Factors of importance to involuntary admission

Myklebust, Lars Henrik; Sørgaard, Knut W.; Røtvold, Ketil; Wynn, Rolf

doi:10.3109/08039488.2011.611252

Cited by 39 publications

(47 citation statements)

References 28 publications

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“…In addition, the present study also supported prior findings suggesting that male patients, patients suffering from psychotic disorders, and patients that are referred to inpatient stays, are more likely to be involuntarily admitted [10,34,35]. …”

Section: Discussionsupporting

confidence: 89%

“…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: 94%

“…Recent Norwegian studies have suggested that organizational factors may be important with respect to the use of coercion in general [20,21], but little is known about the importance of organizational factors to involuntary admission in Norway [10,11]. …”

Section: Introductionmentioning

confidence: 99%

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

Myklebust

Sørgaard

Wynn

2014

BMC Health Serv Res

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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.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 94%

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

Myklebust

Sørgaard

Wynn

2014

BMC Health Serv Res

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“…A range of factors, such as gender, age, employment status, poverty, perceived dangerousness, and attitudes may be important in determining the manner by which jurisdictions utilize involuntary admission and coercion [27][28][29][30][31][32][33][34] .…”

Section: Resultsmentioning

confidence: 99%

Involuntary admission and treatment of patients with mental disorder

et al. 2015

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“…For instance, approximately half of the involuntary admissions had been referred from doctors working at municipal out-of-hours clinics [5]. These doctors often felt pressured to commit patients to psychiatric hospital, as few other options were available at nights and week-ends [5][6][7]. The increased availability of other services at nights and week-ends could therefore possibly result in reduced levels of coercion.…”

mentioning

confidence: 99%

The relationship between the services available to patients in primary care and at local psychiatric clinics and the use of coercion: recent findings from Northern Norway

Wynn¹,

Myklebust²

2016

Int J Integr Care

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Wynn, Rolf et al 2016 The relationship between the services available to patients in primary care and at local psychiatric clinics and the use of coercion: recent findings from Northern Norway. Purpose and methods: We review and discuss findings from studies on coercion in North Norway, focusing on the relationship between the services available to patients in primary care and at local psychiatric clinics and the use of coercion.Results and discussion: A lack of services at the municipal level might increase the use of coercion. For instance, approximately half of the involuntary admissions had been referred from doctors working at municipal out-of-hours clinics [5]. These doctors often felt pressured to commit patients to psychiatric hospital, as few other options were available at nights and week-ends [5][6][7]. The increased availability of other services at nights and week-ends could therefore possibly result in reduced levels of coercion. Having sufficient resources available at the secondary level might also reduce the amount of coercion patients are subjected to. For instance, an area that had beds available for emergencies at local psychiatric clinics had significantly fewer (95% CI for EXP(B)=1.133-2.206, p=0.005) involuntary admissions than a comparable area without such beds [8]. While much of the coercion of psychiatric patients takes place at the tertiary/hospital level, this study suggests that the availability of services at the primary and secondary levels might influence the level of coercion at the tertiary/hospital level.Conclusion: The present study suggests that increasing the availabilty of voluntary psychiatric services at the primary and secondary levels might represent one way of achieving the goal of reducing coercion in the psychiatric services. This relationship should be examined further in future research involving the North Norwegian psychiatric health services.

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Factors of importance to involuntary admission

Abstract: Certain groups of patients are more likely to be admitted involuntarily. Increasing attention to these groups could possibly also contribute to the reduction of coercion.

Cited by 39 publications

References 28 publications

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

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

Involuntary admission and treatment of patients with mental disorder

The relationship between the services available to patients in primary care and at local psychiatric clinics and the use of coercion: recent findings from Northern Norway

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