uu.seUppsala University Publications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Short-term outcome of inpatient psychiatric care - impact of coercion and treatment characteristics
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm , Centre for Clinical Research, County of Västmanland.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm , Centre for Clinical Research, County of Västmanland.
2006 (English)In: Social Psychiatry and Psychiatric Epidemiology, ISSN 0933-7954, E-ISSN 1433-9285, Vol. 41, no 12, 975-980 p.Article in journal (Refereed) Published
Abstract [en]

Aims: Little is known about the outcome of brief inpatient treatment interventions in routine psychiatric practice. The aim of this article was to study if subjective and assessed outcome of brief psychiatric inpatient care are related to patient characteristics, coercion at admission and during care, and other treatment characteristics. Method: A total of 233 involuntarily and voluntarily admitted patients were interviewed within 5 days from admission and at discharge or after 3 weeks of care. Outcome was measured as reported by patients and by change in GAF (Global Assessment Scale) scores. Results: Predictors fora positive subjective outcome were if the patients reported that they had been well treated by the staff and had contact persons at the ward. Predictors for a GAF improvement were a low GAF score at admission and a mood disorder diagnosis. Conclusions: Subjectively reported outcome and outcome measured by assessing change in level of functioning differed. Coercion was not related to outcome. The way the patient perceived they had been treated by the staff was strongly related to subjective outcome.

Place, publisher, year, edition, pages
2006. Vol. 41, no 12, 975-980 p.
Keyword [en]
Coercion, Inpatient treatments, Outcome assessment, Psychiatry
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-96983DOI: 10.1007/s00127-006-0131-6ISI: 000243326600007PubMedID: 17080321OAI: oai:DiVA.org:uu-96983DiVA: diva2:171739
Available from: 2008-03-28 Created: 2008-03-28 Last updated: 2017-12-14Bibliographically 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.
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 1651-6206 ; 326
Keyword
Psychiatry, attitudes, coercion, coercive measures, commitment of mentally ill, compulsory psychiatric care, inpatient treatment, next of kins, patients, restraint, self-report, Psykiatri
Identifiers
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
Opponent
Supervisors
Available from: 2008-03-28 Created: 2008-03-28Bibliographically approved

Open Access in DiVA

No full text

Other links

Publisher's full textPubMed
By organisation
Centre for Clinical Research, County of Västmanland
In the same journal
Social Psychiatry and Psychiatric Epidemiology
Medical and Health Sciences

Search outside of DiVA

GoogleGoogle Scholar

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 454 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf