Service Users’ Experiences of Involuntary Hospital Admission Under the Mental Health Act 2001 in the Republic of Ireland

Autor: Emma Bainbridge, Kathy Murphy, Colm McDonald, Heike Felzmann, Brian Hallahan, Agnes Higgins, Liz Brosnan, David McGuinness, Mary Keys, Rebecca Murphy
Rok vydání: 2017
Předmět:
Zdroj: Murphy, R, McGuinness, D, Bainbridge, E, Brosnan, L, Felzmann, H, Keys, M, Murphy, K, Hallahan, B, McDonald, C & Higgins, A 2017, ' Service users’ experiences of involuntary hospital admission under the Mental Health Act 2001 in the Republic of Ireland ', Psychiatric Services, vol. 68, no. 11, pp. 1127-1135 . https://doi.org/10.1176/appi.ps.201700008
ISSN: 1557-9700
1075-2730
DOI: 10.1176/appi.ps.201700008
Popis: Objective: The objective of the study was to explore theexperiences of individuals admitted to the hospital involuntarilyunder the Mental Health Act 2001 in the Republic ofIreland.Methods: In this qualitative descriptive study, 50 individualswho had been involuntarily admitted to a hospital underwentface-to-face semistructured interviews approximately threemonths after revocation of the involuntary admission order.Data were analyzed by using an inductive thematic process.Results: Participants reported mixed experiences over thecourse of the admission, with both positive and challengingaspects. Participants reported feeling coerced, disempowered,and unsupported at various stages of theadmission and highlighted the long-term deleterious impacton their psychological well-being. However, participantsalso described encounters with individuals who endeavoredto initiate a collaborative, informative, and compassionateapproach. Four key themes emerged consistently acrossthe trajectory of participants’ involuntary admission experiences:feeling trapped and coerced, feeling disengagedand unsupported, admission-induced distress, and personcenteredencounters.Conclusions: This qualitative study of service users’ viewsacross the entire trajectory of their involuntary admissionidentified a number of factors that should be addressed toreduce the negative impact of involuntary admission. Amultifaceted strategy could include ongoing education andtraining of all stakeholders in the principles and practices ofperson-centered care, repeated provision of accessible informationand emotional support to service users during allstages of involuntary admission, and a shift in culture to onethat minimizes the traumatic impact of forced detention onindividuals’ psychological well-being.
Databáze: OpenAIRE