Pressures to adhere to treatment (‘leverage’) in English mental healthcare

Burns, Tom; Yeeles, Ksenija; Molodynski, Andrew; Nightingale, Helen; Vazquez-Montes, M; Sheehan, Kathleen; Linsell, Louise

doi:10.1192/bjp.bp.110.086827

Cited by 64 publications

(35 citation statements)

References 17 publications

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“…Legal detention plays a large part in the experience of coercion but is not the only important factor. Country of study was also a significant variable, with coercion less common in the USA, even after controlling for the relative distribution of legal detention, when 40 with increased pressure ('leverage') applied in a US setting. This highlights the importance of clearly defining the construct examined, in this case coercion as opposed to leverage, and how these are defined.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of perceived coercion among psychiatric patients: literature review and meta-regression modelling

Newton‐Howes

Stanley

2012

Psychiatrist

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Aims and methodTo assess how common the subjective experience of coercion is in psychiatric care and what affects its prevalence. A review of published data was undertaken to assess prevalence of coercion and potential confounding variables. The heterogeneity of results was studied using meta-regression to quantify the relative impact of four potential explanatory variables.ResultsThe raw prevalence of perceived coercion ranged from 16 to 90%. A quarter of legally detained patients did not feel coerced into psychiatric care, whereas a quarter of voluntary in-patients reported coercion in care. Coercion was more common in studies outside the USA, among patient populations subject to legal detention and populations studied using the MacArthur Perceived Coercion Scale as opposed to other measures. Timing of the interview was not associated with coercion.Clinical implicationsCoercion in psychiatric care remains highly prevalent but varies widely by study. Consistency in measurement is necessary to allow better comparison between studies.

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Section: Discussionmentioning

confidence: 99%

Prevalence of perceived coercion among psychiatric patients: literature review and meta-regression modelling

Newton‐Howes

Stanley

2012

Psychiatrist

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“…Patients meet non-statutory pressure and coercion, although they are in voluntary in-or out-patient care. Burns et al (2011) studied social pressure and leverage in USA and UK and found that some measures of social pressure vary by country. Using non-statutory pressure is associated with the severity of mental illness and substance use (Burns et al 2011).…”

Section: Coerced Patients' Perceptions Of Their Overall Treatmentmentioning

confidence: 99%

Patient Experience of Coercive Measures

Soininen

Kontio

Joffe

et al. 2016

The Use of Coercive Measures in Forensic Psychiatric Care

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Coercive situations are complicated and stressful for both the one being forced as well as the one forcing the other. Patients' experiences of coercion have been studied since the end of the 1970s, and interest in this theme has increased since about 2000. It seems that involuntary treatment as a general concept is more accepted than individual, specific coercive measures, such as forced medication, seclusion or restraint, which patients usually deem unnecessary. Patients' views on seclusion and restraint have been mostly but not always negative. For instance, patients have expressed seclusion-or restraint-related feelings of safety and security, protection, trust, helpfulness and a decrease of stimulation. Moreover, perceptions vary according to, for example, patients' age and gender and their adaptation to the illness and treatment system. The importance of patients' perspective and service user involvement in the development of services has been officially recognised. Indeed, taking patients' experience into proper consideration is a matter of the services' quality. In this chapter, we also discuss these future challenges.

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“…Indeed, since it is already known (Burns et al 2011) that 'leverage' amongst mental health populations exists, how much more likely is it to occur in an imprisoned population? We do not know the answer.…”

Section: (Iii) Coercionmentioning

confidence: 99%

Imprisoning the Mentally Disordered: A Manifest Injustice?

Peay

2014

SSRN Journal

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Pressures to adhere to treatment (‘leverage’) in English mental healthcare

Cited by 64 publications

References 17 publications

Prevalence of perceived coercion among psychiatric patients: literature review and meta-regression modelling

Prevalence of perceived coercion among psychiatric patients: literature review and meta-regression modelling

Patient Experience of Coercive Measures

Imprisoning the Mentally Disordered: A Manifest Injustice?

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