Institutional Betrayal in Inpatient Psychiatry: Effects on Trust and Engagement With Care.

Objective: Patients' experiences of inpatient psychiatry have received limited empirical scrutiny. The authors examined patients' likelihood of experiencing institutional betrayal (harmful actions or inactions toward patients) at facilities with for-profit, nonprofit, or government ownership; patient-level characteristics associated with experiencing institutional betrayal; associations between betrayal and patients' trust in mental health providers; and associations between betrayal and patients' willingness to engage in care postdischarge.

Methods: Former psychiatric inpatients (N=814 adults) responded to an online survey.