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Coercion in mental healthcare: time for a change in direction

Published online by Cambridge University Press:  02 January 2018

Andrew Molodynski
Affiliation:
Oxford Health NHS Foundation Trust, Oxford University, UK Social Psychiatry's international working group on coercion; email andrew.molodynski@oxfordhealth.nhs.uk
Yasser Khazaal
Affiliation:
Department of Mental Health and Psychiatry, Geneva University Hospitals, Geneva University, Switzerland
Felicity Callard
Affiliation:
Reader in Social Science for Medical Humanities, Durham University, UK Trustee of the Board, Mental Disability Advocacy Centre, London, UK
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Coercion has always been integral to the care and treatment of people who are mentally ill and there is no ‘perfect’ model in which coercion is absent. A number of interventions have shown promise in reducing the use of coercion, however, and we believe the evidence points to ways forward that may improve both the experience and the outcome of care.

Type
Guest Editorial
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © Royal College of Psychiatrists 2016

References

APNA (2014) APNA Position on the Use of Seclusion and Restraint. American Psychiatric Nurses Association. Available at http://www.apna.org (accessed December 2015).Google Scholar
Burns, T., Rugkåsa, J., Molodynski, A., et al (2013) Community treatment orders for patients with psychosis: a randomised controlled trial. Lancet, 381, 16271633.CrossRefGoogle ScholarPubMed
Cutler, P., Hayward, R. & Tansan, G. (2006) Supporting User Led Advocacy in Mental Health. At http://www.opensocietyfoundations.org/sites/default/files/cutler.pdf (accessed December 2015).Google Scholar
Dawson, J. & Szmukler, G. (2006) Fusion of mental health and incapacity legislation. British Journal of Psychiatry, 188, 504509.CrossRefGoogle ScholarPubMed
Department of Health (2012) Transforming Care: A National Response to Winterbourne View Hospital: Review Final Report. Department of Health.Google Scholar
Easton, M. (2013) ‘Excessive’ use of face-down restraint in mental health hospitals. BBC News website, http://www.bbc.co.uk/news/uk-22955917 (accessed December 2015).Google Scholar
Eytan, A., Chatton, A., Safran, E., et al (2013) Impact of psychiatrists' qualifications on the rate of compulsory admissions. Psychiatric Quarterly, 84, 7380.CrossRefGoogle ScholarPubMed
Fiorillo, A., De Rosa, C., Del Vecchio, V., et al (2011) How to improve clinical practice on involuntary hospital admissions of psychiatric patients: suggestions from the EUNOMIA study. European Psychiatry, 26, 201207.CrossRefGoogle ScholarPubMed
Goldstein, J. (1987) Console and Classify: The French Psychiatric Profession in the Nineteenth Century. Cambridge University Press.Google Scholar
Harrison, M. (2004) Implementing Change in Health Systems: Market Reforms in the United Kingdom, Sweden, and the Netherlands. Sage.Google Scholar
Henderson, C., Flood, C., Leese, M., et al (2004) Effect of joint crisis plans on use of compulsory treatment in psychiatry: single blind randomised controlled trial. BMJ, 329, 136.CrossRefGoogle ScholarPubMed
Human Rights Watch (2012) ‘Like a Death Sentence’: Abuses Against Persons with Mental Disabilities in Ghana. Human Rights Watch. Available at http://www.hrw.org/sites/default/files/reports/ghana1012webwcover.pdf (accessed December 2015).Google Scholar
Jaeger, S., Pfiffner, C., Weiser, P., et al (2013) Long-term effects of involuntary hospitalization on medication adherence, treatment engagement and perception of coercion. Social Psychiatry and Psychiatric Epidemiology, 48, 17871796.CrossRefGoogle ScholarPubMed
Kallert, T. W., Katsakou, C., Adamowski, T., et al (2011) Coerced hospital admission and symptom change – a prospective observational multi-centre study. PloS One, 6, e28191.CrossRefGoogle Scholar
Kayess, R. & French, P. (2008) Out of darkness into light? Introducing the Convention on the Rights of Persons with Disabilities. Human Rights Law Review, 8, 134.CrossRefGoogle Scholar
Khazaal, Y., Manghi, R., Delahaye, M., et al (2014) Psychiatric advance directives, a possible way to overcome coercion and promote empowerment. Frontiers in Public Health, 2, 37.CrossRefGoogle ScholarPubMed
Kleintjes, S., Lund, C. & Swartz, L. (2013) Organising for self-advocacy in mental health: experiences from seven African countries. African Journal of Psychiatry, 16, 187195.Google ScholarPubMed
La Fond, J. Q. & Srebnik, D. (2002) The impact of mental health advance directives on patient perceptions of coercion in civil commitment and treatment decisions. International Journal of Law and Psychiatry, 25, 537555.CrossRefGoogle ScholarPubMed
Lay, B., Salize, H. J., Dressing, H., et al (2012) Preventing compulsory admission to psychiatric inpatient care through psycho-education and crisis focused monitoring. BMC Psychiatry, 12, 136.CrossRefGoogle ScholarPubMed
Lefley, H. P. (2008) Advocacy, self-help, and consumer-operated services. In Psychiatry (3rd edition) (eds Tasman, A., Kay, J., Lieberman, J. A., First, M. B. & Maj, M.), pp. 20832096. Wiley.CrossRefGoogle Scholar
Mental Disability Advocacy Center (2014a) The Right to Legal Capacity in Kenya. Mental Disability Advocacy Center. Available at http://mdac.info/sites/mdac.info/files/mdac_kenya_legal_capacity_2apr2014.pdf (accessed December 2015).Google Scholar
Mental Disability Advocacy Center (2014b) Cage Beds and Coercion in Czech Psychiatric Institutions. Mental Disability Advocacy Center. Available at http://www.mdac.info/sites/mdac.info/files/cagebed_web_en_20140624_0.pdf (accessed December 2015).Google Scholar
Mid Staffordshire NHS Foundation Trust Public Inquiry (2013) Final Report. Available at http://www.midstaffspublicinquiry.com (accesssed December 2015).Google Scholar
Muijen, M. (2008) Focus on mental health care reforms in Europe: mental health services in Europe: an overview. Psychiatric Services, 59, 479482.CrossRefGoogle ScholarPubMed
Newton-Howes, G. (2010) Coercion in psychiatric care: where are we now, what do we know, where do we go? The Psychiatrist, 34, 217220.CrossRefGoogle Scholar
Paksarian, D., Mojtabai, R., Kotov, R., et al (2014) Perceived trauma during hospitalization and treatment participation among individuals with psychotic disorders. Psychiatric Services, 65, 266269.CrossRefGoogle ScholarPubMed
Porter, R. (2004) Madmen: A Social History of Madhouses, Mad-Doctors and Lunatics. Tempus.Google Scholar
Prinsen, E. J. D. & van Delden, J. J. M. (2009) Can we justify eliminating coercive measures in psychiatry? Journal of Medical Ethics, 35, 6973.CrossRefGoogle ScholarPubMed
Swartz, M. S., Swanson, J. W. & Hannon, M. J. (2003) Does fear of coercion keep people away from mental health treatment? Evidence from a survey of persons with schizophrenia and mental health professionals. Behavioral Sciences and the Law, 21, 459472.CrossRefGoogle ScholarPubMed
Thornicroft, G., Farrelly, S., Szmukler, G., et al (2013) Clinical outcomes of joint crisis plans to reduce compulsory treatment for people with psychosis: a randomised controlled trial. Lancet, 381, 16341641.CrossRefGoogle ScholarPubMed
Tuke, D. H. (1892) Retrospective glance at the early history of the Retreat, York: its objects and influence. British Journal of Psychiatry, 38, 333359.Google Scholar
Wallsten, T., Kjellin, L. & Lindström, L. (2006) Short-term outcome of inpatient psychiatric care – impact of coercion and treatment characteristics. Social Psychiatry and Psychiatric Epidemiology, 41, 975980.CrossRefGoogle ScholarPubMed
World Health Organization (2005) Mental Health Atlas. WHO Department of Mental Health, and Substance Abuse.Google Scholar
World Health Organization (2012) The Quality Rights Toolkit. WHO.Google Scholar
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