Zero Tolerance for Coercion? Historical, Cultural and Organisational Contexts for Effective Implementation of Coercion-Free Mental Health Services around the World
Abstract
:1. Introduction
2. Historical Context
2.1. Post-War Health Service Reforms
2.2. Key Statements on Human Rights since 1945
3. Contextual Factors Influencing Coercion
3.1. Service Design
3.2. National Legislation and Policy
3.3. Economic Factors
3.4. COVID-19
3.5. Staff Attitudes and Training
3.6. Public Attitudes
4. Current Issues: Innovation and Implementation
4.1. Promising Innovations
4.1.1. Six Core Strategies for Reducing Seclusion and Restraint
4.1.2. Safewards
4.1.3. Restraint Education
4.1.4. Joint Crisis Plans and Shared Decision-Making
4.2. From Innovation to Implementation
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Community Services | Inpatient Services | Both Service Levels |
---|---|---|
Advance directives/advance planning 2 | Six Core Strategies 1,3 | Medication discontinuance 3 |
Joint crisis plans 2 | Safewards 1,3,** | Peer support 3 |
Crisis plan/card 2 | Talk First 1 | Recovery models 3 |
Early warning symptoms 2 | ResTrain Yourself 1 | Representation agreements3 |
Community Treatment Order 2 | Scottish Patient Safety Programme 1 | Shared decision-making 2,3,** |
Treatment adherence therapy 2 | Seclusion Reduction Programme 1 | Trauma-informed 3 |
Financial incentives 2 | Sensory Modulation 1 | |
Crisis Resolution Team 2 | Restraint education 2 | |
Integrated treatment 2 | ||
Club House 3 | ||
Hearing Voices Network 3 | ||
Respite houses 3 | ||
Soteria House 3,** | ||
Trialogue 3 |
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Whittington, R.; Aluh, D.O.; Caldas-de-Almeida, J.-M. Zero Tolerance for Coercion? Historical, Cultural and Organisational Contexts for Effective Implementation of Coercion-Free Mental Health Services around the World. Healthcare 2023, 11, 2834. https://doi.org/10.3390/healthcare11212834
Whittington R, Aluh DO, Caldas-de-Almeida J-M. Zero Tolerance for Coercion? Historical, Cultural and Organisational Contexts for Effective Implementation of Coercion-Free Mental Health Services around the World. Healthcare. 2023; 11(21):2834. https://doi.org/10.3390/healthcare11212834
Chicago/Turabian StyleWhittington, Richard, Deborah Oyine Aluh, and Jose-Miguel Caldas-de-Almeida. 2023. "Zero Tolerance for Coercion? Historical, Cultural and Organisational Contexts for Effective Implementation of Coercion-Free Mental Health Services around the World" Healthcare 11, no. 21: 2834. https://doi.org/10.3390/healthcare11212834
APA StyleWhittington, R., Aluh, D. O., & Caldas-de-Almeida, J.-M. (2023). Zero Tolerance for Coercion? Historical, Cultural and Organisational Contexts for Effective Implementation of Coercion-Free Mental Health Services around the World. Healthcare, 11(21), 2834. https://doi.org/10.3390/healthcare11212834