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Related Experiment Videos

Perceived coercion and treatment adherence in an outpatient commitment program.

Sarah D Rain1, Henry J Steadman, Pamela Clark Robbins

  • 1Policy Research Associates, Inc., Delmar, New York 12054, USA.

Psychiatric Services (Washington, D.C.)
|March 1, 2003
PubMed
Summary

Mental health inpatients who felt more coerced during hospitalization showed higher adherence to clinical treatment one month after discharge. This association did not persist at later follow-ups or with provider ratings.

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Area of Science:

  • Psychiatry
  • Mental Health Services Research
  • Treatment Adherence

Background:

  • Understanding factors influencing postdischarge treatment adherence is crucial for mental health outcomes.
  • Patient perceptions of coercion may impact engagement with mental health services.

Purpose of the Study:

  • To examine the association between perceived coercion and treatment adherence in mental health inpatients postdischarge.
  • To assess if perceived coercion influences adherence to medication and clinical treatment.

Main Methods:

  • Prospective study involving 117 mental health inpatients eligible for outpatient commitment.
  • Perceived coercion measured during hospitalization and at 1, 5, and 11 months postdischarge.
  • Medication and clinical treatment adherence assessed at postdischarge follow-ups.
Keywords:
Empirical ApproachMental Health Therapies

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Main Results:

  • Higher perceived coercion correlated with greater self-reported adherence to clinical treatment at one-month follow-up.
  • No significant association found between perceived coercion and adherence at 5 or 11 months.
  • Positive correlation observed between perceived coercion and adherence to injected medications.

Conclusions:

  • Perceived coercion may be linked to short-term treatment adherence in mental health inpatients.
  • The relationship between perceived coercion and adherence may diminish over time.
  • Further research is needed to explore the nuances of coercion perception and long-term treatment engagement.