Long term outcomes and causal modelling of compulsory inpatient and outpatient mental health care using Norwegian registry data: Protocol for a controversies in psychiatry research project
Abstract Objectives Compulsory mental health care includes compulsory hospitalisation and outpatient commitment with medication treatment without consent. Uncertain evidence of the effects of compulsory care contributes to large geographical variations and a controversy on its use. Some argue that c...
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| Format: | Article |
| Language: | English |
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Wiley
2024-03-01
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| Series: | International Journal of Methods in Psychiatric Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/mpr.1980 |
| _version_ | 1797238946452733952 |
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| author | Tore Hofstad Olav Nyttingnes Simen Markussen Erik Johnsen Eoin Killackey David McDaid Miles Rinaldi Kimberlie Dean Beate Brinchmann Kevin Douglas Linda Gröning Stål Bjørkly Tom Palmstierna Maria Fagerbakke Strømme Anne Blindheim Jorun Rugkåsa Bjørn Morten Hofmann Reidar Pedersen Tarjei Widding‐Havneraas Knut Rypdal Arnstein Mykletun |
| author_facet | Tore Hofstad Olav Nyttingnes Simen Markussen Erik Johnsen Eoin Killackey David McDaid Miles Rinaldi Kimberlie Dean Beate Brinchmann Kevin Douglas Linda Gröning Stål Bjørkly Tom Palmstierna Maria Fagerbakke Strømme Anne Blindheim Jorun Rugkåsa Bjørn Morten Hofmann Reidar Pedersen Tarjei Widding‐Havneraas Knut Rypdal Arnstein Mykletun |
| author_sort | Tore Hofstad |
| collection | DOAJ |
| description | Abstract Objectives Compulsory mental health care includes compulsory hospitalisation and outpatient commitment with medication treatment without consent. Uncertain evidence of the effects of compulsory care contributes to large geographical variations and a controversy on its use. Some argue that compulsion can rarely be justified and should be reduced to an absolute minimum, while others claim compulsion can more frequently be justified. The limited evidence base has contributed to variations in care that raise issues about the quality/appropriateness of care as well as ethical concerns. To address the question whether compulsory mental health care results in superior, worse or equivalent outcomes for patients, this project will utilise registry‐based longitudinal data to examine the effect of compulsory inpatient and outpatient care on multiple outcomes, including suicide and overall mortality; emergency care/injuries; crime and victimisation; and participation in the labour force and welfare dependency. Methods By using the natural variation in health providers' preference for compulsory care as a source of quasi‐randomisation we will estimate causal effects of compulsory care on short‐ and long‐term trajectories. Conclusions This project will provide valuable insights for service providers and policy makers in facilitating high quality clinical care pathways for a high risk population group. |
| first_indexed | 2024-04-24T17:43:43Z |
| format | Article |
| id | doaj.art-3c39a572928d46af81b60bc495a74a7b |
| institution | Directory Open Access Journal |
| issn | 1049-8931 1557-0657 |
| language | English |
| last_indexed | 2024-04-24T17:43:43Z |
| publishDate | 2024-03-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Methods in Psychiatric Research |
| spelling | doaj.art-3c39a572928d46af81b60bc495a74a7b2024-03-27T15:10:42ZengWileyInternational Journal of Methods in Psychiatric Research1049-89311557-06572024-03-01331n/an/a10.1002/mpr.1980Long term outcomes and causal modelling of compulsory inpatient and outpatient mental health care using Norwegian registry data: Protocol for a controversies in psychiatry research projectTore Hofstad0Olav Nyttingnes1Simen Markussen2Erik Johnsen3Eoin Killackey4David McDaid5Miles Rinaldi6Kimberlie Dean7Beate Brinchmann8Kevin Douglas9Linda Gröning10Stål Bjørkly11Tom Palmstierna12Maria Fagerbakke Strømme13Anne Blindheim14Jorun Rugkåsa15Bjørn Morten Hofmann16Reidar Pedersen17Tarjei Widding‐Havneraas18Knut Rypdal19Arnstein Mykletun20Centre for Research and Education in Forensic Psychiatry Haukeland University Hospital Bergen NorwayCentre for Research and Education in Forensic Psychiatry Haukeland University Hospital Bergen NorwayRagnar Frisch Centre for Economic Research Oslo NorwayDivision of Psychiatry Haukeland University Hospital Bergen NorwayOrygen Melbourne AustraliaCare Policy and Evaluation Centre Department of Health Policy London School of Economics and Political Science London UKCentre for Research and Education in Forensic Psychiatry Haukeland University Hospital Bergen NorwayDiscipline of Psychiatry and Mental Health School of Clinical Medicine University of New South Wales Sydney AustraliaCentre for Work and Mental Health Nordland Hospital Trust Bodø NorwayCentre for Research and Education in Forensic Psychiatry Haukeland University Hospital Bergen NorwayCentre for Research and Education in Forensic Psychiatry Haukeland University Hospital Bergen NorwayRegional Centre for Research and Education in Forensic Psychiatry Oslo University Hospital Oslo NorwayDepartment of Clinical Neuroscience Centre for Psychiatric Research Karolinska Institutet Stockholm SwedenDivision of Psychiatry Haukeland University Hospital Bergen NorwayDivision of Psychiatry Haukeland University Hospital Bergen NorwayHealth Services Research Unit Akershus University Hospital Lørenskog NorwayCentre for Medical Ethics University of Oslo Oslo NorwayCentre for Medical Ethics University of Oslo Oslo NorwayCentre for Research and Education in Forensic Psychiatry Haukeland University Hospital Bergen NorwayCentre for Research and Education in Forensic Psychiatry Haukeland University Hospital Bergen NorwayCentre for Research and Education in Forensic Psychiatry Haukeland University Hospital Bergen NorwayAbstract Objectives Compulsory mental health care includes compulsory hospitalisation and outpatient commitment with medication treatment without consent. Uncertain evidence of the effects of compulsory care contributes to large geographical variations and a controversy on its use. Some argue that compulsion can rarely be justified and should be reduced to an absolute minimum, while others claim compulsion can more frequently be justified. The limited evidence base has contributed to variations in care that raise issues about the quality/appropriateness of care as well as ethical concerns. To address the question whether compulsory mental health care results in superior, worse or equivalent outcomes for patients, this project will utilise registry‐based longitudinal data to examine the effect of compulsory inpatient and outpatient care on multiple outcomes, including suicide and overall mortality; emergency care/injuries; crime and victimisation; and participation in the labour force and welfare dependency. Methods By using the natural variation in health providers' preference for compulsory care as a source of quasi‐randomisation we will estimate causal effects of compulsory care on short‐ and long‐term trajectories. Conclusions This project will provide valuable insights for service providers and policy makers in facilitating high quality clinical care pathways for a high risk population group.https://doi.org/10.1002/mpr.1980causal inferencecoercioncompulsioncompulsory mental health caregeographical variationinstrumental variables |
| spellingShingle | Tore Hofstad Olav Nyttingnes Simen Markussen Erik Johnsen Eoin Killackey David McDaid Miles Rinaldi Kimberlie Dean Beate Brinchmann Kevin Douglas Linda Gröning Stål Bjørkly Tom Palmstierna Maria Fagerbakke Strømme Anne Blindheim Jorun Rugkåsa Bjørn Morten Hofmann Reidar Pedersen Tarjei Widding‐Havneraas Knut Rypdal Arnstein Mykletun Long term outcomes and causal modelling of compulsory inpatient and outpatient mental health care using Norwegian registry data: Protocol for a controversies in psychiatry research project International Journal of Methods in Psychiatric Research causal inference coercion compulsion compulsory mental health care geographical variation instrumental variables |
| title | Long term outcomes and causal modelling of compulsory inpatient and outpatient mental health care using Norwegian registry data: Protocol for a controversies in psychiatry research project |
| title_full | Long term outcomes and causal modelling of compulsory inpatient and outpatient mental health care using Norwegian registry data: Protocol for a controversies in psychiatry research project |
| title_fullStr | Long term outcomes and causal modelling of compulsory inpatient and outpatient mental health care using Norwegian registry data: Protocol for a controversies in psychiatry research project |
| title_full_unstemmed | Long term outcomes and causal modelling of compulsory inpatient and outpatient mental health care using Norwegian registry data: Protocol for a controversies in psychiatry research project |
| title_short | Long term outcomes and causal modelling of compulsory inpatient and outpatient mental health care using Norwegian registry data: Protocol for a controversies in psychiatry research project |
| title_sort | long term outcomes and causal modelling of compulsory inpatient and outpatient mental health care using norwegian registry data protocol for a controversies in psychiatry research project |
| topic | causal inference coercion compulsion compulsory mental health care geographical variation instrumental variables |
| url | https://doi.org/10.1002/mpr.1980 |
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