Hostname: page-component-8448b6f56d-tj2md Total loading time: 0 Render date: 2024-04-20T01:05:49.398Z Has data issue: false hasContentIssue false

Key international themes in coercion

Published online by Cambridge University Press:  02 January 2018

Andrew Molodynski
Affiliation:
Oxford Health NHS Foundation Trust; University of Oxford; World Association of Social Psychiatry Working Group on Coercion; email andrew.molodynski@oxfordhealth.nhs.uk
Anthony O'Brien
Affiliation:
University of Auckland; Auckland City Hospital, New Zealand
Jonathan Burns
Affiliation:
Nelson Mandela School of Medicine, University of KwaZulu-Natal, Durban, South Africa
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

Coercion remains a dominant theme in mental healthcare and a source of major concern. While the presence of coercion is ubiquitous internationally, it varies significantly in nature and degree in different countries and is influenced by a variety of factors. Recent reports have raised concerns about physical restraint and the increasing use of legislation in high-income countries. At the same time, a recent Human Rights Watch report on pasung (the practice of tying or restricting movement more generally) in Indonesia has served to highlight the plight of many in middle- and lower-income countries who are subject to degrading and dehumanising ‘treatment’.

Type
Thematic Paper
Creative Commons
Creative Common License - CCCreative Common License - BYCreative Common License - NCCreative Common License - ND
This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits noncommercial re-use, distribution, and reproduction in any medium, provided the original work is unaltered and is properly cited. The written permission of Cambridge University Press must be obtained for commercial re-use or in order to create a derivative work.
Copyright
Copyright © Royal College of Psychiatrists, 2017

References

Bergk, J., Einsiedler, B., Flammer, E., et al (2011) A randomized controlled comparison of seclusion and mechanical restraint in inpatient settings. Psychiatric Services, 62, 13101317.Google Scholar
Huber, C. G., Schneeberger, A. R., Kowalinski, E., et al (2016) Suicide risk and absconding in psychiatric hospitals with and without open door policies: a 15-year naturalistic observational study. Lancet Psychiatry, 3, 842849.Google Scholar
Human Rights Watch (2016) Living in Hell. Abuses Against People with Psychosocial Disabilities in Indonesia. Available at https://www.hrw.org/report/2016/03/21/living-hell/abuses-against-people-psychosocial-disabilities-indonesia (accessed June 2017).Google Scholar
Hung, E. K., McNiel, D. E. & Binder, R. L. (2012) Covert medication in psychiatric emergencies: is it ever ethically permissible? Journal of the American Academy of Psychiatry and the Law, 40, 239245.Google Scholar
Knox, D. K. & Holloman, G. H. (2012) Use and avoidance of seclusion and restraint: consensus statement of the American Association for Emergency Psychiatry Project BETA Seclusion and Restraint Workgroup. Western Journal of Emergency Medicine, 13, 3540.Google Scholar
Light, E. M., Kerridge, I. H., Ryan, C. J., et al (2012) Out of sight, out of mind: making involuntary community treatment visible in the mental health system. Medical Journal of Australia, 196, 591593.Google Scholar
Mental Disability Advocacy Centre (2016) Mental Health and Human Rights in Uganda. Available at http://www.mdac.info/en/en/uganda (accessed 22 July 2016).Google Scholar
Molodynski, A., Rugkasa, J. & Burns, T. (eds) (2016) Coercion in Community Mental Health Care: International Perspectives. Oxford University Press.Google Scholar
O'Brien, A. J. (2014) Community treatment orders in New Zealand: regional variability and international comparisons. Australasian Psychiatry, 22, 352356.Google Scholar
Pridham, K. M. F., Berntson, A., Simpson, A. I., et al (2015) Perception of coercion among patients with a psychiatric community treatment order: a literature review. Psychiatric Services, 67, 1628.CrossRefGoogle ScholarPubMed
Raboch, J., Kali$snová, L., Nawka, A., et al (2010) Use of coercive measures during involuntary hospitalization: findings from ten European countries. Psychiatric Services, 61, 10121017.Google Scholar
Rao, T. S., Kallilvayalil, R. A. & Andrade, C. (2012) Covert medication: do means justify the ends? Indian Journal of Psychiatry, 54, 203205.Google Scholar
Rugkåsa, J. & Dawson, J. (2013) Community treatment orders: current evidence and the implications. British Journal of Psychiatry, 203, 406408.Google Scholar
Sjöström, S. (2006) Invocation of coercion context in compliance communication – power dynamics in psychiatric care. International Journal of Law and Psychiatry, 28, 3647.Google Scholar
Steinert, T., Lepping, P., Bernhardsgrütter, R., et al (2010) Incidence of seclusion and restraint in psychiatric hospitals: a literature review and survey of international trends. Social Psychiatry and Psychiatric Epidemiology, 45, 889897.Google Scholar
Szmukler, G. & Appelbaum, P. S. (2008) Treatment pressures, leverage, coercion, and compulsion in mental health care. Journal of Mental Health, 17, 233244.Google Scholar
Swartz, M. S., Wilder, C. M., Swanson, J. W., et al (2010) Assessing outcomes for consumers in New York's assisted outpatient treatment program. Psychiatric Services, 61, 976981.Google Scholar
Wong, J. G., Poon, Y. & Hui, E. C. (2005) I can put the medicine in his soup, doctor! Journal of Medical Ethics, 31, 262265.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.