Stakeholders' views of legal and advice services for people admitted to psychiatric hospital

Campbell, J. E.

doi:10.1080/09649060802550659

Cited by 14 publications

(36 citation statements)

References 26 publications

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“…Of the 20 studies that met criteria for inclusion in the review, there were 12 studies, reported across 22 papers, 4,[31][32][33][36][37][38]40,45,46,48,49,[51][52][53][54][55][56][57][58][59][60] that contained enough relevant and usable data for inclusion in the framework synthesis. Table 2 contains a summary of the foci, sample characteristics and qualitative data collection and analytic methods employed in these studies.…”

Section: Description Of Included Studiesmentioning

confidence: 99%

“…33,49,56,60 The three studies from Scotland 32,33,56 consisted solely of government reports and subsequent publications in peer-reviewed journals, all focusing on the implementation of the MHCT, with specific regard to the NPs provisions. One study 38 was conducted in Northern Ireland and focused on the views of various stakeholders on advocacy services available after compulsory detention. The remaining eight studies, conducted in England, could broadly be grouped as focusing on experiences of CTOs, 57,60 interactions with various mental health professionals 49,58 or perceptions of the MHA 1983 1 and the NR provisions and their implications for care.…”

Section: Description Of Included Studiesmentioning

confidence: 99%

“…31,45,46,48 All of the 'top tier' studies collected data using interviews. Other data collection methods used included administering questionnaires with space for open responses, 31,38,49 observation of group discussions, 45,49 and workshop events or group exercises. 31,48,49 There was a mixture of national and local sampling approaches, resulting in sample sizes ranging from 21 carers 45 to 998 survey respondents.…”

Section: Description Of Included Studiesmentioning

confidence: 99%

“…49 Interviews were conducted with samples ranging from 21 45 to 115 56 individuals, from a range of perspectives. Analysis was described as 'thematic analysis' (eight studies), 32,[36][37][38]46,48,49,[57][58][59][60] 'grounded theory' (two studies) 33,45 or 'framework analysis' (two studies). 4,31,[51][52][53][54][55][56] Included sources: 'second tier' studies Ten papers, reporting eight studies, met the inclusion criteria for the review but did not contain enough relevant data for synthesis.…”

Section: Description Of Included Studiesmentioning

confidence: 99%

“…For the description of data collection, three studies did not provide enough information to be able to reproduce the data collection setting, 33,45,60 and there was insufficient evidence of rigorous data collection in two studies that described only the use of an interview schedule. 38,46 Other studies described the use of additional markers of rigorous methods, such as the use of audio-recordings, checking transcripts and supplementary note-taking. Four studies were judged to have lacked evidence of rigorously conducted data analysis.…”

Section: Critical Appraisalmentioning

confidence: 99%

See 4 more Smart Citations

Experiences of the ‘Nearest Relative’ provisions in the compulsory detention of people under the Mental Health Act: a rapid systematic review

Shaw

Nunns

Briscoe

et al. 2018

Health Serv Deliv Res

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BackgroundService users detained for assessment and/or treatment under the Mental Health Act 1983 (MHA 1983) are allocated a ‘Nearest Relative’ (NR). The NR has access to confidential information about the service user and can make decisions about their care and treatment. Tensions exist regarding the identification, displacement and powers of the NR.ObjectivesTo examine the experiences of service users, carers and relevant professionals of the NR provisions of the MHA 1983, and the equivalent Named Person (NP) provisions in Scotland. Five research objectives were defined: understanding the experiences of and issues associated with (1) the identification of the NR, (2) the displacement of the NR, (3) confidentiality and information-sharing, (4) access to support from carers and (5) making decisions about treatment or care.Data sourcesSeven bibliographic databases were searched: MEDLINE (via Ovid), MEDLINE In-Process & Other Non-Indexed Citations (via Ovid), PsycINFO (via Ovid), Social Policy and Practice (via Ovid), Health Management Information Consortium (via Ovid), Cumulative Index to Nursing and Allied Health Literature (via EBSCOhost) and Applied Social Sciences Index and Abstracts (via ProQuest). Citation searching, author contact and grey literature searches were conducted.Review methodsA rapid systematic review was conducted in 6 weeks. Evidence published after 1998 from the UK pertaining to the experiences of those involved in compulsory detention under the MHA 1983 (or UK variants), including service users, carers, family members, NRs, NPs, mental health professionals, policy-makers and lawyers, was sought. Study selection, data extraction and critical appraisal were completed independently by two reviewers. We looked for data about experiences, which were obtained through qualitative means or surveys. Included studies containing several paragraphs of participant quotations and/or author interpretations were entered into a framework synthesis; the rest were summarised descriptively. The framework synthesis was based on the five research objectives and refined using the findings of key studies from England and Scotland and an inductive thematic analysis.ResultsTwenty studies were included with 12 prioritised for framework synthesis. Four themes emerged: (1) issues regarding the identification of the NR/NP, (2) confidentiality and information-sharing, (3) enabling the use of the NR/NP role and (4) the importance of maintaining relationships. The involvement of service users in choosing their representative and the role of services in supporting the NR/NP was identified as important.LimitationsThere is little recent evidence to inform this important and complex discussion. The review was rigorously conducted despite the short time scale; however, a more in-depth, iterative thematic analysis of all the included studies may have provided additional insights into the mechanisms underpinning the issues.ConclusionsThe NR provisions of the MHA 1983 are complex and of significant importance to individuals detained under the Mental Health Act and their carers. This rapid review provides specific examples of issues that individuals may experience. More research is needed to aid understanding of this complex topic.Future workPrimary research specifically focused on the perceived and actual use and impact of the NR provisions in England and Scotland.Study registrationThis study is registered as PROSPERO CRD42018088237.FundingThe National Institute for Health Research Health Services and Delivery Research programme.

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Section: Description Of Included Studiesmentioning

confidence: 99%

Section: Description Of Included Studiesmentioning

confidence: 99%

Section: Description Of Included Studiesmentioning

confidence: 99%

Section: Description Of Included Studiesmentioning

confidence: 99%

Section: Critical Appraisalmentioning

confidence: 99%

See 3 more Smart Citations

Experiences of the ‘Nearest Relative’ provisions in the compulsory detention of people under the Mental Health Act: a rapid systematic review

Shaw

Nunns

Briscoe

et al. 2018

Health Serv Deliv Res

View full text Add to dashboard Cite

show abstract

A “Rapid Best‐Fit” model for framework synthesis: Using research objectives to structure analysis within a rapid review of qualitative evidence

Shaw

Nunns

Briscoe

et al. 2020

Research Synthesis Methods

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The short time frame associated with rapid reviews can be challenging for researchers conducting qualitative evidence synthesis. In these circumstances a Best‐Fit Framework Synthesis, drawing upon existing theory and/or research, may be conducted to rapidly make sense of qualitative evidence. This article discusses a “Rapid Best‐Fit” approach to conducting Framework Synthesis within an 6‐week rapid systematic review of qualitative evidence. In the absence of a suitable theoretical model to inform the synthesis, we drew upon our research objectives to structure a framework, and to identify the studies which contained the most relevant data. Themes from these studies were used to revise the initial framework before inductive thematic synthesis finalized theme content. This “Rapid Best‐Fit” approach yielded results aligned with the needs of the commissioners of the review and is a useful addition to qualitative synthesis methods, allowing for the incorporation of diverse views and experiences into fast‐paced decision making scenarios.

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Feeling coerced during voluntary and involuntary psychiatric hospitalisation: A review and meta-aggregation of qualitative studies

Silva¹,

Bachelard²,

Amoussou³

et al. 2023

Heliyon

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Stakeholders' views of legal and advice services for people admitted to psychiatric hospital

Cited by 14 publications

References 26 publications

Experiences of the ‘Nearest Relative’ provisions in the compulsory detention of people under the Mental Health Act: a rapid systematic review

Experiences of the ‘Nearest Relative’ provisions in the compulsory detention of people under the Mental Health Act: a rapid systematic review

A “Rapid Best‐Fit” model for framework synthesis: Using research objectives to structure analysis within a rapid review of qualitative evidence

Feeling coerced during voluntary and involuntary psychiatric hospitalisation: A review and meta-aggregation of qualitative studies

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