A cross-sectional study of experienced coercion in adolescent mental health inpatients

被引:14
作者
Nyttingnes, Olav [1 ,2 ]
Ruud, Torleif [1 ,2 ]
Norvoll, Reidun [3 ]
Rugkasa, Jorun [4 ,5 ]
Hanssen-Bauer, Ketil [1 ,2 ]
机构
[1] Akershus Univ Hosp, Div Mental Hlth Serv, R&D Dept, PB 1000, N-1478 Lorenskog, Norway
[2] Univ Oslo, Inst Clin Med, Oslo, Norway
[3] Oslo Metropolitan Univ, Work Res Inst, Oslo, Norway
[4] Akershus Univ Hosp, Hlth Serv Res Unit, Oslo, Norway
[5] Univ Coll Southeast Norway, Ctr Care Res, Notodden, Norway
来源
BMC HEALTH SERVICES RESEARCH | 2018年 / 18卷
关键词
Adolescent psychiatry; Involuntary admission; Cross-sectional studies; Perceived coercion; INVOLUNTARY HOSPITAL ADMISSION; PERCEIVED COERCION; PSYCHIATRIC-CARE; THERAPEUTIC RELATIONSHIP; CHILD; SECLUSION; SCALE; PERCEPTIONS; PREVALENCE; NATIONWIDE;
D O I
10.1186/s12913-018-3208-5
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Background: Involuntary care and coercive measures are frequently present in mental healthcare for adolescents. The purpose of this study was to examine to what extent adolescents perceive or experience coercion during inpatient mental health care, and to examine predictors of experienced coercion. Methods: A cross-sectional sample of 96 adolescent inpatients from 10 Norwegian acute and combined (acute and sub-acute) psychiatric wards reported their experienced coercion on Coercion Ladder and the Experienced Coercion Scale in questionnaires. Staff reported use of formal coercion, diagnoses, and psychosocial functioning. We used two tailed t-tests and mixed effects models to analyze the impact from demographics, alliance with parents, use of formal coercion, diagnostic condition, and global psychosocial functioning. Results: High experienced coercion was reported by a third of all patients. In a mixed effects model, being under formal coercion (involuntary admission and / or coercive measures); a worse relationship between patient and parent; and lower psychosocial functioning, significantly predicted higher experienced coercion. Twenty-eight percent of the total sample of patients reported a lack of confidence and trust both in parents and staff. Conclusions: Roughly one third of patients in the sample reported high experienced coercion. Being under formal coercion was the strongest predictor. The average scores of experienced coercion in subgroups are comparable with adult scores in similar care situations. There was one exception: Adolescents with psychosis reported low experienced coercion and almost all of them were under voluntary care.
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页数:10
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