97%

Coping with Criticism and Embracing Change—Further Reflexions on the Debate on a Mental Health Care System without Coercion

Peter

Zinkler²

2021

Laws

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In August 2019, a manuscript was published in this journal that aimed at imagining a mental health care system that renounces the judicial control to better focus on the will and preferences of those who require support. Alternative scenarios for dealing with risk, inpatient care, and police custody were presented that elicited strong and emotionally laden reactions. This article adds further reflections to this debate, aiming at contributing explanations for this unsettlement. A productive notion of criticism is discussed, and ways to achieve change toward a more human rights-oriented psychiatric practice are outlined.

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“…2017; Morandi et al . 2021). Further, these ambitions have been enshrined in public policy (Department of Health 2014).…”

Section: Introductionmentioning

confidence: 99%

Coercive containment measures for the management of self‐cutting versus general disturbed behaviour: Differences in use and attitudes among mental health nursing staff

Dickens

Hosie

2022

Int J Mental Health Nurs

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Self-harm is common in mental health facilities, and coercive containment measures are sometimes used to manage it. Nurses' attitudes towards these measures have been investigated in relation to disturbed behaviour in general, but rarely to self-harm specifically. We therefore investigated mental health nurses' use of and attitudes towards coercive measures (seclusion, restraint, intermittent and constant observations, forced intramuscular medication, and PRN medication) for self-cutting management compared with for disturbed behaviours in general using a cross-sectional, repeated measures survey design. Participants were N = 164 mental health nursing staff. Data collection was via a questionnaire comprising validated attitudinal measures. The study is reported in line with STROBE guidelines. Physical restraint (36.6%), forced intramuscular medication (32.3%) and seclusion (48.2%) had reportedly been used by individuals for self-cutting management. Respondents disapproved of using each coercive measure for self-cutting more than they did for disturbed behaviour in general with the exception of PRN medication. Attitudes to coercive measures differed across target behaviours. Hence, nurses who had used each measure for managing self-cutting disapproved of it less for that purpose than those who had not. Nurses who had used coercive techniques for self-cutting management had less desirable attitudes to their use. We cannot say whether prior use of these techniques led to increased approval or whether greater approval led to an increased willingness to use them. Reducing the use of coercive techniques for self-harm will require attitudes that support its use to be challenged. Less coercive techniques should be encouraged. Harm reduction techniques offer one such alternative.

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Mental health professionals' feelings and attitudes towards coercion

Cited by 23 publications

References 35 publications

Changes in patterns of coercion during a nine‐year period in a Norwegian psychiatric service area

Changes in patterns of coercion during a nine‐year period in a Norwegian psychiatric service area

Coping with Criticism and Embracing Change—Further Reflexions on the Debate on a Mental Health Care System without Coercion

Coercive containment measures for the management of self‐cutting versus general disturbed behaviour: Differences in use and attitudes among mental health nursing staff

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