Biomaterial Database

[Informal coercion to enhance treatment adherence among psychiatric patients]. 2009

Matthias Jäger, and Wulf Rössler

matthias.jaeger@puk.zh.ch

OBJECTIVE We aimed at assessing prevalence and risk factors of interventions including informal coercion to enhance treatment adherence (leverage) in Switzerland. Additionally, we studied attitudes of psychiatric patients towards these methods. METHODS A sample of 187 psychiatric patients with outpatient treatment underwent a semi structured interview. RESULTS 29% had experience with one or more methods to enhance treatment adherence. The most prevalent intervention was to link housing to patients' readiness to consent with psychiatric treatment. Announcing a less invasive criminal sanction to a psychiatric patient who was arrested or convicted due to a criminal offence was the method to enhance treatment adherence study subjects' endorsed the most. The use of child custody as a tool to enhance treatment acceptance was rejected by the majority of the sample. CONCLUSIONS Interventions including informal coercion are prevalent in the treatment of psychiatric patients. In order to assess if and under what circumstances implementation of these interventions is justified we need to consider the subjective perspective of the affected individuals.

UI	MeSH Term	Description	Entries
D007406	Interview, Psychological	A directed conversation aimed at eliciting information for psychiatric diagnosis, evaluation, treatment planning, etc. The interview may be conducted by a social worker or psychologist.	Interview, Psychologic,Interviews, Psychological,Psychological Interview,Psychological Interviews,Interviews, Psychologic,Psychologic Interview,Psychologic Interviews
D008297	Male		Males
D008875	Middle Aged	An adult aged 45 - 64 years.	Middle Age
D009042	Motivation	Those factors which cause an organism to behave or act in either a goal-seeking or satisfying manner. They may be influenced by physiological drives or by external stimuli.	Incentives,Disincentives,Expectations,Disincentive,Expectation,Incentive,Motivations
D010349	Patient Compliance	Voluntary cooperation of the patient in following a prescribed regimen.	Client Adherence,Client Compliance,Non-Adherent Patient,Patient Adherence,Patient Cooperation,Patient Noncompliance,Patient Non-Adherence,Patient Non-Compliance,Patient Nonadherence,Therapeutic Compliance,Treatment Compliance,Adherence, Client,Adherence, Patient,Client Compliances,Compliance, Client,Compliance, Patient,Compliance, Therapeutic,Compliance, Treatment,Cooperation, Patient,Non Adherent Patient,Non-Adherence, Patient,Non-Adherent Patients,Non-Compliance, Patient,Nonadherence, Patient,Noncompliance, Patient,Patient Non Adherence,Patient Non Compliance,Patient, Non-Adherent,Therapeutic Compliances,Treatment Compliances
D011329	Prisoners	Persons deprived of their liberty; those held is against their will, or who are kept in confinement or custody.	Detained Persons,Hostages,Imprisoned Individuals,Incarcerated Individuals,Inmates,Detained Person,Hostage,Imprisoned Individual,Incarcerated Individual,Individual, Imprisoned,Individual, Incarcerated,Inmate,Person, Detained,Prisoner
D011618	Psychotic Disorders	Disorders in which there is a loss of ego boundaries or a gross impairment in reality testing with delusions or prominent hallucinations. (From DSM-IV, 1994)	Psychoses,Psychosis, Brief Reactive,Schizoaffective Disorder,Schizophreniform Disorders,Psychosis,Brief Reactive Psychoses,Brief Reactive Psychosis,Disorder, Psychotic,Disorder, Schizoaffective,Disorder, Schizophreniform,Disorders, Psychotic,Disorders, Schizoaffective,Disorders, Schizophreniform,Psychoses, Brief Reactive,Psychotic Disorder,Reactive Psychoses, Brief,Reactive Psychosis, Brief,Schizoaffective Disorders,Schizophreniform Disorder
D002648	Child	A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL.	Children
D002655	Child Custody	The formally authorized guardianship or care of a CHILD.	Custody, Child,Child Support,Support, Child
D003068	Coercion	The use of force or intimidation to obtain compliance.