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Involuntarily and voluntarily admitted patients' experiences of psychiatric admission and treatment: a comparison before and after changed legislation in Sweden
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Centre for Clinical Research, County of Västmanland.
2004 (English)In: European psychiatry, ISSN 0924-9338, Vol. 19, no 8, 464-468 p.Article in journal (Refereed) Published
Abstract [en]

Objective. – The Swedish Compulsory Mental Care Act (LPT) of 1992 emphasises the participation of patients and relatives in the treatment of the patients. The purpose of this study was to compare patients' experiences under the LPT with patients' experiences under the previous law.

Method. – Samples of 44 committed patients and 40 voluntarily admitted patients in 1991 and 49 committed and 49 voluntarily admitted patients in 1997/98 were interviewed at admission and at discharge, or after 3 weeks of care.

Results. – There were similar proportions of committed and voluntarily admitted patients, respectively, in 1991 and 1997/98 who reported participation in treatment planning and participation of relatives and who reported deprivation of liberty, but more committed patients in 1997/98 reported coercive measures.

Conclusion. – There were few differences of the patient's experiences between the study occasions. The fundamental aims of the legislation have not been fulfilled.

Place, publisher, year, edition, pages
2004. Vol. 19, no 8, 464-468 p.
Keyword [en]
compulsory psychiatric care, commitment, legislation, patient experiences
National Category
Medical and Health Sciences
URN: urn:nbn:se:uu:diva-96982DOI: 10.1016/j.eurpsy.2004.06.029ISI: 000226351500002OAI: oai:DiVA.org:uu-96982DiVA: diva2:171738
Available from: 2008-03-28 Created: 2008-03-28 Last updated: 2012-08-22Bibliographically approved
In thesis
1. Compulsory Psychiatric Care: Perspectives from the Swedish Coercion Study: Patient Experiences, Documented Measures, Next of Kins’ Attitudes and Outcome
Open this publication in new window or tab >>Compulsory Psychiatric Care: Perspectives from the Swedish Coercion Study: Patient Experiences, Documented Measures, Next of Kins’ Attitudes and Outcome
2008 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The use of coercion in psychiatry involves clinical, legal, scientific, ethical and emotional considerations. This thesis represents an attempt to further increase our understanding of some empirical aspects of this phenomenon.

Interviews with 202 involuntarily admitted psychiatric patients and 201 voluntarily admitted patients and 295 of their next of kins were performed and analysed together with data from records and assessments made by professionals. Data was collected during two different periods of time with a compulsory psychiatric care law reform in between.

Experience of at least one coercive measure was more common amongst patients who had been committed during the most recent legislation. Otherwise there were no differences in patient experiences during the different laws.

Subjective short-term outcome was associated with having a contact person at the ward and being subjectively treated well. There were no relationships between subjective and assessed outcome or between legal status, perceived coercion at admission and subjective or assessed improvement.

The changed legislation had no clear effect on the attitudes of patients and next of kins towards coercion.

A majority of patients were able to accurately answer the question whether they had been restrained by belt or not during a specific treatment episode. Nineteen of 115 patients reported they had been restrained by belt. Eleven of these cases were true positive and 8 cases were false positive.

In conclusion, the main results were first that when it comes to issues related to psychiatric coercion there are typically considerable differences between how these are perceived and interpreted by the professional and by the patient, and second that efforts made to change the face of psychiatric coercion in the minds of patients as well as the public on part of public policymakers have had limited effects.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2008. 63 p.
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 1651-6206 ; 326
Psychiatry, attitudes, coercion, coercive measures, commitment of mentally ill, compulsory psychiatric care, inpatient treatment, next of kins, patients, restraint, self-report, Psykiatri
urn:nbn:se:uu:diva-8607 (URN)978-91-554-7149-1 (ISBN)
Public defence
2008-04-18, Samlingssalen, Psykiatricentrum, Ing. 29, Centrallasarettet, 721 89 Västerås, 13:15
Available from: 2008-03-28 Created: 2008-03-28Bibliographically approved

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