Patients’ perceptions of the impact of involuntary inpatient care on self, relationships and recovery

“Life on Hold”: A Qualitative Study of Patient Experiences with Outpatient Commitment in Two Norwegian Counties

“…A medical approach may be included, but recovery has a broader perspective, embracing self-understanding and social interaction (Borg, Karlsson, & Stenhammer, 2013). Hughes et al (2009) found that OC inhibited patients' recovery and emphasized particularly negative experiences with medication. This supports the findings of the present study, emphasizing that OC should be understood in light of how it is experienced in practice and not merely in relation to the intentions of the legislation.…”

“…Riley, Høyer, and Lorem (2014) showed that patients feel that their freedom is restricted, and that they only agree to OC because they consider it better than compulsory hospitalization. Both Gault, Gallagher, and Chambers (2013) and Hughes, Hayward, and Finlay (2009) found that a caring, supportive relationship reduced patients' feeling of coercion under OC.…”

Improving medication adherence for severely mentally ill adults by decreasing coercion and increasing cooperation

“…However, patients taking older antipsychotics often reported akathisia and loss of willpower, coherent thinking, and spontaneity (Covell et al, 2007;Jarrett et al, 2008). Patients who have taken these medications often describe the rapidly sedating effects and side effects as frightening and powerful (Hughes et al, 2009).…”

“…Family members can help patients understand their need for professional help, maintain their identities during involuntary confinement, and maintain or even improve adherence (Hughes et al, 2009;Townsend, 2009). Families can also help to decrease access to and use of illicit substances or alcohol, improve the overall course of psychiatric illness, and reduce the risk for rehospitalization (Ebner & Fraunfelder, 2007;Garcia et al, 2006;Usahacharoenporn, 2011).…”

“…As an alternative to power struggles about medication adherence, it is often helpful to acknowledge patient reluctance and teach coping skills for symptoms otherwise targeted by medications (Chiovitti, 2011;Olsen, 2003). Interventions focused on coping can be particularly empowering for patients who are self-harm risks and might otherwise be repeatedly hospitalized, secluded, and involuntarily medicated (Hughes et al, 2009). …”