Perception of Restriction and Coercion during Nonvoluntary (Imposed) Hospitalization and after Dismissal

Authors: L. Kališová 1;  J. Raboch 1;  L. Číhal 1;  E. Kitzlerová 1;  M. Černý 1;  Skupina Eunomia 1,2
Authors‘ workplace: Psychiatrická klinika 1. LF UK a VFN, Praha ;  přednosta prof. MUDr. J. Raboch, DrSc. Psychiatrická léčebna Bohnice, Praha 1;  ředitel MUDr. M. Hollý 2
Published in: Čes. a slov. Psychiat., 105, 2009, No. 1, pp. 5-11.
Category: Original Article


EUNOMIA international project (European Evaluation of Coercion in Psychiatry and Harmonisation of Best Clinical Pratice) focusing on the use of coercive measures in psychiatry proceeded from 2002 till 2006. Perceived coercion at admission, during hospitalization and after discharge was one of the factors followed during the project. This article presents data concerning perceived coercion in the group of involuntarily admitted mentally ill persons, caring medical staff and patients’ relatives.

Key words:
coercive measures, perceived coercion, involuntary treatment.


1. Bindman, J., Reid, Y., Szmukler, G. et al.: Perceived coercion at admission to psychiatric hospital and engagement with follow-up – a cohort study. Soc. Psychiatry Psychiatr. Epidemiol., 40, 2005, 2, pp. 160-166.

2. Cantril, H.: The pattern of human concern. New Persey, Rutgers University Press, 1965.

3. Elbogen, E. B., Swanson, J. W., Swartz, M. S.: Effects of legal mechanisms on perceived coercion and treatment adherence among persons with severe mental illness. J. Nerv. Ment. Dis., 191, 2003, 10, pp. 629-637.

4. Ericsson, K., Kjellin, L.: Study of psychiatric care, especially compulsory care, in two Swedish counties. The psychiatric personnel´s attitudes and experience of compulsory care. Nor. J. Psychiatry, 43, 1989, pp. 365-368.

5. Gardner, W., Hoge, S., Bennett, N., Roth, L., Lidz, C., Monahan, J., Mulvey, E.: Two scales for measuring patients’ performance perceptions of coercion during hospital admission. Behavioral Sciences and the Law, 20, 1993, pp. 307-321.

6. Garde, W., Lidz, Ch. et al.: Patients´ revision of their beliefs about the need for hospitalization. Am. J. Psychiatry, 156, 1999, pp. 1385-1391.

7. Iversen, K. I., Hoyer, G., Sexton, H. C.: Coercion and patient satisfaction on psychiatric acute words. Int. J. Law Psychiatry, 30, 2007, 6, pp. 504-511.

8. Johansson, I. M., Lundman, B.: Patients´experiences of involuntary psychiatric care: good opportunities and great losos. J. Psych. Mental Healt Nursing, 2002, 9, pp. 639-647.

9. Kališová, L., Raboch, J., Kitzlerová, E., skupina EUNOMIA: Monitorování použití omezovacích prostředků během hospitalizace – projekt EUNOMIA. Konečné výsledky v České republice. Čes a slov. Psychiat., 104, 2008, 2, s. 52-58.

10. Kališová, L., Raboch, J., Číhal, L., Novotná, I., Kitzlerová E.: Použití omezovacích opatření v psychiatrii – výsledky mezinárodního projektu EUNOMIA, základní charakteristika konečného souboru v ČR. Čes a slov. Psychiat., 104, 2008, 1, s. 4-8.

11. Kališová, L., Raboch, J., Novotná, I., Černý, M., Victorínová, K., Kitzlerová, E., Nawka, A., Chudárek, F.: Užití omezovacích opatření a prostředků v psychiatrii – mezinárodní projekt EUNOMIA. Čes a slov Psychiat., 100, 2004, 7, s. 420-427.

12. Kallert, T. W., Glöckner, M., Onchev, G., Raboch, J., Karastergiou, A., Salomon, Z., Magliano, L., Dembinskas, A., Kiejna, A., Nawka, P., Torres-Gonzáles, F., Priebe, S., Kjellin, L.: The EUNOMIA project on coercion in psychiatry: study design and preliminary data. World Psychiatry, 4, 2005, 3, pp. 168-172.

13. Katsakou, C., Priebe, S.: Patients´experiences of involuntary hospitál admission and treatment: a review of qualitative studies. Epidemiol Psychiatr. Soc., 16, 2007, 2, pp. 172-178.

14. Kjellin, L., Sestřin, C. G.: Involuntary admission and coercive measures in psychiatric care. Int. J. Law Psychiatry, 21, 1998, pp. 31-42.

15. Kjellin, L., Hagyer, G., Engberg, M. et al.: Differences in perceived coercion at admission to psychiatric hospitals in the Nordic countries. Soc. Psychiatry Psychiatr. Epidemiol., 41, 2006, 3, pp. 241-247.

16. Lind, M., Kaltiala-Heino, R., Suominen, T. et al.: Nurses´ethical perceptions about coercion. J. Psychiatr. Ment. Health Nurs., 11, 2004, 4, pp. 349-385.

17. Lidz, C. W., Mulvey, E. P., Hoge, S. K., Kirsch, B. L., Monahan, J., Bennett, N. S., Esienberg, M., Gardner, W., Roth, L. H.: Sources of coercive behaviours in psychiatric admission. Acta Psychiatr. Scand., 101, 2000, pp. 73-79.

18. Monahan, J., Swartz, M., Bonne, R. J.: Mandated treatment in the community for people with mental disorders. Health Aff (Millwood), 22, 2003, 5, pp. 28-32.

19. Monahan, J., Swartz, M., Bonnie, R. J.: Mandated community treatment for mental disorder. Health Affairs Health Aff (Millwood), 22, 2003, 5, pp. 28-38.

20. Monahan, J., Hoge, S., Lidz, C., Roth, L. H., Bennett, N. S., Gardner, W., Mulvey, E. P.: Coercion and committment: Understanding involuntary mental hospital admission. Int. J. Law Psychiatry, 18, 1995, 3, pp. 249-263. Review.

21. Olofsson, B., Jacobsson, L.: A plea for respekt: involuntarily hospitalized psychiatric patients´narratives about being subjected to coercion. J. Psych. and Ment. Health Nursing, 2001, 8, pp. 357-366.

22. Olofsson, B., Gilje, F., Jacobsson, L.: Nurses´narratives using coercion in psychiatric care. J. Adv. Nurs., 28, 1998, pp. 45-53.

23. Olofsson, B., Jacobsson, L., Gilje F.: Being in conflict: physicians´experience using coercion in psychiatric care. Nordic. J. Psychiatry, 53, 1999, pp. 203-210.

24. Saargaard, K. W.: Patients´perception of coercion in acute psychiatric wards. An intervention study. Nord. J. Psychiatry, 58, 2004, 4, pp. 299-304.

Addictology Paediatric psychiatry Psychiatry
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