Perceived Coercion and the Therapeutic Relationship: A Neglected Association?

Sheehan, Kathleen; Burns, Tom

doi:10.1176/ps.62.5.pss6205_0471

Cited by 110 publications

(52 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Interestingly, the therapeutic relationship appeared to be a stronger predictor than the level of coercion experienced by the service user. However, this finding is not fully consistent with the international literature, as two previous studies found that the level of perceived coercion was associated with the therapeutic relationship (Sheehan & Burns, 2011;Theodoridou et al 2012). It could be argued that these are more conceivable results, as it is understandable that exposure to practices that are perceived as coercive could negatively impact the longer term therapeutic relationship.…”

Section: Comparison Of Findings With Previous Literaturecontrasting

confidence: 63%

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

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.

show abstract

Section: Comparison Of Findings With Previous Literaturecontrasting

confidence: 63%

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

“…The use of coercive measures and involuntary commitment is often required in order to give medical and psychiatric assistance and to avoid physical and psychological harm to patients themselves and/or to others. Compulsory measures can weaken the therapeutic relationship and increase perceived coercion experienced by patients (Sheehan & Burns 2011). Different approaches have been developed to regulate the application of those measures -taking into account human rights, public safety, the need for adequate treatment (Salize et al 2002), and the fact that patients with mental illnesses commonly have undiagnosed or untreated medical problems (Craw & Compton 2006, Viron & Stern 2010 -to provide the most effective care and avoid negative outcomes (Kallert et al 2008).…”

Section: Introductionmentioning

confidence: 99%

Correlates of Involuntary Admission: Findings From an Italian Inpatient Psychiatric Unit

Balducci

Bernardini²,

Pauselli³

et al. 2017

Psychiat Danub

View full text Add to dashboard Cite

“…The use of coercion in mental health settings is one of the most controversial practices in medicine (1). Proponents of the practice state that coercion is unfortunately necessary to prevent the deterioration in mental state or ensure the safety of vulnerable people suffering with serious mental health disorders (2).…”

Section: Introductionmentioning

confidence: 99%

Quality of Life and Functioning One Year After Experiencing Accumulated Coercive Events During Psychiatric Admission

Shannon¹,

Roche²,

Madigan³

et al. 2015

View full text Add to dashboard Cite

(2015). Quality of life and functioning one year after experiencing accumulated coercive events during psychiatric admission. Psychiatric Services, 66, 883-7. Corresponding AuthorStephen Shannon stshanno@gmail.com Abstract ObjectivesTo determine: the number of accumulated coercive events during admission and associations, functioning and quality of life one year after discharge and associations and whether accumulated coercive events were related to these outcomes. MethodsA prospective cohort study at three community services and an independent hospital was undertaken in Ireland. The accumulated coercive events score was based on legal status, perceived coercion and episodes of physical restraint, seclusion or forced medication. Results 110(68%) of all 162 participants experienced at least one coercive event. Lower functioning predicted more coercive events. One year after discharge, subjective quality of life was 63% of the highest possible score, objective quality of life improved for 15% and functioning improved for 70% of individuals. Accumulated coercive events did not predict these outcomes. ConclusionsCoercive events are common during psychiatric admission and appear unrelated to functioning and quality of life one year after discharge.

show abstract

Perceived Coercion and the Therapeutic Relationship: A Neglected Association?

Cited by 110 publications

References 36 publications

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

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

Correlates of Involuntary Admission: Findings From an Italian Inpatient Psychiatric Unit

Quality of Life and Functioning One Year After Experiencing Accumulated Coercive Events During Psychiatric Admission

Contact Info

Product

Resources

About