Why do some voluntary patients feel coerced into hospitalisation? A mixed-methods study
Christina Katsakou1, Stamatina Marougka, Jonathan Garabette
1Barts and the London School of Medicine, Queen Mary University of London, London, UK. c.katsakou@qmul.ac.uk
Psychiatry Research
|January 29, 2011
Summary
Many voluntary inpatients feel coerced into treatment. Enhancing patient involvement in decisions and ensuring respectful care may reduce feelings of coercion during mental health treatment.
Area of Science:
- Psychiatry
- Mental Health Services Research
- Patient Experience
Background:
- Perceived coercion can impact voluntary inpatients' treatment adherence and outcomes.
- Understanding the drivers of perceived coercion is crucial for improving patient care.
Purpose of the Study:
- To investigate factors associated with perceived coercion at admission and during treatment among voluntary inpatients.
- To identify patient characteristics and experiences that predict feelings of coercion.
Main Methods:
- A mixed-methods approach combining quantitative screening and in-depth qualitative interviews.
- 270 voluntary inpatients screened for perceived coercion; 36 participants interviewed thematically.
Main Results:
- 34% of patients reported feeling coerced into admission, with half still feeling coerced a month later.
- No patient characteristics predicted perceived coercion; increased treatment satisfaction correlated with reduced coercion.
- Qualitative themes revealed coercion linked to perceived hospital ineffectiveness, lack of participation, and disrespect.
Conclusions:
- Perceived coercion is prevalent among voluntary inpatients.
- Patient involvement in decision-making and respectful treatment are key to reducing perceived coercion.
- Interventions should focus on patient empowerment and collaborative care models.
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