The effects of legislative reform on civil commitment admission rates: A critical analysis

Bagby, R. Michael; Atkinson, Leslie

doi:10.1002/bsl.2370060105

Cited by 32 publications

(15 citation statements)

References 22 publications

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“…Recently, changes have been introduced to the Norwegian legislation, including a requirement of a lack of capacity to consent and for an exhaustive written justification for involuntary admission [ 12 ]. These changes could help reduce rates, although such an effect on coercion has not been consistent in other countries that have changed their legislation [ 120 – 122 ].…”

Section: Discussionmentioning

confidence: 99%

Involuntary admission in Norwegian adult psychiatric hospitals: a systematic review

Wynn

2018

Int J Ment Health Syst

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BackgroundIt is an important objective of the psychiatric services to keep the use of involuntary procedures to a minimum, as the use of coercion involves clinical, ethical, and legal issues. It has been claimed that Norway has a relatively high rate of involuntary admissions. We reviewed the peer-reviewed literature on the use of involuntary admission in Norway, with the purpose of identifying the current state of knowledge and areas in need of further research.MethodsA systematic review following the PRISMA statement was conducted. We searched the electronic databases PsycInfo, PubMed, Web of Science, CINAHL, and Embase for studies relating to involuntary admission to Norwegian adult psychiatric hospitals published in the period 1 January 2001 to 8 August 2016. The database searches were supplemented with manual searches of relevant journals, reference lists, and websites.ResultsSeventy-four articles were included and grouped into six categories based on their main topics: Patients’ experiences, satisfaction and perceived coercion (21 articles), the Referral and admission process (11 articles), Rates of admission (8 articles), Characteristics of the patients (17 articles), Staff attitudes (9 articles), and Outcomes (8 articles). Four of the included articles described intervention studies. Fifty-seven of the articles had a quantitative design, 16 had a qualitative design, and one a mixed-method design. There was a broad range of topics that were studied and considerable variation in study designs. The findings were largely in line with the international literature, but the particularities of Norwegian legislation and the Norwegian health services were reflected in the literature. The four intervention studies explored interventions for reducing rates of involuntary admission, such as modifying referring routines, improving patient information procedures, and increasing patients’ say in the admission process, and represent an important avenue for future research on involuntary admission in Norway.ConclusionsThe review suggests that Norway has a relatively high rate of involuntary admissions. The identified studies represent a broad mix of topics and designs. Four intervention studies were identified. More studies with strong designs are needed to bring research on involuntary admission in Norway to a next level.Electronic supplementary materialThe online version of this article (10.1186/s13033-018-0189-z) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Involuntary admission in Norwegian adult psychiatric hospitals: a systematic review

Wynn

2018

Int J Ment Health Syst

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“…In considering the impact of ICC criteria, researchers have primarily focused on the "numbers admitted to inpatient care" and the "duration of hospitalizations" as indicators of "frequency" and "intensity" of utilization. Researchers have generally shown that the broadening of ICC criteria is associated with an immediate increase in admission rates which are sustained for at least 2 years [46]. When ICC criteria are narrowed to a dangerousness standard, 15 of 17 short-and long-term studies based on independent data sets showed increases in admissions followed by initial post-reform decreases [46].…”

Section: Icc Statutory Criteria Mental Health Inpatient Involvementmentioning

confidence: 99%

Civil commitment law, mental health services, and US homicide rates

Segal

2011

Soc Psychiatry Psychiatr Epidemiol

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“…More than 25 studies that might have demonstrated a negative impact of the new laws were conducted in at least 16 North American jurisdictions 12. Most did show a decline in total involuntary admissions in the year following legislative change, but this was usually followed by a recovery in the admission rate over the subsequent years.…”

Section: The Origins and Impact Of The Dangerousness Criterionmentioning

confidence: 99%

The danger of dangerousness: why we must remove the dangerousness criterion from our mental health acts

2008

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The effects of legislative reform on civil commitment admission rates: A critical analysis

Abstract: Many jurisdictions across North

Cited by 32 publications

References 22 publications

Involuntary admission in Norwegian adult psychiatric hospitals: a systematic review

Involuntary admission in Norwegian adult psychiatric hospitals: a systematic review

Civil commitment law, mental health services, and US homicide rates

The danger of dangerousness: why we must remove the dangerousness criterion from our mental health acts

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