Contextual factors influencing the use of coercive measures in Portuguese mental health care

Detalhes bibliográficos
Autor(a) principal: Aluh, Deborah Oyine
Data de Publicação: 2023
Outros Autores: Santos-Dias, Margarida, Silva, Manuela, Pedrosa, Barbara, Grigaitė, Ugnė, Silva, Ricardo Caetano, de Almeida Mousinho, Maria Ferreira, Antunes, João Paulo, Remelhe, Mariana, 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/10362/158423
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: © 2023 The Authors
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spelling Contextual factors influencing the use of coercive measures in Portuguese mental health careCoercionContextual factorInvoluntary admissionPortugalRestraintPathology and Forensic MedicinePsychiatry and Mental healthLawSDG 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: © 2023 The AuthorsThe use of coercive measures in mental health care is an important indicator of the quality of care being provided, and non-patient-related factors are increasingly recognized to contribute to their use. The study aimed to explore the perspectives of mental health care professionals who have first-hand experience with the use of coercion on the contextual factors that influence the use of coercion in the Portuguese mental health care. Five focus group discussions were conducted among 23 doctors and 17 nurses from five psychiatric departments in urban and rural regions of Portugal. Discussions were audio recorded, transcribed, and analyzed with the aid of MAXQDA. Four broad themes related to insufficient resources, staff-related factors, inefficient services, and socio-legal factors were derived. Participants highlighted how inadequate structures, staff shortages, staff attitudes, a lack of training, restrictive ward rules, an inefficient organization of services, the mental health legislation, and public attitudes contributed to the use of coercive measures. The COVID-19 pandemic complicated existing shortfalls in the system and increased the use of coercive measures. The study confirms that the use of coercive measures in mental health care is influenced by factors that are independent of patient characteristics. Addressing existing systemic problems is crucial for the successful implementation of interventions to reduce coercion in mental health care.NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)Comprehensive Health Research Centre (CHRC) - pólo NMSRUNAluh, Deborah OyineSantos-Dias, MargaridaSilva, ManuelaPedrosa, BarbaraGrigaitė, UgnėSilva, Ricardo Caetanode Almeida Mousinho, Maria FerreiraAntunes, João PauloRemelhe, MarianaCardoso, GraçaCaldas-de-Almeida, José Miguel2023-09-28T22:19:31Z2023-09-012023-09-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/158423eng0160-2527PURE: 70355381https://doi.org/10.1016/j.ijlp.2023.101918info: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:RCAAP2024-05-22T18:14:44Zoai:run.unl.pt:10362/158423Portal AgregadorONGhttps://www.rcaap.pt/oai/openairemluisa.alvim@gmail.comopendoar:71602024-05-22T18:14:44Repositório 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 Contextual factors influencing the use of coercive measures in Portuguese mental health care
title Contextual factors influencing the use of coercive measures in Portuguese mental health care
spellingShingle Contextual factors influencing the use of coercive measures in Portuguese mental health care
Aluh, Deborah Oyine
Coercion
Contextual factor
Involuntary admission
Portugal
Restraint
Pathology and Forensic Medicine
Psychiatry and Mental health
Law
SDG 3 - Good Health and Well-being
title_short Contextual factors influencing the use of coercive measures in Portuguese mental health care
title_full Contextual factors influencing the use of coercive measures in Portuguese mental health care
title_fullStr Contextual factors influencing the use of coercive measures in Portuguese mental health care
title_full_unstemmed Contextual factors influencing the use of coercive measures in Portuguese mental health care
title_sort Contextual factors influencing the use of coercive measures in Portuguese mental health care
author Aluh, Deborah Oyine
author_facet Aluh, Deborah Oyine
Santos-Dias, Margarida
Silva, Manuela
Pedrosa, Barbara
Grigaitė, Ugnė
Silva, Ricardo Caetano
de Almeida Mousinho, Maria Ferreira
Antunes, João Paulo
Remelhe, Mariana
Cardoso, Graça
Caldas-de-Almeida, José Miguel
author_role author
author2 Santos-Dias, Margarida
Silva, Manuela
Pedrosa, Barbara
Grigaitė, Ugnė
Silva, Ricardo Caetano
de Almeida Mousinho, Maria Ferreira
Antunes, João Paulo
Remelhe, Mariana
Cardoso, Graça
Caldas-de-Almeida, José Miguel
author2_role author
author
author
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
Santos-Dias, Margarida
Silva, Manuela
Pedrosa, Barbara
Grigaitė, Ugnė
Silva, Ricardo Caetano
de Almeida Mousinho, Maria Ferreira
Antunes, João Paulo
Remelhe, Mariana
Cardoso, Graça
Caldas-de-Almeida, José Miguel
dc.subject.por.fl_str_mv Coercion
Contextual factor
Involuntary admission
Portugal
Restraint
Pathology and Forensic Medicine
Psychiatry and Mental health
Law
SDG 3 - Good Health and Well-being
topic Coercion
Contextual factor
Involuntary admission
Portugal
Restraint
Pathology and Forensic Medicine
Psychiatry and Mental health
Law
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: © 2023 The Authors
publishDate 2023
dc.date.none.fl_str_mv 2023-09-28T22:19:31Z
2023-09-01
2023-09-01T00:00:00Z
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/10362/158423
url http://hdl.handle.net/10362/158423
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 0160-2527
PURE: 70355381
https://doi.org/10.1016/j.ijlp.2023.101918
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 mluisa.alvim@gmail.com
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