Users' Perceptions and Views on Violence and Coercion in Mental Health

Abderhalden, Christoph; Hahn, Sabine; Bonner, Yvonne D. B.; Galeazzi, Gian Maria

doi:10.1007/978-0-387-33965-8_4

Cited by 26 publications

(21 citation statements)

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“…The means by which pressures towards treatment are manifest vary, ranging from overt coercion to more subtle forms. Pressures come from a number of different sources such as family, friends, police officers and clinicians (Abderhalden, Hahn, Bonner, & Galeazzi, 2006). The study and reduction of coercion related to treatment has important ethical implications and may have a positive impact on relevant outcomes.…”

Section: Introductionmentioning

confidence: 99%

Constraints Perceived by Psychiatrists Working in Community Mental Health Services. Development and Pilot Study of a Novel Instrument

Galeazzi

Mackinnon

Curci

2007

Community Ment Health J

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An inventory of institutional constraints perceived as limiting therapeutic choices was developed and completed by psychiatrists working in Italian public mental health services. Constraints considered most limiting were social and institutional pressures toward social control, violence risk assessment and prevention, and lack of control over workload. The total mean score of the perceived constraints instrument was significantly negatively correlated with ratings of perceived freedom in therapeutic choices and with overall job satisfaction. Reliability was good (alpha = 0.85). Addressing perceived constraints may result in more choice options to reach therapeutic goals in a collaborative framework with patients, and improve job satisfaction.

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Section: Introductionmentioning

confidence: 99%

Constraints Perceived by Psychiatrists Working in Community Mental Health Services. Development and Pilot Study of a Novel Instrument

Galeazzi

Mackinnon

Curci

2007

Community Ment Health J

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“…user involvement [20, 21] and crowding [22]). This progress was accompanied by mental health research that provided the basis for data assessment, benchmarking [7, 8], and evaluation of instruments (for overview, see [23, 24]).…”

Section: Introductionmentioning

confidence: 99%

Who is Subjected to Coercive Measures as a Psychiatric Inpatient? A Multi-Level Analysis

Flammer

Steinert²,

Eisele³

et al. 2013

CPEMH

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Background:For a reduction in the use of coercive interventions it will be necessary to identify patients at risk. The aim of this study was to explore the impact of basic patient characteristics at admission, history within 24 hours before admission, and living conditions on the risk of experiencing coercive measures, controlling for ward characteristics in a multi-level approach.Methods:Patient characteristics of 3389 patients (1920 women) who had received inpatient treatment in 2007, data relating to coercive measures, and ward characteristics were extracted from the clinical basic documentation.Results:Patients with aggressive behaviour in the 24 hours prior to admission had a three times higher risk of coercive measures compared to non-aggressive patients. Severity of illness increased the risk of coercion markedly. With each level of severity, the risk of coercion was doubled. Voluntariness of stay appeared to be the best protective factor against coercive measures. If a patient stayed voluntarily, this reduced the risk of coercion by more than two thirds. No impact was found for living conditions.Conclusions:To identify patients at risk, it is most important to intensively monitor patients with aggressive behaviour prior to admission and patients with a greater severity of psychopathological symptoms.

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“…; Michie & West ), it contributes to lower client satisfaction scores (Abderhalden et al . ; Meehan et al . ), and is very expensive (LeBel & Goldstein ).…”

Section: Introductionmentioning

confidence: 99%

Systemic perspective of violence and aggression in mental health care: Towards a more comprehensive understanding and conceptualization: Part 1

Cutcliffe

Riahi

2013

Int J Mental Health Nurs

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Aggression and violence (A/V) in mental health care are all too frequent occurrences; they produce a wide range of deleterious impacts on the individual client, staff, organizations, and the broader community. A/V is a multifaceted and highly-complex problem, and is associated empirically with a wide range of phenomena. However, most attempts to reduce A/V in mental health care have invariably focused on one or two aspects of the problem at the expense of a more comprehensive, systemic approach; these have produced inconclusive results. As a result, this two-part paper seeks to: (i) recognize the wide range of phenomena that have been found to have an association with A/V in mental health care; (ii) synthesize these propositions according to fit or congruence into a systemic model of A/V; (iii) explore empirical evidence pertaining to these propositions; and (iv) begin to consider the application of this model to better inform our individual and/or organizational responses to A/V in mental health care. The paper advances a systemic model of these phenomena comprised of four thematic categories, with Part 1 of this paper focusing on the first two categories: environmental and intrapersonal (client-related) phenomena.

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