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Related Experiment Video

Updated: May 12, 2026

Involving Individuals with Developmental Language Disorder and Their Parents/Carers in Research Priority Setting
06:16

Involving Individuals with Developmental Language Disorder and Their Parents/Carers in Research Priority Setting

Published on: June 6, 2020

International Expert Priorities for Promoting Recovery and Coercion-Free Practices in Psychosocial Disability: A

Michela Atzeni1,2, Giulia Cossu2, Massimo Tusconi1

  • 1University Hospital of Cagliari, 09042 Cagliari, Italy.

Alpha Psychiatry
|May 11, 2026
PubMed
Summary

Global crises disproportionately affect individuals with psychosocial disabilities. This study prioritized expert-informed, rights-based mental health care, emphasizing community inclusion and coercion-free practices for recovery.

Keywords:
Delphi methodDelphi studycoercionhuman rightsmental health recoverypersons with disabilities

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Last Updated: May 12, 2026

Involving Individuals with Developmental Language Disorder and Their Parents/Carers in Research Priority Setting
06:16

Involving Individuals with Developmental Language Disorder and Their Parents/Carers in Research Priority Setting

Published on: June 6, 2020

Area of Science:

  • Mental Health Services Research
  • Psychiatry
  • Human Rights Law

Background:

  • Global crises (pandemics, conflicts, climate change) exacerbate marginalization of persons with psychosocial disabilities.
  • A rights-based approach to mental health care is ethically imperative, aligning with UN Convention on the Rights of Persons with Disabilities and WHO QualityRights.
  • Consultation-liaison psychiatry in general hospitals needs to integrate recovery-oriented, coercion-free practices.

Purpose of the Study:

  • To identify expert-informed priorities for implementing recovery-oriented, coercion-free practices in consultation-liaison psychiatry.
  • To incorporate international stakeholder perspectives into mental health care reform.
  • To define actionable strategies for rights-based mental health services in general hospitals.

Main Methods:

  • A two-round Policy Delphi study involving 17 international experts (9 completed both rounds).
  • Qualitative thematic analysis of Round 1 responses to generate items for Round 2 prioritization.
  • Descriptive statistics to summarize expert consensus and divergence on priorities and barriers.

Main Results:

  • Strong expert convergence on community inclusion, user participation, and professional training as key priorities.
  • Mutual exchange and learning (78%) identified as primary benefit of international collaboration; social inclusion (44%) and staff training (33%) prioritized for rights-based recovery.
  • Barriers included control-oriented care cultures (33%) and insufficient training/tools (22%); future care envisioned integrated into community life (56%).

Conclusions:

  • Rights-based, recovery-oriented mental health services must prioritize community inclusion, shared governance, and adaptability.
  • Experts advocate for relational and participatory models over top-down or standardized reforms.
  • Findings offer insights for developing coercion-free consultation-liaison psychiatry and informing international mental health reform.