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2 results

  • Coercion and restrictions in psychiatric inpatient treatment

  • R. Kaltiala-Heino, J. Korkeila, C. Tuohimäki, T. Tuori, V. Lehtinen
  • Journal:
    European Psychiatry / Volume 15 / Issue 3 / May 2000
    Published online by Cambridge University Press:
    16 April 2020, pp. 213-219

  • To find out to what extent coercion and restrictions are used in psychiatric inpatient treatment and with which patient characteristics the use of coercion is associated. To this end, the hospital records of 1,543 admissions (six-month admission samples) to the psychiatric clinics in three Finnish university towns were evaluated by retrospective chart review. The study clinics provide all psychiatric inpatient treatment for the working-age population in their catchment areas. Use of coercion and restrictions was recorded in a structured form. Coercion and restrictions were applied to 32% of the patients. Mechanical restraints were used on 10% of the patients, and forced medication on 8%. Compared to international statistics the figures in the current study are high.

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

  • Tuula Wallsten, Lars Kjellin
  • Journal:
    European Psychiatry / Volume 19 / Issue 8 / December 2004
    Published online by Cambridge University Press:
    16 April 2020, pp. 464-468
  • 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.