Coercion rates in different mental health care models: flexible assertive community treatment vs care as usual
Introduction In 2018, within the Horizon 2020 program, RECOVER-E project activities were initiated in Montenegro. During the years 2019 and 2020 Community mental health team (CMHT) within the Special Psychiatric Hospital Kotor was established. This team became responsible for management of treatmen...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2023-03-01
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| Series: | European Psychiatry |
| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933823004467/type/journal_article |
| _version_ | 1797616807735984128 |
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| author | A. Tomcuk V. Roganovic K. Tomcuk S. Dedovic T. Djurisic J. Dedovic |
| author_facet | A. Tomcuk V. Roganovic K. Tomcuk S. Dedovic T. Djurisic J. Dedovic |
| author_sort | A. Tomcuk |
| collection | DOAJ |
| description |
Introduction
In 2018, within the Horizon 2020 program, RECOVER-E project activities were initiated in Montenegro. During the years 2019 and 2020 Community mental health team (CMHT) within the Special Psychiatric Hospital Kotor was established. This team became responsible for management of treatment of a group of users with severe mental health illnesses, based on the principles of „Flexible Assertive Community Treatment (FACT – A Dutch model).
Objectives
The main objective of this research was to establish whether there were substantial differences regarding the use of seclusions, restraints and forced medication during the hospital readmissions in the group of patients treated by the CMHT, compared to usual mental health care in Montenegro.
Methods
A sample of 202 users of mental health services from Kotor and surrounding municipalities were recruited. Patients were randomized into two similar-sized groups - intervention group, whose treatment was managed by the multidisciplinary CMHT, and control group where treatment as usual was continued (outpatient treatment without field work and hospital readmissions during the psychotic relapses).
To estimate and follow-up the frequency of application of coercive measures in this research, hospital documentation was used.
Results
Patients in the intervention group had statistically significant less coercive intervention (such are mechanical restraining, seclusions, isolations and forced medication) during the study. There were no significant differences in the number of hospital days and readmission rates.
Conclusions
This study showed that CMHT care could reduce some of the coercive measures during the treatment of severe mental illnesses.
Disclosure of Interest
None Declared |
| first_indexed | 2024-03-11T07:46:38Z |
| format | Article |
| id | doaj.art-b4ef805787894274b8af7ee4c2a3d5a2 |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-03-11T07:46:38Z |
| publishDate | 2023-03-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-b4ef805787894274b8af7ee4c2a3d5a22023-11-17T05:07:31ZengCambridge University PressEuropean Psychiatry0924-93381778-35852023-03-0166S187S18710.1192/j.eurpsy.2023.446Coercion rates in different mental health care models: flexible assertive community treatment vs care as usualA. Tomcuk0V. Roganovic1K. Tomcuk2S. Dedovic3T. Djurisic4J. Dedovic51Special Psychiatric Hospital Kotor, Kotor2Health Center Budva, Budva3Special hospital Risan, Kotor2Health Center Budva, Budva4Institute for Public Health of Montenegro, Podgorica, Montenegro1Special Psychiatric Hospital Kotor, Kotor Introduction In 2018, within the Horizon 2020 program, RECOVER-E project activities were initiated in Montenegro. During the years 2019 and 2020 Community mental health team (CMHT) within the Special Psychiatric Hospital Kotor was established. This team became responsible for management of treatment of a group of users with severe mental health illnesses, based on the principles of „Flexible Assertive Community Treatment (FACT – A Dutch model). Objectives The main objective of this research was to establish whether there were substantial differences regarding the use of seclusions, restraints and forced medication during the hospital readmissions in the group of patients treated by the CMHT, compared to usual mental health care in Montenegro. Methods A sample of 202 users of mental health services from Kotor and surrounding municipalities were recruited. Patients were randomized into two similar-sized groups - intervention group, whose treatment was managed by the multidisciplinary CMHT, and control group where treatment as usual was continued (outpatient treatment without field work and hospital readmissions during the psychotic relapses). To estimate and follow-up the frequency of application of coercive measures in this research, hospital documentation was used. Results Patients in the intervention group had statistically significant less coercive intervention (such are mechanical restraining, seclusions, isolations and forced medication) during the study. There were no significant differences in the number of hospital days and readmission rates. Conclusions This study showed that CMHT care could reduce some of the coercive measures during the treatment of severe mental illnesses. Disclosure of Interest None Declaredhttps://www.cambridge.org/core/product/identifier/S0924933823004467/type/journal_article |
| spellingShingle | A. Tomcuk V. Roganovic K. Tomcuk S. Dedovic T. Djurisic J. Dedovic Coercion rates in different mental health care models: flexible assertive community treatment vs care as usual European Psychiatry |
| title | Coercion rates in different mental health care models: flexible assertive community treatment vs care as usual |
| title_full | Coercion rates in different mental health care models: flexible assertive community treatment vs care as usual |
| title_fullStr | Coercion rates in different mental health care models: flexible assertive community treatment vs care as usual |
| title_full_unstemmed | Coercion rates in different mental health care models: flexible assertive community treatment vs care as usual |
| title_short | Coercion rates in different mental health care models: flexible assertive community treatment vs care as usual |
| title_sort | coercion rates in different mental health care models flexible assertive community treatment vs care as usual |
| url | https://www.cambridge.org/core/product/identifier/S0924933823004467/type/journal_article |
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