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Attitudes to coercion among health-care workers and the general public in Norway

Published online by Cambridge University Press:  19 January 2007

Rolf Wynn
Affiliation:
Norwegian Centre for Telemedicine, University Hospital of Northern Norway
Lars-Henrik Myklebust
Affiliation:
Psychiatric Centre for Tromsø and Karlsøy, University Hospital of Northern Norway
Trond Bratlid
Affiliation:
Department of Specialised Psychiatric Services, University Hospital of Northern Norway, Norway
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Abstract

Little is known about how different groups of health-care workers compare to each other and to the general public in their opinions about involuntary admission and treatment. In the present study, 1,094 people in Norway responded to a questionnaire containing three cases with patients suffering from schizophrenia. They were asked in which cases they would admit involuntarily and treat involuntarily with neuroleptics. An overwhelming majority would coerce when the patients were violent. Between a third and a half would coerce when the patients had problems coping with activities of daily life, or when the patients were in an early schizophrenic development with few symptoms. In all the cases, significantly more would accept involuntary admission than involuntary treatment with neuroleptics. The results suggest that health-care workers' attitudes to coercion in psychiatric care are in line with the attitudes of the general public. Prior experience with coercion, female sex, not having a college/university education, having a profession other than social worker, and not currently being employed in the psychiatric services, were positive predictors of willingness to coerce.

Type
Original Paper
Copyright
© 2006 NAPICU

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References

Brage, S., Håland Haldorsen, E.M., Johannesen, T.S., et al. (1995) The use of case histories to explore concepts of disease, illness and sickness certification. Family Practice. 12: 7583.Google Scholar
Høyer, G. and Dalgard, O.S. (2002) Lærebok i rettspsykiatri [Textbook in forensic psychiatry]. Gyldendal Norsk Forlag, Oslo, Norway.
Kullgren, G., Jacobsson, L., Lynöe, N., et al. (1996) Practices and attitudes among Swedish psychiatrists regarding the ethics of compulsory treatment. Acta Psychiatrica Scandinavica. 93: 389396.Google Scholar
Kuyvenhoven, M., Jacobs, K.M., Touw-Otten, M., et al. (1984) Written simulation of patient-doctor encounters. 1. Research instrument for registration of the performance of general practitioners. Family Practice. 1: 1419.Google Scholar
Lepping, P., Steinert, T., Gebhardt, R.P., et al. (2004) Attitudes of mental health professionals and lay-people towards involuntary admission and treatment in England and Germany – a questionnaire analysis. European Psychiatry. 19: 9195.Google Scholar
Monahan, J., Hoge, S.K., Lidz, C., et al. (1995) Coercion and commitment: understanding involuntary mental hospital admission. International Journal of Law and Psychiatry. 18: 249263.Google Scholar
Psykisk helsevernloven. Lov 2. juli 1999 nr 62 om etablering og gjennomføring av psykisk helsevern [Norwegian Law of 2 July 1999 no 62 about the establishment and instigation of care of the mentally ill].
SPSS (1995). See http://www.spss.com. Last checked 20 June 2005.
Swartz, M.S., Swanson, J.W., Wagners, H.R., et al. (2003) Assessment of four stakeholder groups' preferences concerning outpatient commitment for persons with schizophrenia. American Journal of Psychiatry. 160: 11391146.Google Scholar
Wynn, R. (2004) Restraint and Seclusion in a Norwegian University Psychiatric Hospital [Dissertation]. University Hospital of Northern Norway, Tromsø, Norway.
Wynn, R., Myklebust, L.H. and Bratlid, T. (in press) Psychologists and coercion: decisions regarding involuntary psychiatric admission and treatment in a group of Norwegian psychologists. Nordic Journal of Psychiatry.