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Perceptions Among Mental Health Professionals Regarding the Intrusiveness of Coercive Measures: A Danish Regional Survey.
J Forensic Nurs
December 2024
Author Affiliations:Forensic Mental Health Research Unit, Middelfart, Faculty of Health Science, Department of Regional Health Research, University of Southern Denmark.
Background: Although hotly disputed, coercive measures are widely used in mental health services globally. In Denmark, to ensure the rights of patients, special psychiatric legislation that emphasizes the imperative to always use the least intrusive intervention has been implemented. This raises the question of which coercive measures are perceived as being less intrusive than others.
View Article and Find Full Text PDFMeasuring aspects of stigma cultures in healthcare settings.
Soc Psychiatry Psychiatr Epidemiol
December 2024
University of Calgary, Calgary, AB, Canada.
Purpose: Stigma cultures in healthcare settings are the organizational-level norms values, assumptions, physical façades, and practices that govern day to day activities and interactions. Aspects include poor quality of care, coercive care, a punitive and patronizing atmosphere, and disempowerment to make treatment decisions. To evaluate the effectiveness of interventions to reduce stigma cultures in healthcare settings, valid and reliable measures are needed.
View Article and Find Full Text PDFExpert opinions on improving coercion data collection across Europe: a concept mapping study.
Front Psychiatry
May 2024
Centre for Research and Education in Security, Prison and Forensic Psychiatry, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway.
Introduction: Coercion is frequently used in mental health practice. Since it overrides some patients' fundamental human rights, adequate use of coercion requires legal and ethical justifications. Having internationally standardised datasets to benchmark and monitor coercion reduction programs is desirable.
View Article and Find Full Text PDFA complex systems perspective on chronic aggression and self-injury: case study of a woman with mild intellectual disability and borderline personality disorder.
BMC Psychiatry
May 2024
Faculty of Behavioural and Social Sciences, University of Groningen, Groningen, The Netherlands.
Background: Challenging behaviors like aggression and self-injury are dangerous for clients and staff in residential care. These behaviors are not well understood and therefore often labeled as "complex". Yet it remains vague what this supposed complexity entails at the individual level.
View Article and Find Full Text PDFBackground: Interventions to prevent the use of coercion in psychiatric hospitals have been summarized in the 2018 German Association for Psychiatry, Psychotherapy, and Psychosomatic's comprehensive guidelines. Twelve recommendations for implementation of these guideline on psychiatric wards have been deducted and their feasibility has been tested in a pilot study, using external implementation consultants as facilitators. The objective of the PreVCo study was to test their effect in a randomised clinical trial.
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