Perceived Coercion in Mental Hospital Admission

Lidz, Charles W.; Hoge, Steven K.; Gardner, William; Bennett, Nancy S.; Monahan, John; Mulvey, Edward P.; Roth, Loren H.

doi:10.1001/archpsyc.1995.03950240052010

Cited by 249 publications

(196 citation statements)

References 21 publications

Supporting

Mentioning

179

Contrasting

Unclassified

Order By: Relevance

“…Patients afforded procedural justice-namely, having a voice in the process and being treated with respect and in good faith-experience significantly less coercion than do those not so treated. 200 This result can be observed in settings such as mental health tribunal hearings where the effect of decisions contrary to the wishes of the patient can be mitigated by following processes that promote procedural justice. Outside the hospital, some would argue the discussion about mandated community treatment needs to be re-focused from coercion to one of having a contract with the person concerned.202 Although advocates of compulsory community care argue it is less coercive than is compulsory inpatient care, the evidence of a reduction in use of mental health services or of improved outcomes for patients is sparse.…”

Section: The Problem Of Coercion In Mental Health Lawmentioning

confidence: 99%

The WPA- Lancet Psychiatry Commission on the Future of Psychiatry

Bhugra

Tasman

Pathare

et al. 2017

The Lancet Psychiatry

330

187

View full text Add to dashboard Cite

Executive Summary BackgroundThis Commission addresses several priority areas for psychiatry over the next decade, and into the 21st century. These represent challenges and opportunities for the profession to sustain and develop itself to secure the best possible future for the millions of people worldwide who will face life with mental illness. Part 1: The patient and treatmentWho will psychiatrists help? The patient population of the future will reflect general demographic shifts towards older, more urban, and migrant populations. While technical advances such as the development of biomarkers will potentially alter diagnosis and treatment, and digital tech-nology will facilitate assessment of remote populations, the human elements of practice such as cultural sensitivity and the ability to form a strong therapeutic alliance with the patient will remain central. Part 2: Psychiatry and health-care systemsDelivering mental health services to those who need them will require reform of the traditional structure of services. Few existing models have evidence of clinical effectiveness and acceptability to service users. Services of the future should consider stepped care, increased use of multidisciplinary teamwork, more of a public health approach, and the integration of mental and physical health care. These services will need to fit into the cultural and economic framework of a diverse range of settings in high-income, low-income, and middle-income countries. Part 3: Psychiatry and societyIncreased emphasis on social interventions and engagement with societal expectations might be an important a ea fo ps hiat s de elop e t. This ould e o pass ad o a fo the ights of individuals living with mental illnesses, political involvement concerning the social risk factors for mental illness, and, on a smaller scale, work with families and local social networks and communities. Psychiatrists should therefore possess communication skills and knowledge of the social sciences as well as the basic biological sciences. Part 4: The future of mental health lawMental health law worldwide tends to be based on concerns about risk rather than the protection of the rights of individuals experiencing mental illness. The United Nations Convention on the Rights of Persons with Disabilities, which states that compulsion based in whole or in part on mental disability is discriminatory, is a landmark document that should inform the future formulation and reform of mental health laws. An evidence-based approach needs to be taken: mental health legislation should mandate mental health training for all health professionals; ensure access to good-quality care; and cover wider societal issues, particularly access to housing, resources, and employment. All governments should include a mental health impact assessment when drafting relevant legislation. Part 5: Digital psychiatry-enhancing the future of mental healthDigital technology might offer psychiatry the potential for radical change in terms of service delivery and the development of new treatm...

show abstract

Section: The Problem Of Coercion In Mental Health Lawmentioning

confidence: 99%

The WPA- Lancet Psychiatry Commission on the Future of Psychiatry

Bhugra

Tasman

Pathare

et al. 2017

The Lancet Psychiatry

330

187

View full text Add to dashboard Cite

show abstract

“…perceived control, choice, influence, freedom and idea). Scores ranged from 0 to 5 with higher scores indicating higher levels of coercion and the scale has been widely used and validated with inpatients Lidz et al, 1995Lidz et al, , 1998Kallert et al, 2005). Data on participants' ethnicity was also collected (census categories collapsed in two groups: white = 0 , non-white = 1).…”

Section: Methodsmentioning

confidence: 99%

“…the perception of being respectfully involved in a fair decision-making process regarding admission) has been identified as predicting lower perceived coercion at admission among involuntary patients or mixed groups of involuntary and voluntary patients Lidz et al, 1995;Hiday et al, 1997;Lidz et al, 1998;McKenna et al, 2001). However, little is known on what patient characteristics or experiences elicit feelings of coercion among voluntary patients.…”

Section: Introductionmentioning

confidence: 99%

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

Katsakou

Marougka

Garabette

et al. 2011

Psychiatry Research

101

View full text Add to dashboard Cite

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.

show abstract

“…Similarly, psychiatric patients who indicated that they entered treatment voluntarily were in fact under some form of official custody or had been admitted through an involuntarily commitment process. 22 While perceived coercion has been found to be related to psychiatric patients' legal status upon admission to treatment, there is variation in the degree to which patients perceive their admission to have been coerced, 23,24 suggesting the importance of understanding coercion from the subjective viewpoint of the patient as well as objectively.…”

Section: Perceived Coercionmentioning

confidence: 99%

Influence of Perceived Coercion and Motivation on Treatment Completion and Re-Arrest among Substance-Abusing Offenders

Prendergast¹,

Greenwell²,

Farabee³

et al. 2008

J Behav Health Serv Res

View full text Add to dashboard Cite

The effects of perceived coercion and motivation on treatment completion and subsequent rearrest were examined in a sample of substance-abusing offenders assessed for California's Substance Abuse and Crime Prevention Act (SACPA) program. Perceived coercion was measured with the McArthur Perceived Coercion Scale; motivation was measured with the subscales of the Stages of Change Readiness and Treatment Eagerness Scale (SOCRATES). At treatment entry, clients were more likely to believe that they had exercised their choice in entering treatment than that they had been coerced into treatment. SACPA clients scored relatively low on Recognition and Ambivalence regarding their drug use but relatively high on Taking Steps to address their drug problem. Correlations between perceived coercion and motivation measures at treatment entry indicated that these are separate constructs. In logistic regression models, the Recognition subscale of the SOCRATES significantly predicted "any re-arrest," and Ambivalence and Taking Steps predicted "any drug arrest."

show abstract

Perceived Coercion in Mental Hospital Admission

Abstract: Patients' feelings of being coerced concerning admission appears to be closely related to their sense of procedural justice. It may be that clinicians can minimize the experience of coercion even among those legally committed by attending more closely to procedural justice issues.

Cited by 249 publications

References 21 publications

The WPA- Lancet Psychiatry Commission on the Future of Psychiatry

The WPA- Lancet Psychiatry Commission on the Future of Psychiatry

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

Influence of Perceived Coercion and Motivation on Treatment Completion and Re-Arrest among Substance-Abusing Offenders

Contact Info

Product

Resources

About