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Background: Reduction of use of coercive measures in Mental Health Care has been of increasing concern for patient organizations, governmental agents and health policy makers. Aim: To examine the effectiveness of psychosocial interventions intended to reduce coercion in mental health for adults. Methods: We conducted a systematic review in 2012 and update in 2013. Studies with control groups were included. Assessment of risk of bias and meta-analyses of randomized controlled studies was undertaken. The Grading of Recommendations Assessment, Development and Evaluation (GRADE) tool for evaluating the overall quality of evidence was used and expressed in four categories: high, moderate, low and very low. Results: Fifteen studies met the inclusion criteria. For the intervention Joint crisis plan, a reduction in the number of patients admitted involuntarily could not be verified by meta-analyses (RR 0.71 (95% CI 0.38–1.33), P=0.28). Quality of evidence was assessed as low by GRADE and the results should be interpreted with caution. Risk assessment of aggressive behaviour in acute psychiatric wards and counselling towards staff in high security wards seemed to reduce seclusion and restraint, but for these interventions meta-analyses was not feasible. Conclusion: Joint crisis plans for reducing coercion is unclear. Risk assessment and counselling towards staff may reduce coercion.
Declaration of interest None
This paper highlights the importance of updating previous systematic literature reviews. Newer studies added on made meta-analyses feasible, modifying earlier conclusions.
B. Molewijk, M. Verkerk, H. Milius, and G. Widdershoven, "Implementing moral case deliberation in a psychiatric hospital: Process and outcome," MedHealth Care Philos, vol. 11, pp. 43-56, 2008.
The Coordination Reform, "Proper treatment - at the right place and right time [Samhandlingsreformen: Rett Behandling - på rett sted - til rett tid] [Norwegian]," Norwegian Ministry of Health and Care Services, Oslo, Report No. 47 (2008-2009) to the Storting. Available: www.government.no, 2009.
A. B. Busch and M. F. Shore, "Seclusion and restraint: A review of recent literature," Harvard Review of Psychiatry, vol. 8, pp. 261-270, 2000.
J. Bak, V. Zoffmann, D. M. Sestoft, R. Almvik, and M. Brandt-Christensen, "Mechanical restraint in psychiatry: Preventive factors in theory and practice. A Danish-Norwegian association stud," Perspectives in Psychiatric Care, vol. 50, pp. 155-166, 2013.
K. T. Dahm, K. A. Leiknes, and T. L. Husum, "Interventions for reducing seclusion and restraint in mental health for adults [Effekt av tiltak for å redusere tvangsbruk i psykisk helsevern for voksne] [Norwegian]," Norwegian Knowledge Centre for the Health Services, Oslo, Report No. 09. Available: www.kunnskapssenteret.no, 2012.
R. Bremnes, T. Hatling, and J. H. Bjørngaard, "Use of coercion in mental health care in 2001, 2003, 2005 and 2007. [Bruk av tvangsmidler i psykisk helsevern i 2001, 2003, 2005 og 2007. SINTEF helse] [Norwegian]," Trondheim, Report A8231. Available www.sintef.no, 2008.
R. Bremnes, S. Lilleengen, P. B. Pedersen, H. S. Cederkvist, and M. S. Vestrheim, "Use of coercion in mental health care for adults 2012 [Bruk av tvang i psykisk helsevern for voksne 2012] [Norwegian]," Norwegian Directorate of Health [Helsedirektoratet], Oslo, Report. Available: www.helsedirektoratet.no, 2013.
L. Bowers, B. van der Werf, A. Vokkolainen, E. Muir-Cochrane, T. Allan, and J. Alexander, "International variation in containment measures for disturbed psychiatric inpatients: A comparative questionnaire survey," International Journal of Nursing Studies, vol. 44, pp. 357-364, 2007.
T. L. Husum, J. H. Bjorngaard, A. Finset, and T. Ruud, "A cross-sectional prospective study of seclusion, restraint and involuntary medication in acute psychiatric wards: Patient, staff and ward characteristics," BMC Health Services Research, vol. 10, p. 89, 2010.
T. W. Kallert, M. Glockner, and G. Onchev, "The EUNOMIA project on coercion in psychiatry: Study design and preliminary data," World Psychiatry, vol. 4, pp. 168-172, 2005.
S. R. Kisely, L. A. Campbell, and N. J. Preston, "Compulsory community and involuntary outpatient treatment for people with severe mental disorders," Cochrane Database of Systematic Reviews (Online), vol. 2, p. CD004408, 2011.
S. Muralidharan and M. Fenton, "Containment strategies for people with serious mental illness," Cochrane Database of Systematic Reviews, (Online), vol. 3, p. CD002084, 2006.
E. S. Sailas Eila and M. Fenton, "Seclusion and restraint for people with serious mental illnesses," Cochrane Database of Systematic Reviews, vol. 2, p. CD001163, 2000.
Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0, "Cochrane collaboration." [Updated March 2011 ]. Available www.cochrane-handbook.org, 2011.
G. Guyatt, A. Oxman, G. Vist, R. Kunz, and Y. Falck-Ytter, "An emergin consensus on rating quality of evidence and strength of recommmendations," BMJ, vol. 336, pp. 924-926, 2011.
C. Barbui and A. Cipriani, "What are evidence-based treatment recommendations?," Epidemiol Psychiatr Sci., vol. 20, pp. 29-31, 2011.
A. Putkonen, S. Kuivalainen, and O. Louheranta, "Cluster-randomized controlled trial of reducing seclusion and restraint in secured care of men with schizophrenia," Psychiatric Services (Washington, DC), vol. 64, pp. 850-855, 2013.
G. Thornicroft, S. Farrelly, and G. Szmukler, "Clinical outcomes of joint crisis Plans to reduce compulsory treatment for people with psychosis: A randomised controlled trial," The Lancet, vol. 381, pp. 1634-1641, 2013.
Georgieva, C. L. Mulder, and E. Noorthoorn, "Reducing seclusion through involuntary medication: A randomized clinical trial," Psychiatry Research, vol. 205, pp. 48-53, 2013.
G. Huf, E. Coutinho, and C. Adam, "Physical restraints versus seclusion room for management of people with acute aggression or agitation due to psychotic illness (TREC-SAVE): A randomized trial," Psychological Medicine, vol. 42, pp. 2265-2273, 2012.
M. Knutzen, S. Bjorkly, and G. Eidhammer, "Mechanical and pharmacological restraints in acute psychiatric wards-why and how are they used?," Psychiatry Research, vol. 209, pp. 91-97, 2012.
M. Knutzen, S. Bjorkly, and G. Eidhammer, "Mechanical and pharmacological restraints in acute psychiatric wards-why and how are they used?," Psychiatry Res., vol. 209, pp. 91-97, 2013.
A. B. P. Staring, M. Van Der Gaag, and G. T. Koopmans, "Treatment adherence therapy in people with psychotic disorders: Randomised controlled trial," British Journal of Psychiatry, vol. 197, pp. 448-455, 2010.
P. Tyrer, F. Gordon, and S. Nourmand, "Controlled comparison of two crisis resolution and home treatment teams," Psychiatrist, vol. 34, pp. 50-54, 2010.
Ohlenschlaeger, M. Nordentoft, and A. Thorup, "Effect of integrated treatment on the use of coercive measures in first-episode schizophrenia-spectrum disorder. A randomized clinical trial," International Journal of Law and Psychiatry, vol. 31, pp. 72-76, 2008.
G. Davidson and J. Campbell, "An examination of the use of coercion by assertive outreach and community mental health teams in Northern Ireland," British Journal of Social Work, vol. 37, pp. 537-555, 2007.
A. I. Wierdsma, H. D. Poodt, and C. L. Mulder, "Effects of community-care networks on psychiatric emergency contacts, hospitalisation and involuntary admission," Journal of Epidemiology and Community Health, vol. 61, pp. 613-618, 2007.
S. Johnson, F. Nolan, and J. Hoult, "Outcomes of crises before and after introduction of a crisis resolution team," The British Journal of Psychiatry: The Journal of Mental Science, vol. 187, pp. 68-75, 2005.
C. Henderson, C. Flood, M. Leese, G. Thornicroft, K. Sutherby, and G. Szmukler, "Effect of joint crisis plans on use of compulsory treatment in psychiatry: Single blind randomised controlled trial," BMJ (Clinical Research Ed), vol. 329, p. 136, 2004.
R. Van De Sande, H. L. I. Nijman, and E. O. Noorthoorn, "Aggression and seclusion on acute psychiatric wards: Effect of short-term risk assessment," British Journal of Psychiatry, vol. 190, pp. 473-478, 2011.
Ohlenschlaeger, A. Thorup, and L. Petersen, "Intensive treatment models and coercion," Nordic Journal of Psychiatry, vol. 61, pp. 369-378, 2007.
C. Abderhalden, I. Needham, T. Dassen, R. Halfens, H. J. Haug, and J. E. Fischer, "Structured risk assessment and violence in acute psychiatric wards: Randomised controlled trial," The British Journal of Psychiatry: The Journal of Mental Science, vol. 193, pp. 44-50, 2008.
S. Rosenman, A. Korten, and L. Newman, "Efficacy of continuing advocacy in involuntary treatment," Psychiatric Services, vol. 51, pp. 1029-1033, 2000.
D. A. Pollack, B. H. McFarland, J. M. Mahler, and A. E. Kovas, "Outcomes of patients in a low-intensity, short-duration involuntary outpatient commitment program," Psychiatric Services, vol. 56, pp. 863-866, 2005.
A. Papageorgiou, M. King, A. Janmohamed, O. Davidson, and J. Dawson, "Advance directives for patients compulsorily admitted to hospital with serious mental illness. Randomised controlled trial," The British Journal of Psychiatry: The Journal of Mental Science, vol. 181, pp. 513-519, 2002.
G. Eidhammar, F. Fluttert, M. Knutzen, and S. Bjørkly, "Early recognition method - ERM - pilotfase 2 - 2009-2013. Kompetansesenter for sikkerhet-, fengsels- og rettspsykiatri Helseregion Sør Øst," Oslo, Report No. 2013-012013.
F. A. Fluttert, M. B. Van, H. Nijman, S. Bjorkly, and M. Grypdonck, "Preventing aggressive incidents and seclusions in forensic care by means of the 'early recognition method," J Clin Nurs, vol. 19, pp. 1529-1537, 2010.
S. B. Goetz and A. Taylor-Trujillo, "A change in culture: Violence prevention in an acute behavioral health setting," J Am Psychiatr Nurses Assoc., vol. 18, pp. 96-103, 2012.
Hustoft, T. K. Larsen, B. Auestad, I. Joa, J. O. Johannessen, and T. Ruud, "Predictors of involuntary hospitalizations to acute psychiatry," International Journal of Law and Psychiatry, vol. 36, pp. 136-143, 2013.
Bowers, G. Brennan, C. Flood, M. Lipang, and P. Oladapo, "Preliminary outcomes of a trial to reduce conflict and containment on acute psychiatric wards: City nurses," Journal of Psychiatric and Mental Health Nursing, vol. 13, pp. 165-172, 2006.
E. Sailas and K. Wahlbeck, "Restraint and seclusion in psychiatric inpatient wards," Current Opinion in Psychiatry, vol. 18, pp. 555-559, 2005.