Involuntary Detention: Comparison of Clinical Practices of Psychiatry Residents and Faculty

Hashmi, Aqeel; Shad, Mujeeb U.; Rhoades, Howard M.; Grover, Monica; Parsaik, Ajay K.

doi:10.1007/s40596-014-0085-z

Cited by 3 publications

(4 citation statements)

References 4 publications

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“…32,33 , which may cause misuse or abuse of the criteria by psychiatrists 34,35 . Furthermore, research has identified different interpretations of IA criteria among psychiatrists even though there are clear regulations in the local legislation 34,36,37 , which means that psychiatrists may be more inclined to make decisions according to their professional judgement but not the legal provisions 34,36 . Third, psychiatrists play central roles in balancing the interests of the public with protecting the legal rights of mental disorder patients 38–42 , especially regarding circumstances in which patients do not present significant signs or clear risk of harming themselves or others 34,40 .…”

Section: Discussionmentioning

confidence: 99%

Changing patterns and influencing factors of involuntary admissions following the implementation of China’s mental health law: A 4-year longitudinal investigation

Xie

Shao

et al. 2019

Sci Rep

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Involuntary admission (IA) is limited to particular situations in mental health laws to protect patients from unnecessary coercion. China’s first national mental health law has been in effect since 2013; however, the status of IA has not been sufficiently explored. To explore the changing patterns of IA since the clinical application of the IA criteria specified in the new law, an investigation of IA status was undertaken in 14 periods (each period lasting for one month from 05/2013 to 05/2017) in the tertiary specialized psychiatric hospital in Shanghai. The socio-demographic and clinical characteristics of 3733 patients were collected. The differences among IA rates in different periods were compared, and the characteristics of patients who were and were not involuntarily admitted were analysed. Multiple logistic regression analysis was used to clarify the independent variables of IA. The IA rate dramatically decreased after the implementation of the new law, while the overall trend gradually increased. The implementation of the IA risk criteria is effective, but IA is still common in China. The medical factors influencing IA following the implementation of the new law are similar to those in previous studies at home and abroad. Non-medical factors might be the main causes of the high IA rates in Chinese psychiatric institutions.

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Section: Discussionmentioning

confidence: 99%

Changing patterns and influencing factors of involuntary admissions following the implementation of China’s mental health law: A 4-year longitudinal investigation

Xie

Shao

et al. 2019

Sci Rep

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“…They included 31 empirical articles 2 , 7 – 18 , 20 , 22 – 26 , 28 – 37 , 40 , 42 – 44 , 46 – 56 , 59 , 42 – 44 , 46 , 48 , 51 , 55 , 56 , 59 and 21 descriptive, review, or commentary articles. 1 , 6 , 16 , 17 , 19 , 21 , 27 , 30 , 32 , 38 , 39 , 41 , 45 , 47 , 49 , 50 , 52 – 57 , 58 , 58 Geographical spread included the Republic of Ireland, 9 , 28 , 47 , 48 , 59 UK, 1 , 2 , 6 – 10 , 15 – 20 – 38 – 44 – 49 , 50 – 57 , 38 – 44 , 46 , 49 , 50 , 52 , 54 – 57 Canada, 27 , ...…”

Section: Resultsmentioning

confidence: 99%

“…1 , 6 , 16 , 17 , 19 , 21 , 27 , 30 , 32 , 38 , 39 , 41 , 45 , 47 , 49 , 50 , 52 – 57 , 58 , 58 Geographical spread included the Republic of Ireland, 9 , 28 , 47 , 48 , 59 UK, 1 , 2 , 6 – 10 , 15 – 20 – 38 – 44 – 49 , 50 – 57 , 38 – 44 , 46 , 49 , 50 , 52 , 54 – 57 Canada, 27 , 32 US, 21 , 25 , 29 – 37 , 45 , 51 , 58 , 58 Australia, 26 and South Africa. 53 The range of professional groups involved included GPs, 9 , 10 , 28 , 36 , 42 , 59 medical students, 27 psychiatrists, 23 , 29 , 34 , …”

Section: Resultsmentioning

confidence: 99%

“…At this point articles were divided into one of four emergent categories: formal mandatory educational approaches; 15 – 20 less formal educational approaches; 21 – 32 , 50 mental health legislation; 10 , 33 , 34 , 36 – 54 , 49 , 52 , 54 and unmet training needs and wider difficulties with the process. 1 , 2 , 6 – 41 – 48 , 51 – 48 , 51 , 53 , 55 – 59 …”

Section: Methodsmentioning

confidence: 99%

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The mental health detention process: a scoping review to inform GP training

et al. 2022

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BackgroundGeneral Practitioners are often faced with deciding whether or not an unwell patient requires detention for assessment in hospital under mental health legislation. This can be a complex and daunting process. Despite this, General Practitioners and most other professionals involved receive limited formal training.AimTo map and review the current literature on training in mental health detention processes. These insights are vital to inform the further development of meaningful educational approaches.Design & SettingA systematic scoping literature review was conducted to identify what is known about how best to develop training in this area.MethodArskey and O’Malley’s framework was used to select, chart and analyse articles from across six electronic databases. 1,136 articles were included in the initial screening phase and 183 articles were included in the full-text screening phase. Key themes were derived using an iterative and thematic approach. A personal and public involvement group was set up for this project and other stakeholders in the mental health detention process were consulted about our findings.Results52 articles were included in the final review. Professionals consistently highlighted unmet training needs and difficulties with the process. There were identified needs for practical, interdisciplinary training including discussion of complex cases, and opportunities to learn from those with direct experience.ConclusionThis work is foundational for the development of meaningful educational approaches around mental health detention processes. A strong research base will inform and strengthen training with the ultimate aim of improving patient care.

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Civil Commitment and Involuntary Treatment

Dinwiddie

2024

Psychiatric Annals

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Although states differ in how they regulate involuntary civil commitment and involuntary (court-ordered) treatment (ICC/IT), all allow this intervention as a means to safeguard individuals who, as a result of serious and active mental illness, are at significant risk of harming themselves and/or others or are at serious risk of physical harm from self-neglect. However, invoking ICC can create significant conflicts for professionals who must balance competing ethical obligations. The psychiatrist may be faced with economic and other disincentives when ICC/IT is considered. Nonetheless, the treating psychiatrist, tasked with advocating for the patient's best medical interests, may find ICC/IT clinically necessary at times, and under such circumstances should be able (and willing) to meaningfully participate in the necessary legal processes. [ Psychiatr Ann . 2024;54(5):e137–e140.]

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Involuntary Detention: Comparison of Clinical Practices of Psychiatry Residents and Faculty

Cited by 3 publications

References 4 publications

Changing patterns and influencing factors of involuntary admissions following the implementation of China’s mental health law: A 4-year longitudinal investigation

Changing patterns and influencing factors of involuntary admissions following the implementation of China’s mental health law: A 4-year longitudinal investigation

The mental health detention process: a scoping review to inform GP training

Civil Commitment and Involuntary Treatment

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