Patients' views of involuntary hospital admission after 1 and 3
                        months: prospective study in 11 European countries

Priebe, Stefan; Katsakou, Christina; Glöckner, Matthias; Dembinskas, Algirdas; Fiorillo, Andrea; Karastergiou, Anastasia; Kiejna, Andrzej; Kjellin, Lars; Nawka, P.; Onchev, Georgi; Raboch, Jiří; Schuetzwohl, Matthias; Solomon, Zahava; Torres-González, Francisco; Wang, Duolao; Kallert, Thomas W.

doi:10.1192/bjp.bp.109.068916

Cited by 99 publications

(72 citation statements)

References 24 publications

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“…Similar to the SUPA study, no difference was found in the level of perceived coercion reported by the service user according to the discipline of the interviewer. This is an important finding, as previous research has indicated that a majority of service users can report positive perspectives on their involuntary admission retrospectively (Priebe et al 2010) and the findings of Rose et al and the SUPA study, can conclude at least that this is not due to a reporting bias. Furthermore, it means that the results of studies conducted by clinicians and service-user researchers could potentially be combined, for example, for meta-analyses.…”

Section: Comparison Of Findings With Previous Literaturesupporting

confidence: 58%

“…A large study had been conducted in the United Kingdom at a similar time and this found that only 40% of individuals admitted involuntarily perceived that their admission was justified (Priebe et al 2009). There also appears to be a wide discrepancy across Europe as to how service users reflect upon their involuntary admission, as a study conducted in 11 countries found that positive perspectives towards involuntary admissions ranged from 39% to 71% 1 month after admission and 46-86% after 3 months (Priebe et al 2010). Furthermore, there were considerably less readmissions in the UK cohort, with 26% readmitted (15% involuntary and 11% voluntary) in the year following discharge (Priebe et al 2009).…”

Section: Introductionmentioning

confidence: 99%

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Service users’ perspective of their admission: a report of study findings

O’Donoghue

Roche²,

Lyne

et al. 2016

Ir. j. psychol. Med.

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Objectives. The 'Service Users' Perspective of their Admission' study examined voluntarily and involuntarily admitted services users' perception of coercion during the admission process and whether this was associated with factors such as the therapeutic alliance, satisfaction with services, functioning and quality of life. This report aims to collate the findings of the study.Methods. The study was undertaken across three community mental health services in Ireland. Participants were interviewed before discharge and at 1 year using the MacArthur Admission Experience. Caregivers of participants were interviewed about their perception of coercion during the admission.Results. A total of 161 service users were interviewed and of those admitted involuntarily, 42% experienced at least one form of physical coercion. Service users admitted involuntarily reported higher levels of perceived coercion and less procedural justice than those admitted voluntarily. A total of 22% of voluntarily admitted service users reported levels of perceived coercion comparable with involuntarily admitted service users and this was associated with treatment in a secure ward or being brought to hospital initially under mental health legislation. In comparison with the service user, caregivers tended to underestimate the level of perceived coercion. The level of procedural justice was moderately associated with the therapeutic relationship and satisfaction with services. After 1 year, 70% experienced an improvement in functioning and this was not associated with the accumulated level of coercive events, when controlled for confounders.Conclusions. This study has provided valuable insights into the perceptions of coercion and can help inform future interventional studies aimed at reducing coercion in mental health services.

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Section: Comparison Of Findings With Previous Literaturesupporting

confidence: 58%

Section: Introductionmentioning

confidence: 99%

Service users’ perspective of their admission: a report of study findings

O’Donoghue

Roche²,

Lyne

et al. 2016

Ir. j. psychol. Med.

View full text Add to dashboard Cite

show abstract

“…Findings from this study, however, suggest that even a month later, when the acute phase of the illness is usually overcome, a significant proportion of patients continue to feel coerced. Thus, it becomes crucial to understand why some voluntary patients feel coerced, especially since perceived coercion might have a negative impact on treatment outcomes and overall engagement with services (Luckstead and Coursey, 1995;Kaltiala-Heino et al, 1997;Priebe et al, 2010;Bennewith et al, 2010).…”

Section: Findings In the Context Of Previous Evidencementioning

confidence: 99%

Why do some voluntary patients feel coerced into hospitalisation? A mixed-methods study

Katsakou

Marougka

Garabette

et al. 2011

Psychiatry Research

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100

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This study aimed to investigate factors linked to perceived coercion at admission and during treatment among voluntary inpatients. Quantitative and qualitative methods were used. Two hundred seventy patients were screened for perceived coercion at admission. Those who felt coerced into admission rated their perceived coercion during treatment a month after admission. Patient characteristics and experiences were tested as predictors of coercion. In-depth interviews on experiences leading to perceived coercion were conducted with 36 participants and analysed thematically. Thirty-four percent of patients felt coerced into admission and half of those still felt coerced a month later. No patient characteristics were associated with perceived coercion. Those whose satisfaction with treatment increased more markedly between baseline and a month later were less likely to feel coerced a month after admission. In the qualitative interviews three themes leading to perceived coercion were identified: viewing the hospital as ineffective and other treatments as more appropriate, not participating in the admission and treatment and not feeling respected. Involving patients in the decision-making and treating them with respect may reduce perceived coercion.

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“…This is particularly significant as only two of the service users involved in our study had their admission order revoked by the tribunal. To date, research investigating the factors influencing service users' attitudes towards the MHT process is sparse, hence future research is needed to identify the relevant demographic and clinical variables, such as those found to influence service users' attitudes towards involuntary admission in other studies O'Donoghue et al 2010O'Donoghue et al , 2011aO'Donoghue et al , 2011bO'Donoghue et al , 2016Priebe et al 2010;Smith et al 2014).…”

Section: Discussionmentioning

confidence: 99%

“…For example, a large proportion of the participants had more than one admission (65.2%) and were assigned a diagnosis of non-affective psychotic disorder (69.6%); both of which have been reported to inform persistently negative attitudes towards involuntary admission and care O'Donoghue et al 2010O'Donoghue et al , 2011aO'Donoghue et al , 2011bO'Donoghue et al , 2016Priebe et al 2010;Smith et al 2014). Previous evidence also suggests that service users who are subject to coercive measures tend to hold negative attitudes about the care they received O'Donoghue et al 2010O'Donoghue et al , 2011aO'Donoghue et al , 2011bO'Donoghue et al , 2016Priebe et al 2010;Smith et al 2014). Participants in this study also reported feeling coerced in other aspects of their admission, described elsewhere (Murphy et al in press), and this may have impacted on their appraisals of the MHT.…”

Section: Discussionmentioning

confidence: 99%

Service users’ experiences of mental health tribunals in Ireland: a qualitative analysis

Murphy

McGuinness

Bainbridge

et al. 2017

Ir. j. psychol. Med.

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Objectives. To explore the mental health tribunal experiences of people admitted involuntarily under the Mental Health Act 2001.Methods. Employing a qualitative descriptive study design, data were collected from 23 service users who had experienced mental health tribunals during a recent involuntary admission. Face-to-face semi-structured interviews were conducted 3 months post-revocation of their involuntary admission order. Data were analysed using an inductive thematic process.Results. The majority of participants reported mixed experiences comprising positive and negative aspects in relation to information provision, emotional support and an inclusive atmosphere. Some participants reported receiving accessible information about the tribunal process, felt emotionally supported throughout, and encountered respectful and dignifying practices during the tribunal proceedings. However, many participants described experiencing non-inclusive practices, reported feeling ill-informed regarding the tribunal process, emotionally unsupported during and after the tribunal, and distressed by what they perceived as adversarial tribunal proceedings.Conclusions. Systemic changes could ensure that the positive experiences encountered by the minority of participants in this study are more consistently experienced. Ongoing education and training of stakeholders in the provision of inclusive tribunal practices, and the provision of accessible information and emotional support to service users through the stages of the involuntary admission process appear likely to be beneficial. Service users should automatically be offered the option of having a support person of their choosing present during tribunals.

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Patients' views of involuntary hospital admission after 1 and 3 months: prospective study in 11 European countries

Abstract: International differences in legislation and practice may be relevant to outcomes and inform improvements in policies, particularly in countries with poorer outcomes.

Cited by 99 publications

References 24 publications

Service users’ perspective of their admission: a report of study findings

Service users’ perspective of their admission: a report of study findings

Why do some voluntary patients feel coerced into hospitalisation? A mixed-methods study

Service users’ experiences of mental health tribunals in Ireland: a qualitative analysis

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