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A Computer-Based Platform for Aiding Clinicians in Eating Disorder Analysis and Diagnosis

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Digital Technologies and Coercion in Psychiatry.

Nathaniel P Morris¹

¹Department of Psychiatry and Behavioral Sciences, University of California, San Francisco, San Francisco.

Psychiatric Services (Washington, D.C.)

|January 12, 2021

Summary

Digital technologies in psychiatry may inadvertently increase patient coercion. This study explores how tools like electronic medical record flags and surveillance can impact mental health care experiences, offering recommendations for ethical integration.

Keywords:

Coercion Digital technologies Involuntary commitment Psychiatry Risk assessment Videoconferencing

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Area of Science:

Psychiatry
Medical Ethics
Health Informatics

Background:

Psychiatry has a history of coercive practices, including involuntary hospitalization and restraints.
Informal coercion, such as subtle threats or leverage, is also common in psychiatric settings.
Digital technologies offer potential benefits for mental health care access and delivery.

Purpose of the Study:

To examine how digital technologies in psychiatry may lead to new forms of patient coercion.
To propose methods for studying and mitigating the coercive potential of these technologies.

Main Methods:

Analysis of composite case examples illustrating the use of digital technologies in psychiatric care.
Review of existing literature on coercion in mental health and digital health.

Main Results:

Digital tools like electronic medical record flags, surveillance, and risk assessment can create or exacerbate patient coercion.
The integration of technology may alter patients' experiences of coercion in unexpected ways.

Conclusions:

Careful consideration and ethical guidelines are needed for the implementation of digital technologies in psychiatry.
Further research is essential to understand and address the complex relationship between digital tools and patient coercion in mental health care.