Longer term outcomes of voluntarily admitted service users with high levels of perceived coercion

O’Donoghue, Brian; Roche, Eric; Shannon, Stephen; Creed, Lisa; Lyne, John; Madigan, Kevin; Feeney, Larkin

doi:10.1016/j.psychres.2015.07.013

Cited by 11 publications

(9 citation statements)

References 15 publications

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“…This finding is in line with results from Ref. (10), which found no difference in functioning between involuntarily admitted clients and uncoerced voluntary clients ( n = 169 mixed-gender inpatients with major mental illnesses) regarding longer-term therapy outcomes. Stated limitations include a moderate follow-up period (1 year after discharge) and completion rate of instruments, regarding engagement and functioning, which might have introduced a selection bias in these results.…”

Section: Stigma and Discriminationsupporting

confidence: 91%

“…Also, having a history of coercive experiences makes it more probable to reexperience discrimination. As mentioned, lower self-esteem does not necessarily result in lower functioning (10), but is that true for treatment satisfaction as a major factor as well?…”

Section: Stigma and Discriminationmentioning

confidence: 99%

“…While mandated therapy provides external motivation to attend treatment, voluntary clients are normally believed to be intrinsically motivated. This view is challenged by studies that demonstrated perceived coercion in voluntarily admitted service users (10). Perceived coercion in voluntary samples had an unfavorable impact on long-term outcomes (11).…”

Section: Introductionmentioning

confidence: 99%

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Mandated Treatment and Its Impact on Therapeutic Process and Outcome Factors

2019

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Court-mandated treatments imply a dual role for therapy providers not only of caring for, but also of having control over, involuntary clients. The impact of legal coercion on the therapeutic relationship and feelings of stigma is widely regarded as negative and detrimental for treatment outcomes. This point of view stands in contrast to advocates of the perspective that involuntary treatment can ameliorate social functioning and thus promote a better quality of life. Regarding other outcome measures, there is evidence that offender treatment is effective and leads to reduced recidivism in criminal behavior. This narrative review provides an overview of research assessing the effects of mandatory treatment on therapeutic process and outcome factors. We conclude that legal mandatory treatment does not have to necessarily result in perceived coercion and reduced satisfaction with treatment and that a caring and authoritative treatment style aids a favorable therapeutic alliance, motivation, and therapy outcomes.

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Section: Stigma and Discriminationsupporting

confidence: 91%

Section: Stigma and Discriminationmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Mandated Treatment and Its Impact on Therapeutic Process and Outcome Factors

2019

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“…While some of the Norwegian studies [ 38 , 39 , 41 ] found that formally coerced patients were less satisfied, the finding was not consistent [ 42 ]. Some studies from other countries have also suggested that patients that are formally coerced are less satisfied [ 90 , 92 ], but also in the international literature this finding has not been consistent [ 93 ]. Some of the reviewed Norwegian studies in this category [ 18 , 21 , 40 , 43 ] described how patients experienced humiliation and stigma when being committed.…”

Section: Discussionmentioning

confidence: 99%

Involuntary admission in Norwegian adult psychiatric hospitals: a systematic review

Wynn

2018

Int J Ment Health Syst

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BackgroundIt is an important objective of the psychiatric services to keep the use of involuntary procedures to a minimum, as the use of coercion involves clinical, ethical, and legal issues. It has been claimed that Norway has a relatively high rate of involuntary admissions. We reviewed the peer-reviewed literature on the use of involuntary admission in Norway, with the purpose of identifying the current state of knowledge and areas in need of further research.MethodsA systematic review following the PRISMA statement was conducted. We searched the electronic databases PsycInfo, PubMed, Web of Science, CINAHL, and Embase for studies relating to involuntary admission to Norwegian adult psychiatric hospitals published in the period 1 January 2001 to 8 August 2016. The database searches were supplemented with manual searches of relevant journals, reference lists, and websites.ResultsSeventy-four articles were included and grouped into six categories based on their main topics: Patients’ experiences, satisfaction and perceived coercion (21 articles), the Referral and admission process (11 articles), Rates of admission (8 articles), Characteristics of the patients (17 articles), Staff attitudes (9 articles), and Outcomes (8 articles). Four of the included articles described intervention studies. Fifty-seven of the articles had a quantitative design, 16 had a qualitative design, and one a mixed-method design. There was a broad range of topics that were studied and considerable variation in study designs. The findings were largely in line with the international literature, but the particularities of Norwegian legislation and the Norwegian health services were reflected in the literature. The four intervention studies explored interventions for reducing rates of involuntary admission, such as modifying referring routines, improving patient information procedures, and increasing patients’ say in the admission process, and represent an important avenue for future research on involuntary admission in Norway.ConclusionsThe review suggests that Norway has a relatively high rate of involuntary admissions. The identified studies represent a broad mix of topics and designs. Four intervention studies were identified. More studies with strong designs are needed to bring research on involuntary admission in Norway to a next level.Electronic supplementary materialThe online version of this article (10.1186/s13033-018-0189-z) contains supplementary material, which is available to authorized users.

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“…Perceived coercion damages the patient’s perception of the therapeutic relationship [ 15 ], and lower levels of perceived coercion are linked to higher treatment satisfaction [ 16 ]. The long-term impact of high levels of perceived coercion on patients is nevertheless controversial and needs further evaluation [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

Perceived coercion in psychiatric hospital admission: validation of the French-language version of the MacArthur Admission Experience Survey

et al. 2017

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BackgroundThe MacArthur Admission Experience Survey (AES) is a widely used tool to evaluate the level of perceived coercion experienced at psychiatric hospital admission. The French-language AES was prepared using a translation/back-translation procedure. It consists of 16 items and 3 subscores (perceived coercion, negative pressures and voice). This study aimed to assess the psychometric properties of the French-language AES.Methods152 inpatients were evaluated. Reliability was estimated using internal consistency coefficients and a test–retest procedure. Internal validity was assessed using a two-parameter logistic item response model. Convergent validity was estimated using correlations between the AES scores and the Coercion Ladder (CL), the Coercion Experience Scale (CES) and the Global Assessment of Functioning (GAF) scale. Discriminatory power was evaluated by comparing the scores of patients undergoing voluntary or compulsory admission.ResultsThe French-language AES showed good internal consistency and test–retest reliability. Internal validity of the three-factor model was excellent. Correlations between AES and CL, CES and GAF scores suggested good convergent validity. AES scores were significantly higher among patients subject to compulsory psychiatric hospital admission than among those admitted voluntarily.ConclusionsOverall, the French-language version of the AES demonstrated very good psychometric proprieties.

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Longer term outcomes of voluntarily admitted service users with high levels of perceived coercion

Cited by 11 publications

References 15 publications

Mandated Treatment and Its Impact on Therapeutic Process and Outcome Factors

Mandated Treatment and Its Impact on Therapeutic Process and Outcome Factors

Involuntary admission in Norwegian adult psychiatric hospitals: a systematic review

Perceived coercion in psychiatric hospital admission: validation of the French-language version of the MacArthur Admission Experience Survey

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