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Jan 2, 2018 · Increasingly so, the reach of these powers in psychiatry is stretching past the hospitals' doors as community treatments become more ubiquitous. This raises the importance of a reconsideration of coercion in psychiatric care: what it is, how prevalent it is, if it is supported by evidence and what, if anything, clinicians can do to reduce its sway.
- Giles Newton-Howes
- 2010
In conclusion, it appears to be possible to reduce coercion in psychiatric hospitals by various intervention approaches directed at the wards – such as staff training, 8 risk assessment, but also complex interventions. 9 The cost of these interventions is not that high compared to the damage that coercive measures can cause. Future clinical and research programs should find a way to also ...
Reference Sashidharan, Mezzina and Puras 3 Consequently, most evidence-based guidelines for mental health conditions do not consider measures to reduce coercion. Therefore, the aim of this umbrella review was to summarise the efficacy of interventions to reduce the use of coercive care in mental health services.
- Corrado Barbui, Marianna Purgato, Jibril Abdulmalik, José Miguel Caldas-de-Almeida, Julian Eaton, Oy...
- 2021
Jul 9, 2019 · The availability of mental health legislation does not prevent psychiatric abuse or reduce coercion. For example, maltreatment and violence towards people with mental health problems are reported in countries with well-established mental health legislation and well-resourced mental health systems.
- S P Sashidharan, Roberto Mezzina, Dainius Puras
- 2019
Jan 17, 2020 · In a Danish study using all available national data where ‘patient controlled admission’ is available, the researchers found that implementing patient-controlled admission did not reduce coercion, service use or self-harm behaviour when compared with treatment as usual, but it did identify beneficial effects of patient-controlled admission in the before and after patient-controlled ...
- Piers Gooding, Bernadette McSherry, Cath Roper
- 2020
Sep 21, 2022 · Coercion is the use of force or threat to compel another to act in a particular way. In the typical limited resources domain of psychiatry, with behavioural crises and reduced capacity to make treatment decisions, coercion is sometimes the only practical choice available to mitigate imminent harm. Historically, coercive practices in psychiatry ...
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Feb 1, 2016 · The practice of psychiatry in some systems uses coercion early on, with people being admitted to locked units pending assessment. The ‘front loading’ of the assessment process with early involvement of senior clinicians should allow for a reduction in admissions, the rapid deployment of evidence-based interventions and the minimisation of coercion (Eytan et al , 2013 ).
