Experiences with legally mandated treatment in patients with schizophrenia: A systematic review of qualitative studies
AbstractBackground:Patients with severe mental illness, including schizophrenia, may be legally mandated to undergo psychiatric treatment. Patients’ experiences in these situations are not well characterized. This systematic review of qualitative studies aims to describe the experiences of patients...
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2020-01-01
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| Series: | European Psychiatry |
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| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933820000371/type/journal_article |
| _version_ | 1811156283973173248 |
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| author | Joanne E. Plahouras Shobha Mehta Daniel Z. Buchman George Foussias Zafiris J. Daskalakis Daniel M. Blumberger |
| author_facet | Joanne E. Plahouras Shobha Mehta Daniel Z. Buchman George Foussias Zafiris J. Daskalakis Daniel M. Blumberger |
| author_sort | Joanne E. Plahouras |
| collection | DOAJ |
| description | AbstractBackground:Patients with severe mental illness, including schizophrenia, may be legally mandated to undergo psychiatric treatment. Patients’ experiences in these situations are not well characterized. This systematic review of qualitative studies aims to describe the experiences of patients with schizophrenia and related disorders who have undergone legally mandated treatment.Methods:Four bibliographic databases were searched: CINAHL Plus (1981–2019), EMBASE (1947–2019), MEDLINE (1946–2019), and PsycINFO (1806–2019). These databases were searched for keywords, text words, and medical subject headings related to schizophrenia, legally mandated treatment and patient experience. The reference lists of included studies and systematic reviews were also investigated. The identified titles and abstracts were reviewed for study inclusion. A thematic analysis was completed for the synthesis of positive and negative aspects of legally mandated treatment.Results:A total of 4,008 citations were identified. Eighteen studies were included in the final synthesis. For the thematic analysis, results were collated under two broad themes; positive patient experiences and negative patient experiences. Patients were satisfied when their autonomy was respected, and dissatisfied when it was not. Patients often retrospectively recognized that their treatment was beneficial. Furthermore, negative aspects of the treatment included deficits in communication and a lack of information.Conclusions:Intervention research has historically focused on clinical outcomes and the quantitative aspects of treatment. Thus, this study provides insight into the qualitative aspects of patients’ experiences with legally mandated treatment. Recognizing these opinions and experiences can lead to better attitudes toward treatment for patients with schizophrenia and related psychiatric illnesses. |
| first_indexed | 2024-04-10T04:49:00Z |
| format | Article |
| id | doaj.art-146aa0d4704a4e069bb7e73899459a79 |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-04-10T04:49:00Z |
| publishDate | 2020-01-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-146aa0d4704a4e069bb7e73899459a792023-03-09T12:33:57ZengCambridge University PressEuropean Psychiatry0924-93381778-35852020-01-016310.1192/j.eurpsy.2020.37Experiences with legally mandated treatment in patients with schizophrenia: A systematic review of qualitative studiesJoanne E. Plahouras0Shobha Mehta1https://orcid.org/0000-0001-7558-8433Daniel Z. Buchman2https://orcid.org/0000-0001-8944-6647George Foussias3Zafiris J. Daskalakis4Daniel M. Blumberger5https://orcid.org/0000-0002-8422-5818Institute of Medical Science, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada Temerty Centre for Therapeutic Brain Intervention, Centre for Addiction and Mental Health, Toronto, OntarioCanadaInstitute of Medical Science, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada Temerty Centre for Therapeutic Brain Intervention, Centre for Addiction and Mental Health, Toronto, OntarioCanadaJoint Centre for Bioethics, University of Toronto, Toronto, Ontario, Canada Bioethics Department, Toronto Western Hospital, University Health Network, Toronto, Ontario, Canada Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada Krembil Brain Institute, University Health Network, Toronto, Ontario, CanadaInstitute of Medical Science, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada Campbell Family Mental Health Institute, Centre for Addiction and Mental Health, Toronto, Ontario, Canada Department of Psychiatry, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada Schizophrenia Division, Centre for Addiction and Mental Health, Toronto, Ontario, CanadaInstitute of Medical Science, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada Temerty Centre for Therapeutic Brain Intervention, Centre for Addiction and Mental Health, Toronto, OntarioCanada Campbell Family Mental Health Institute, Centre for Addiction and Mental Health, Toronto, Ontario, Canada Department of Psychiatry, Faculty of Medicine, University of Toronto, Toronto, Ontario, CanadaInstitute of Medical Science, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada Temerty Centre for Therapeutic Brain Intervention, Centre for Addiction and Mental Health, Toronto, OntarioCanada Campbell Family Mental Health Institute, Centre for Addiction and Mental Health, Toronto, Ontario, Canada Department of Psychiatry, Faculty of Medicine, University of Toronto, Toronto, Ontario, CanadaAbstractBackground:Patients with severe mental illness, including schizophrenia, may be legally mandated to undergo psychiatric treatment. Patients’ experiences in these situations are not well characterized. This systematic review of qualitative studies aims to describe the experiences of patients with schizophrenia and related disorders who have undergone legally mandated treatment.Methods:Four bibliographic databases were searched: CINAHL Plus (1981–2019), EMBASE (1947–2019), MEDLINE (1946–2019), and PsycINFO (1806–2019). These databases were searched for keywords, text words, and medical subject headings related to schizophrenia, legally mandated treatment and patient experience. The reference lists of included studies and systematic reviews were also investigated. The identified titles and abstracts were reviewed for study inclusion. A thematic analysis was completed for the synthesis of positive and negative aspects of legally mandated treatment.Results:A total of 4,008 citations were identified. Eighteen studies were included in the final synthesis. For the thematic analysis, results were collated under two broad themes; positive patient experiences and negative patient experiences. Patients were satisfied when their autonomy was respected, and dissatisfied when it was not. Patients often retrospectively recognized that their treatment was beneficial. Furthermore, negative aspects of the treatment included deficits in communication and a lack of information.Conclusions:Intervention research has historically focused on clinical outcomes and the quantitative aspects of treatment. Thus, this study provides insight into the qualitative aspects of patients’ experiences with legally mandated treatment. Recognizing these opinions and experiences can lead to better attitudes toward treatment for patients with schizophrenia and related psychiatric illnesses.https://www.cambridge.org/core/product/identifier/S0924933820000371/type/journal_articleinvoluntary treatmentqualitativereviewschizophrenia |
| spellingShingle | Joanne E. Plahouras Shobha Mehta Daniel Z. Buchman George Foussias Zafiris J. Daskalakis Daniel M. Blumberger Experiences with legally mandated treatment in patients with schizophrenia: A systematic review of qualitative studies European Psychiatry involuntary treatment qualitative review schizophrenia |
| title | Experiences with legally mandated treatment in patients with schizophrenia: A systematic review of qualitative studies |
| title_full | Experiences with legally mandated treatment in patients with schizophrenia: A systematic review of qualitative studies |
| title_fullStr | Experiences with legally mandated treatment in patients with schizophrenia: A systematic review of qualitative studies |
| title_full_unstemmed | Experiences with legally mandated treatment in patients with schizophrenia: A systematic review of qualitative studies |
| title_short | Experiences with legally mandated treatment in patients with schizophrenia: A systematic review of qualitative studies |
| title_sort | experiences with legally mandated treatment in patients with schizophrenia a systematic review of qualitative studies |
| topic | involuntary treatment qualitative review schizophrenia |
| url | https://www.cambridge.org/core/product/identifier/S0924933820000371/type/journal_article |
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