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Coercion and restrictions in psychiatric inpatient treatment

Published online by Cambridge University Press:  16 April 2020

R. Kaltiala-Heino ,
J. Korkeila ,
C. Tuohimäki ,
T. Tuori  and
V. Lehtinen
R. Kaltiala-Heino
Affiliation:
University of Tampere, Tampere School of Public Health and Tampere University Hospital, Department of Psychiatry, Tampere, Finland
J. Korkeila
Affiliation:
Kupittaa Hospital, Turku, Finland
C. Tuohimäki
Affiliation:
Oulu University Hospital, Department of Psychiatry, Oulu, Finland
T. Tuori
Affiliation:
National Development and Research Centre for Health and Welfare, Helsinki, Finland
V. Lehtinen*
Affiliation:
National Development and Research Centre for Health and Welfare, Helsinki, Finland
*
*Correspondence and reprints: Riittakerttu Kaltiala-Heino, Senior Assistant Professor, University of Tampere, Tampere School of Public Health, Box 607, 33101 Tampere, Finland
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Summary

To find out to what extent coercion and restrictions are used in psychiatric inpatient treatment and with which patient characteristics the use of coercion is associated. To this end, the hospital records of 1,543 admissions (six-month admission samples) to the psychiatric clinics in three Finnish university towns were evaluated by retrospective chart review. The study clinics provide all psychiatric inpatient treatment for the working-age population in their catchment areas. Use of coercion and restrictions was recorded in a structured form. Coercion and restrictions were applied to 32% of the patients. Mechanical restraints were used on 10% of the patients, and forced medication on 8%. Compared to international statistics the figures in the current study are high.

Keywords

compulsory psychiatric carepsychiatric health services researchrestraintseclusiontreatment refusal
Type
Original Article
Information
European Psychiatry , Volume 15 , Issue 3 , May 2000 , pp. 213 - 219
Copyright
Copyright © Éditions scientifiques et médicales Elsevier SAS 2000

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