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Hospitalisation and compulsion: The research agenda

  • Tom Burns (a1) and Jorun Rugkåsa (a2)

Summary

Keown et al's paper highlights the complex nature of social determinants of hospital admission and compulsory care. We review here how research into compulsion in mental health has progressed beyond epidemiological studies of rates of admission. There is now a wider recognition of the range of compulsory and coercive processes used and how they are experienced by patients. The results of recent studies have confirmed the importance of confronting the complexity that Keown et al have presented. They have also produced unexpected and intriguing findings that set the direction for future research.

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Copyright

Corresponding author

Tom Burns, Department of Psychiatry, University of Oxford, Warneford Hospital, Oxford OX3 7JX, UK. Email: tom.burns@psych.ox.ac.uk

Footnotes

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See pp. 157–161, this issue.

Declaration of interest

T.B. and J.R. were the principal investigator and manager respectively of the OCTET CTO trial.

Footnotes

References

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1 Keown, P, McBride, O, Twigg, L, Crepaz-Keay, D, Cyhlarova, E, Parsons, H, et al. Rates of voluntary and compulsory psychiatric in-patient treatment in England: an ecological study investigating associations with deprivation and demographics. Br J Psychiatry 2016; 209: 157–61.
2 Das-Munshi, J, Bécares, L, Boydell, JE, Dewey, ME, Morgan, C, Stansfeld, SA, et al. Ethnic density as a buffer for psychotic experiences: findings from a national survey (EMPIRIC). Br J Psychiatry 2012; 201: 282–90.
3 Marmot, M. The Status Syndrome. How Your Social Standing Directly Affects your Health. Times Books, 2004.
4 Priebe, S, Badesconyi, A, Fioritti, A, Hansson, L, Kilian, R, Torres-Gonzales, F, et al. Reinstitutionalisation in mental health care: comparison of data on service provision from six European countries. BMJ 2005; 330: 123–6.
5 Singh, SP, Burns, T, Tyrer, P, Islam, Z, Parsons, H, Crawford, MJ. Ethnicity as a predictor of detention under the Mental Health Act. Psychol Med 2013; 44: 9971004.
6 Singh, SP, Burns, T. Race and mental health: there is more to race than racism. BMJ 2006; 333: 648.
7 Szmukler, G, Appelbaum, PS. Treatment pressures, leverage, coercion, and compulsion in mental health care. J Ment Health 2008; 17: 233–44.
8 Monahan, J, Redlich, AD, Swanson, J, Robbins, PC, Appelbaum, PS, Petrila, J, et al. Use of leverage to improve adherence to psychiatric treatment in the community. Psychiatric Serv 2005; 56: 3744.
9 Burns, T, Yeeles, K, Molodynski, A, Nightingale, H, Vazquez-Montes, M, Sheehan, K, et al. Pressures to adhere to treatment (‘leverage’) in English mental healthcare. Br J Psychiatry 2011; 199: 145–50.
10 Jaeger, M, Rossler, W. Enhancement of outpatient treatment adherence: patients' perceptions of coercion, fairness and effectiveness. Psychiatry Res 2010; 180: 4853.
11 Hoge, SK, Lidz, CW, Eisenberg, M, Gardner, W, Monahan, J, Mulvey, EP, et al. Perceptions of coercion in the admission of voluntary and involuntary psychiatric patients. Int J Law Psychiatry 1997; 20: 167–81.
12 Gardner, W, Hoge, S, Bennett, N, Roth, L, Lidz, C. Two scales for measuring patients' perceptions of coercion during hospital admission. Behav Sci Law 1993; 20: 307–21.
13 Sheehan, KA, Burns, T. Perceived coercion and the therapeutic relationship: a neglected association? Psychiatr Serv 2011; 62: 471–6.
14 Katsakou, C, Priebe, S. Outcomes of involuntary hospital admission – a review. Acta Psychiatr Scand 2006; 114: 232–41.
15 Maughan, D, Molodynski, A, Rugkåsa, J, Burns, T. A systematic review of the effect of community treatment orders on service use. Soc Psychiatry Psychiatr Epidemiol 2014; 49: 651–63.
16 Canvin, K, Rugkåsa, J, Sinclair, J, Burns, T. Patient, psychiatrist and family carer experiences of community treatment orders: qualitative study. Soc Psychiatry Psychiatr Epidemiol 2014; 49: 1873–82.

Hospitalisation and compulsion: The research agenda

  • Tom Burns (a1) and Jorun Rugkåsa (a2)

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Hospitalisation and compulsion: The research agenda

  • Tom Burns (a1) and Jorun Rugkåsa (a2)
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