Factors influencing compulsory admission in first-admitted subjects with psychosis

Abstract

These results suggest that factors related to the disease itself play an important role in decisions concerning compulsory admission. The high frequency of compulsory admission as the first mode of contact with psychiatric hospital in subjects with psychosis constitutes a major public health issue. Further research on the strategies aimed at avoiding compulsory admission in subjects with incipient psychosis is necessary.

Treatment delay and pathways to care in early psychosis

“…The strategy of identifying who was most instrumental in ending the search for psychosis‐indicated interventions differs from studies that reported extensively on first or total contacts . Whereas these studies concluded that family physicians were critical agents to assist in reducing delay, educational efforts regarding psychosis, substance use and treatment resources may need to be focused more directly at families and community professionals.…”

“…The strategy of identifying who was most instrumental in ending the search for psychosis-indicated interventions differs from studies that reported extensively on first or total contacts. 4,32,35 Whereas these studies concluded that family physicians were critical agents to assist in reducing delay, educational efforts regarding psychosis, substance use and treatment resources may need to be focused more directly at families and community professionals. Our findings corroborate the importance of relatives in ending treatment delay 34,35 and that parents need support to overcome both patients' reluctance to go for help and those obstacles to access attributable to professional caregivers.…”

“…4,32,35 Whereas these studies concluded that family physicians were critical agents to assist in reducing delay, educational efforts regarding psychosis, substance use and treatment resources may need to be focused more directly at families and community professionals. Our findings corroborate the importance of relatives in ending treatment delay 34,35 and that parents need support to overcome both patients' reluctance to go for help and those obstacles to access attributable to professional caregivers. 36 Ending DUP may be especially difficult when the client is younger and/or has an early age of onset or is using substances.…”

Involuntary treatment of schizophrenia patients 2004–2010 in Denmark

“…Involuntary treatment may thus be warranted to avert risk of suicide, treating a life‐threatening medical condition, aggressiveness or to facilitate insight into the disease, to consequently accept the necessity of treatment. Especially, substance abuse, lack of insight and male sex seems to increase the risk of involuntary admission .…”

“…The use of involuntary treatment in psychiatry is highly controversial and has been extensively debated . Essential of this discussion is the issue of loss of autonomy versus necessity of treatment both from society and patient's health points of view.…”