[Contributions to reduce coercion in psychiatric care]

Area of Science:

• Psychiatry
• Mental Health Services Research

Background:

• Coercive interventions in psychiatric treatment remain a significant concern.
• Minimizing restraint and seclusion is crucial for patient well-being and rights.

Purpose of the Study:

• To provide an overview of current strategies for reducing coercive practices in psychiatric care.
• To explore possibilities for establishing non-violent and participatory therapeutic environments.

Main Methods:

• Literature review of existing approaches to minimize coercive interventions.
• Discussion of opportunities considering structural, staff, social, legal, and patient-centered factors.

Main Results:

• Successful reduction of coercion necessitates integrated changes in structural, therapeutic, and individual levels.
• Various opportunities exist to create less restrictive and more collaborative treatment settings.

Conclusions:

• Implementing non-violent and participatory settings requires a multi-faceted approach.
• Addressing structural resources, staff attitudes, legal frameworks, and patient experiences is key to reducing coercion.