A cross-sectional study of experienced coercion in adolescent mental health inpatients
Abstract Background Involuntary care and coercive measures are frequently present in mental healthcare for adolescents. The purpose of this study was to examine to what extent adolescents perceive or experience coercion during inpatient mental health care, and to examine predictors of experienced co...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2018-05-01
|
| Series: | BMC Health Services Research |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12913-018-3208-5 |
| _version_ | 1811279371679301632 |
|---|---|
| author | Olav Nyttingnes Torleif Ruud Reidun Norvoll Jorun Rugkåsa Ketil Hanssen-Bauer |
| author_facet | Olav Nyttingnes Torleif Ruud Reidun Norvoll Jorun Rugkåsa Ketil Hanssen-Bauer |
| author_sort | Olav Nyttingnes |
| collection | DOAJ |
| description | Abstract Background Involuntary care and coercive measures are frequently present in mental healthcare for adolescents. The purpose of this study was to examine to what extent adolescents perceive or experience coercion during inpatient mental health care, and to examine predictors of experienced coercion. Methods A cross-sectional sample of 96 adolescent inpatients from 10 Norwegian acute and combined (acute and sub-acute) psychiatric wards reported their experienced coercion on Coercion Ladder and the Experienced Coercion Scale in questionnaires. Staff reported use of formal coercion, diagnoses, and psychosocial functioning. We used two tailed t-tests and mixed effects models to analyze the impact from demographics, alliance with parents, use of formal coercion, diagnostic condition, and global psychosocial functioning. Results High experienced coercion was reported by a third of all patients. In a mixed effects model, being under formal coercion (involuntary admission and / or coercive measures); a worse relationship between patient and parent; and lower psychosocial functioning, significantly predicted higher experienced coercion. Twenty-eight percent of the total sample of patients reported a lack of confidence and trust both in parents and staff. Conclusions Roughly one third of patients in the sample reported high experienced coercion. Being under formal coercion was the strongest predictor. The average scores of experienced coercion in subgroups are comparable with adult scores in similar care situations. There was one exception: Adolescents with psychosis reported low experienced coercion and almost all of them were under voluntary care. |
| first_indexed | 2024-04-13T00:53:24Z |
| format | Article |
| id | doaj.art-b1af77bf42364a029e0364c8c0b744d7 |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-04-13T00:53:24Z |
| publishDate | 2018-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-b1af77bf42364a029e0364c8c0b744d72022-12-22T03:09:49ZengBMCBMC Health Services Research1472-69632018-05-0118111010.1186/s12913-018-3208-5A cross-sectional study of experienced coercion in adolescent mental health inpatientsOlav Nyttingnes0Torleif Ruud1Reidun Norvoll2Jorun Rugkåsa3Ketil Hanssen-Bauer4R&D department, Division of Mental Health Services, Akershus University HospitalR&D department, Division of Mental Health Services, Akershus University HospitalWork Research Institute, Oslo Metropolitan UniversityHealth Services Research Unit, Akershus University HospitalR&D department, Division of Mental Health Services, Akershus University HospitalAbstract Background Involuntary care and coercive measures are frequently present in mental healthcare for adolescents. The purpose of this study was to examine to what extent adolescents perceive or experience coercion during inpatient mental health care, and to examine predictors of experienced coercion. Methods A cross-sectional sample of 96 adolescent inpatients from 10 Norwegian acute and combined (acute and sub-acute) psychiatric wards reported their experienced coercion on Coercion Ladder and the Experienced Coercion Scale in questionnaires. Staff reported use of formal coercion, diagnoses, and psychosocial functioning. We used two tailed t-tests and mixed effects models to analyze the impact from demographics, alliance with parents, use of formal coercion, diagnostic condition, and global psychosocial functioning. Results High experienced coercion was reported by a third of all patients. In a mixed effects model, being under formal coercion (involuntary admission and / or coercive measures); a worse relationship between patient and parent; and lower psychosocial functioning, significantly predicted higher experienced coercion. Twenty-eight percent of the total sample of patients reported a lack of confidence and trust both in parents and staff. Conclusions Roughly one third of patients in the sample reported high experienced coercion. Being under formal coercion was the strongest predictor. The average scores of experienced coercion in subgroups are comparable with adult scores in similar care situations. There was one exception: Adolescents with psychosis reported low experienced coercion and almost all of them were under voluntary care.http://link.springer.com/article/10.1186/s12913-018-3208-5Adolescent psychiatryInvoluntary admissionCross-sectional studiesPerceived coercion |
| spellingShingle | Olav Nyttingnes Torleif Ruud Reidun Norvoll Jorun Rugkåsa Ketil Hanssen-Bauer A cross-sectional study of experienced coercion in adolescent mental health inpatients BMC Health Services Research Adolescent psychiatry Involuntary admission Cross-sectional studies Perceived coercion |
| title | A cross-sectional study of experienced coercion in adolescent mental health inpatients |
| title_full | A cross-sectional study of experienced coercion in adolescent mental health inpatients |
| title_fullStr | A cross-sectional study of experienced coercion in adolescent mental health inpatients |
| title_full_unstemmed | A cross-sectional study of experienced coercion in adolescent mental health inpatients |
| title_short | A cross-sectional study of experienced coercion in adolescent mental health inpatients |
| title_sort | cross sectional study of experienced coercion in adolescent mental health inpatients |
| topic | Adolescent psychiatry Involuntary admission Cross-sectional studies Perceived coercion |
| url | http://link.springer.com/article/10.1186/s12913-018-3208-5 |
| work_keys_str_mv | AT olavnyttingnes acrosssectionalstudyofexperiencedcoercioninadolescentmentalhealthinpatients AT torleifruud acrosssectionalstudyofexperiencedcoercioninadolescentmentalhealthinpatients AT reidunnorvoll acrosssectionalstudyofexperiencedcoercioninadolescentmentalhealthinpatients AT jorunrugkasa acrosssectionalstudyofexperiencedcoercioninadolescentmentalhealthinpatients AT ketilhanssenbauer acrosssectionalstudyofexperiencedcoercioninadolescentmentalhealthinpatients AT olavnyttingnes crosssectionalstudyofexperiencedcoercioninadolescentmentalhealthinpatients AT torleifruud crosssectionalstudyofexperiencedcoercioninadolescentmentalhealthinpatients AT reidunnorvoll crosssectionalstudyofexperiencedcoercioninadolescentmentalhealthinpatients AT jorunrugkasa crosssectionalstudyofexperiencedcoercioninadolescentmentalhealthinpatients AT ketilhanssenbauer crosssectionalstudyofexperiencedcoercioninadolescentmentalhealthinpatients |