Involuntary psychiatric admission: Characteristics of the referring doctors and the doctors’ experiences of being pressured

Røtvold, Ketil; Wynn, Rolf

doi:10.3109/08039488.2014.987165

Cited by 21 publications

(33 citation statements)

References 26 publications

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“…Many professional stakeholders were concerned about the lengthy and cumbersome transfer process to the hospital. These findings are supported by existing evidence that also found the process of involuntary detention complex and time-consuming, and that there were significant time delays in organizing the transport of distressed people to hospital, and substantial stakeholder dissatisfaction with the transfer process to hospital (Jankovic et al 2011;Jespen et al 2010;Kelly et al 2011;Røtvold & Wynn 2014). Individuals reported the distressing effects of being taken against their will from their homes or a public place, and the lasting impact this had.…”

Section: Discussionmentioning

confidence: 57%

“…; Kelly et al . ; Røtvold & Wynn ). Individuals reported the distressing effects of being taken against their will from their homes or a public place, and the lasting impact this had.…”

Section: Discussionmentioning

confidence: 99%

“…; Jespen et al . ; Røtvold & Wynn ). Studies exploring GP perspectives highlight the complexity of the admission process and associated stresses.…”

Section: Introductionmentioning

confidence: 99%

“…Other stakeholders, including GP, relatives, and MHN, report that the application process of involuntary detention is time-consuming and complex, and impacts negatively on long-term relationships with individuals. These stakeholders also report often feeling alone when dealing with the crisis (Doherty et al 2014;van den Hooff & Goossensen 2015;Jabbar et al 2010;Jankovic et al 2011;Jespen et al 2010;Røtvold & Wynn 2014). Studies exploring GP perspectives highlight the complexity of the admission process and associated stresses.…”

Section: Introductionmentioning

confidence: 99%

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Qualitative exploration of stakeholders’ perspectives of involuntary admission under the Mental Health Act 2001 in Ireland

Smyth

Casey

Cooney

et al. 2016

Int J Mental Health Nurs

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There is international interest in, and continued concern about, the potential long-term impact of involuntary admission to psychiatric institutions, and the effect this coercive action has on a person's well-being and human rights. Involuntary detention in hospital remains a controversial process that involves stakeholders with competing concerns and who often describe negative experiences of the process, which can have long-lasting effects on the therapeutic relationship with service users. The aim of the present study was to explore the perspectives of key stakeholders involved in the involuntary admission and detention of people under the Mental Health Act 2001 in Ireland. Focus groups were used to collect data. Stakeholders interviewed were service users, relatives, general practitioners, psychiatrists, mental health nurses, solicitors, tribunal members, and police. Data were analysed using a general inductive approach. Three key categories emerged: (i) getting help; (ii) detention under the Act; and (iii) experiences of the tribunal process. This research highlights gaps in information and uncertainty about the involuntary admission process for stakeholders, but particularly for service users who are most affected by inadequate processes and supports. Mental health law has traditionally focussed on narrower areas of detention and treatment, but human rights law requires a greater refocussing on supporting service users to ensure a truly voluntary approach to care. The recent human rights treaty, the UN Convention on the Rights of Persons with Disabilities, is to guarantee a broad range of fundamental rights, such as liberty and integrity, which can be affected by coercive processes of involuntary admission and treatment.

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Section: Discussionmentioning

confidence: 57%

“…; Kelly et al . ; Røtvold & Wynn ). Individuals reported the distressing effects of being taken against their will from their homes or a public place, and the lasting impact this had.…”

Section: Discussionmentioning

confidence: 99%

“…; Jespen et al . ; Røtvold & Wynn ). Studies exploring GP perspectives highlight the complexity of the admission process and associated stresses.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Qualitative exploration of stakeholders’ perspectives of involuntary admission under the Mental Health Act 2001 in Ireland

Smyth

Casey

Cooney

et al. 2016

Int J Mental Health Nurs

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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].…”

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

Self Cite

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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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Length of Involuntary Hospitalization Related to the Referring Physician’s Psychiatric Emergency Experience

Hotzy

Kieber-Ospelt

Schneeberger

et al. 2017

Adm Policy Ment Health

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Although involuntary commitment (IC) is a serious intervention in psychiatry and must always be regarded as an emergency measure, the knowledge about influencing factors is limited. Aims were to test the hypothesis that duration of involuntary hospitalization and associated parameters differ for IC's mandated by physicians with or with less routine experience in psychiatric emergency situations. Duration of involuntary hospitalization and duration until day-passes of 508 patients with IC at the University Hospital of Psychiatry Zurich were analyzed using a generalized linear model. Durations of involuntary hospitalization and time until day-passes were significantly shorter in patients referred by physicians with less routine experience in psychiatric emergency situations than compared to experienced physicians. Shorter hospitalizations following IC by less-experienced physicians suggest that some IC's might be unnecessary. A specific training or restriction to physicians being capable of conducting IC could decrease the rate of IC.

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Involuntary psychiatric admission: Characteristics of the referring doctors and the doctors’ experiences of being pressured

Cited by 21 publications

References 26 publications

Qualitative exploration of stakeholders’ perspectives of involuntary admission under the Mental Health Act 2001 in Ireland

Qualitative exploration of stakeholders’ perspectives of involuntary admission under the Mental Health Act 2001 in Ireland

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

Length of Involuntary Hospitalization Related to the Referring Physician’s Psychiatric Emergency Experience

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