Experiences and perceptions of coercive practices in mental health care among service users in Nigeria

Detalhes bibliográficos
Autor(a) principal: Aluh, Deborah Oyine
Data de Publicação: 2022
Outros Autores: Ayilara, Olaniyi, Onu, Justus Uchenna, Grigaitė, Ugnė, Pedrosa, Barbara, Santos-Dias, Margarida, Cardoso, Graça, Caldas-de-Almeida, José Miguel
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10362/145983
Resumo: Funding Information: Deborah Oyine Aluh is a PhD student receiving the support of a PhD fellowship from” la Caixa” Foundation (LCF/BQ/DI20/11780013). Barbara Pedrosa and Ugnė Grigaitė are PhD students receiving financial support from the FCT—Fundação para a Ciência e a Tecnologia (UI/BD/151073/2021 and UI/BD/151072/2021). Publisher Copyright: © 2022, The Author(s).
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spelling Experiences and perceptions of coercive practices in mental health care among service users in Nigeriaa qualitative studyCoercionExperiencesInvoluntary admissionsNigeriaPerceptionQualitativeRestraintPhychiatric Mental HealthHealth PolicyPublic Health, Environmental and Occupational HealthPsychiatry and Mental healthSDG 3 - Good Health and Well-beingFunding Information: Deborah Oyine Aluh is a PhD student receiving the support of a PhD fellowship from” la Caixa” Foundation (LCF/BQ/DI20/11780013). Barbara Pedrosa and Ugnė Grigaitė are PhD students receiving financial support from the FCT—Fundação para a Ciência e a Tecnologia (UI/BD/151073/2021 and UI/BD/151072/2021). Publisher Copyright: © 2022, The Author(s).Background: People with mental health problems are more vulnerable to a broad range of coercive practices and human rights abuses. There is a global campaign to eliminate, or at the very least decrease, the use of coercion in mental health care. The use of coercion in psychiatric hospitals in developing countries is poorly documented. The primary aim of this study was to explore service users’ perceptions and experiences of coercion in psychiatric hospitals in Nigeria. Methods: Four focus group discussions were carried out among 30 service users on admission in two major psychiatric hospitals in Nigeria. The audio recordings were transcribed verbatim and then analyzed thematically with the aid of MAXQDA software. Results: The Focus group participants included 19 males and 11 females with a mean age of 34.67 ± 9.54. Schizophrenia was the most common diagnosis (40%, n = 12) and had a secondary school education (60%, n = 18). The focus group participants perceived coercion to be a necessary evil in severe cases but anti-therapeutic to their own recovery, an extension of stigma and a vicious cycle of abuse. The experience of involuntary admission revolved mainly around deception, maltreatment, and disdain. Participants in both study sites narrated experiences of being flogged for refusing medication. Mechanical restraint with chains was a common experience for reasons including refusing medications, to prevent absconding and in other cases, punitively. The use of chains was viewed by participants as dehumanizing and excruciatingly painful. Conclusion: The experiences of coercion by participants in this study confirm that human rights violations occur in large psychiatric hospitals and underscore the need for mental health services reform. The use of coercion in this context reflects agelong underinvestment in the mental health care system in the country and obsolete mental health legislation that does not protect the rights of people with mental health problems. The study findings highlight an urgent need to address issues of human rights violations in psychiatric hospitals in the country.NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)Comprehensive Health Research Centre (CHRC) - pólo NMSRUNAluh, Deborah OyineAyilara, OlaniyiOnu, Justus UchennaGrigaitė, UgnėPedrosa, BarbaraSantos-Dias, MargaridaCardoso, GraçaCaldas-de-Almeida, José Miguel2022-12-02T22:16:51Z2022-122022-12-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/145983eng1752-4458PURE: 48045887https://doi.org/10.1186/s13033-022-00565-4info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T05:26:54Zoai:run.unl.pt:10362/145983Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:52:23.568392Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Experiences and perceptions of coercive practices in mental health care among service users in Nigeria
a qualitative study
title Experiences and perceptions of coercive practices in mental health care among service users in Nigeria
spellingShingle Experiences and perceptions of coercive practices in mental health care among service users in Nigeria
Aluh, Deborah Oyine
Coercion
Experiences
Involuntary admissions
Nigeria
Perception
Qualitative
Restraint
Phychiatric Mental Health
Health Policy
Public Health, Environmental and Occupational Health
Psychiatry and Mental health
SDG 3 - Good Health and Well-being
title_short Experiences and perceptions of coercive practices in mental health care among service users in Nigeria
title_full Experiences and perceptions of coercive practices in mental health care among service users in Nigeria
title_fullStr Experiences and perceptions of coercive practices in mental health care among service users in Nigeria
title_full_unstemmed Experiences and perceptions of coercive practices in mental health care among service users in Nigeria
title_sort Experiences and perceptions of coercive practices in mental health care among service users in Nigeria
author Aluh, Deborah Oyine
author_facet Aluh, Deborah Oyine
Ayilara, Olaniyi
Onu, Justus Uchenna
Grigaitė, Ugnė
Pedrosa, Barbara
Santos-Dias, Margarida
Cardoso, Graça
Caldas-de-Almeida, José Miguel
author_role author
author2 Ayilara, Olaniyi
Onu, Justus Uchenna
Grigaitė, Ugnė
Pedrosa, Barbara
Santos-Dias, Margarida
Cardoso, Graça
Caldas-de-Almeida, José Miguel
author2_role author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
Comprehensive Health Research Centre (CHRC) - pólo NMS
RUN
dc.contributor.author.fl_str_mv Aluh, Deborah Oyine
Ayilara, Olaniyi
Onu, Justus Uchenna
Grigaitė, Ugnė
Pedrosa, Barbara
Santos-Dias, Margarida
Cardoso, Graça
Caldas-de-Almeida, José Miguel
dc.subject.por.fl_str_mv Coercion
Experiences
Involuntary admissions
Nigeria
Perception
Qualitative
Restraint
Phychiatric Mental Health
Health Policy
Public Health, Environmental and Occupational Health
Psychiatry and Mental health
SDG 3 - Good Health and Well-being
topic Coercion
Experiences
Involuntary admissions
Nigeria
Perception
Qualitative
Restraint
Phychiatric Mental Health
Health Policy
Public Health, Environmental and Occupational Health
Psychiatry and Mental health
SDG 3 - Good Health and Well-being
description Funding Information: Deborah Oyine Aluh is a PhD student receiving the support of a PhD fellowship from” la Caixa” Foundation (LCF/BQ/DI20/11780013). Barbara Pedrosa and Ugnė Grigaitė are PhD students receiving financial support from the FCT—Fundação para a Ciência e a Tecnologia (UI/BD/151073/2021 and UI/BD/151072/2021). Publisher Copyright: © 2022, The Author(s).
publishDate 2022
dc.date.none.fl_str_mv 2022-12-02T22:16:51Z
2022-12
2022-12-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10362/145983
url http://hdl.handle.net/10362/145983
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 1752-4458
PURE: 48045887
https://doi.org/10.1186/s13033-022-00565-4
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv
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