Coercion and commitment

Monahan, John; Hoge, Steven K.; Lidz, Charles W.; Roth, Loren H.; Bennett, Nancy S.; Gardner, William; Mulvey, Edward P.

doi:10.1016/0160-2527(95)00010-f

Cited by 205 publications

(28 citation statements)

References 41 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Moreover, we lack data on some variables that could be of importance to the use of involuntary admission, including degree of disability, financial status, employment, educational level, ethnicity, attitudes of doctors, caregivers and patients, etc. [5,6,8,10,23,34,48-51]. The model predicts between 9.0% (Cox & Snell R Square) and 28.7% (Nagelkerke R Square) of the variance in legal status at admission.…”

Section: Discussionmentioning

confidence: 95%

Local psychiatric beds appear to decrease the use of involuntary admission: a case-registry study

Myklebust

Sørgaard

Wynn

2014

BMC Health Serv Res

View full text Add to dashboard Cite

BackgroundStudies on the effect of organizational factors on the involuntary admission of psychiatric patients have been few and yielded inconclusive results. The objective was to examine the importance of type of service-system, level of care, length of inpatient stay, gender, age, and diagnosis on rates of involuntary admission, by comparing one deinstitutionalized and one locally institutionalized service-system, in a naturalistic experiment.Methods5538 admissions to two specialist psychiatric service-areas in North Norway were studied, covering a four-year period (2003-2006). The importance of various predictors on involuntary admission were analyzed in a logistic regression model.ResultsInvoluntary admission to the services was associated with the diagnosis of psychosis, male sex, being referred to inpatient treatment, as well as type of service-system. Patients from the deinstitutionalized system were more likely to be involuntarily admitted.ConclusionsSeveral factors predicted involuntary status, including male sex, the diagnosis of psychosis, and type of service-system. The results suggests that having psychiatric beds available locally may be more favourable than a traditional deinstitutionalized service system with local outpatient clinics and central mental hospitals, with respect to the use of involuntary admission.

show abstract

Section: Discussionmentioning

confidence: 95%

Local psychiatric beds appear to decrease the use of involuntary admission: a case-registry study

Myklebust

Sørgaard

Wynn

2014

BMC Health Serv Res

View full text Add to dashboard Cite

show abstract

“…In Dutch law, however, legal aid extends only to the first phase of the admission; consequently, no one on behalf of the patient is watching the transition from involuntary admission to voluntary hospitalisation [21]. This is worrying as approximately 40%–50% of the patients do not know the legal status of their hospitalisation [22]. Without social support, the relationship between a severely ill psychiatric patient and healthcare services can become problematic.…”

Section: Breakdown Of Continuity Of Carementioning

confidence: 99%

Breakdown of continuity in public mental healthcare in the Netherlands: a longitudinal case study

Wierdsma

Schee²,

Mulder³

2011

Int J Integr Care

View full text Add to dashboard Cite

show abstract

“…It is postulated that the experience of coercion places the therapeutic alliance between clinician and service user in jeopardy by creating mistrust. This mistrust in turn encourages a sense of alienation, which is manifest internally as anger or depression or externally as a negative response to mental health services (Monahan et al, 1995). The latter involves rejection of the psychiatric definition of the "problem," rejection of mental health services, noncompliance with treatment, discontinuity of care in the community, and even the encouragement of others to avoid mental health services.…”

Section: The Potentially Traumatising Effectsmentioning

confidence: 99%