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Involuntarily and voluntarily admitted patients’ experiences of psychiatric admission and treatment—a comparison before and after changed legislation in Sweden

Published online by Cambridge University Press:  16 April 2020

Tuula Wallsten*
Affiliation:
Center for Clinical Research, University of Uppsala, Central Hospital, Västerås, Sweden
Lars Kjellin
Affiliation:
Psychiatric Research Centre, Örebro, Sweden
*
*Corresponding author. Psychiatric Administration, Central Hospital, Ingång 29, SE-721 89 Västerås, Sweden. Email address: [email protected]
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Abstract

Objective

– The Swedish Compulsory Mental Care Act (LPT) of 1992 emphasises the participation of patients and relatives in the treatment of the patients. The purpose of this study was to compare patients' experiences under the LPT with patients' experiences under the previous law.

Method.

– Samples of 44 committed patients and 40 voluntarily admitted patients in 1991 and 49 committed and 49 voluntarily admitted patients in 1997/98 were interviewed at admission and at discharge, or after 3 weeks of care.

Results.

– There were similar proportions of committed and voluntarily admitted patients, respectively, in 1991 and 1997/98 who reported participation in treatment planning and participation of relatives and who reported deprivation of liberty, but more committed patients in 1997/98 reported coercive measures.

Conclusion.

– There were few differences of the patient's experiences between the study occasions. The fundamental aims of the legislation have not been fulfilled.

Type
Original article
Copyright
Copyright © European Psychiatric Association 2004

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References

American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4th ed. Washington (DC): APA; 1994.Google Scholar
American Psychiatric Assosiation. Diagnostic and statistical manual of mental disorders. 3rd ed revised. Washington (DC): APA; 1987.Google Scholar
Bagby, RMAtkinson, L.The effects of legislative reform on civil commitment admission rates, A critical analysis. Beh Sci Law 1988;6:45–61.Google Scholar
Beck, JCGolowka, EA.A study of Enforced Treatement in Relation to Stone’s “Thank you”. Theory, Beh Sci Law 1998;86:559–66.Google Scholar
Candefjord, ILLampinen, KÄngfors, G.Patienters upplevelse av akut psykiatrisk vård. (Patients’ experiences of short-term inpatient psychiatric care). Soc Med Tidskr 1994;71:447–53 [in Swedish].Google Scholar
Eriksson, KWestrin, CG.Coercive measures in psychiatric care. Reports and reactions of patients and other people involved. Acta Psychiatr Scand 1995;92:225–30.CrossRefGoogle ScholarPubMed
Høyer, G.Compulsorily admitted patients’ ability to make use of their legal rights. Int J Law Psychiatry 1986;6:585–8.Google Scholar
Høyer, GKjellin, LEngberg, MKaltiala-Heino, RNilstun, TSigur-jónsdóttir, M, et al. Paternalism and autonomy. A presentation of a Nordic study on the use of coercion in the mental health care system. Int J Law Psychiatry 2002;25:93–108.Google Scholar
Kjellin, LNilstun, T.Medical and social paternalism. Regulation of and attitudes towards compulsory psychiatric care. Acta Psychiatr Scand 1993;88:415–9.CrossRefGoogle ScholarPubMed
Kjellin, LWestrin, CG.Involuntary admission and coercive measures in psychiatric care. Int J Law Psychiatry 1998;21:31–42.CrossRefGoogle ScholarPubMed
Kjellin, L.Coercion in Psychiatric Care. Formal and informal-justification and ethical conflicts. Dissertation Uppsala: Acta Universitatitis Upsaliensis; 1996.Google Scholar
Kjellin, L.Compulsory psychiatric care in Sweden 1979–1993. Prevalence of comitted patients, discharge rates and area variation. Soc Psychiatry Psychiatr Epidemiol 1997;32:90–6.CrossRefGoogle Scholar
LPT. Lagen om psykiatrisk vård (The Compulsory Psychiatric Care Act). Stockholm: Allmänna råd från Socialstyrelsen; 1991:10 [in Swedish].Google Scholar
LRV. Lagen om rättspsykiatrisk vård (The Forensic Psychiatric Care Act). Stockholm: Allmänna råd från Socialstyrelsen; 1991:10 [in Swedish].Google Scholar
LSPV. Lag om ändring i lagen (1966:293) om beredande av sluten psykiatrisk vård i vissa fall. (The Compulosory Mental Care (Certain cases) Act). Svensk författningssamling 1982;782:1–0 [in Swedish].Google Scholar
Monahan, JHoge, SKLidz, CRoth, LBennett, NGardner, W, et al. Coercion and commitment. Understanding Involuntary Mental Hospital Admission. Int J Law Psychiatry 1995;18:249–63.CrossRefGoogle ScholarPubMed
Overall, JEGorham, DR.The Brief Psychiatric Rating Scale. Psychol Rep 1962;10:799–812.CrossRefGoogle Scholar
Poulsen, HD. The prevalence of extralegal deprivation of liberty in a psychiatric hospital population. Int J Law Psychiatry 2002;25:29–36.CrossRefGoogle Scholar
Rogers, A. Coercion and “voluntary” admission. Beh Sci Law 1993; 11:259–67.CrossRefGoogle Scholar
Silferhielm, HKamis-Gould, E.The Swedish Mental Health System. Int J Law Psychiatry 2000;3–4:293–307.Google Scholar
Socialstyrelsen. Effekter av ändringar i de psykiatriska tvångsvårdsla-garna. (Effects of changes of the compulsory psychiatric care acts.) Stockholm: Socialstyrelsen; 2001 [in Swedish].Google Scholar
Socialstyrelsen. Välfärd och valfrihet? (Welfare and freedom of choice?). Final report from the evaluation of the 1995 Mental Health Care reform. Stockholm: Socialstyrelsen; 1999 [in Swedish. Summary in English].Google Scholar
Westrin, CG. Strategies implimented but goals not attained. Scand J Soc Med 1991;19:53–6.CrossRefGoogle Scholar
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