Nurses’ perspectives on human rights when coercion is used in psychiatry: a systematic review protocol of qualitative evidence

Abstract Background The World Health Organization describes the perpetuation of human rights violations against people with mental health problems as a global emergency. Despite this observation, recent studies suggest that coercive measures, such as seclusion, restraints, involuntary hospitalization, or involuntary treatment, are steadily or increasingly being used without proof of their effectiveness. In nursing, several literature reviews have focused on understanding nurses’ perspectives on the use of seclusion and restraints. Although many studies describe the ethical dilemmas faced by nurses in this context, to this date, their perspectives on patient’s rights when a broad variety of coercive measures are used are not well understood. The aim of this review is to produce a qualitative synthesis of how human rights are actually integrated into psychiatric and mental health nursing practice in the context of coercive work. Methods Noblit and Hare’s meta-ethnographic approach will be used to conduct this systematic review. The search will be conducted in CINAHL, Medline, PsycINFO, ERIC, and Scopus databases, using the PICo model (Population, phenomenon of Interest, Context) and a combination of keywords and descriptors. It will be complemented by a manual search of non-indexed articles, gray literature, and other applicable data sources, such as human rights related documents. Qualitative and mixed-method study designs will be included in this review. Empirical and peer-reviewed articles published between 2008 and 2019 will be selected. Articles will be evaluated independently by two reviewers to determine their inclusion against eligibility criteria. The quality of the selected papers will then be independently evaluated by two reviewers, using the Joanna Briggs Institute’s Checklist for Qualitative Research. Data extraction and content analysis will focus on first- and second-order constructs, that is, the extraction of research participants’ narratives and their interpretation. Discussion This review will provide a synthesis of how psychiatric and mental health nurses integrate human rights principles into their practice, as well as it will identify research gaps in this area. The results of this review will then provide qualitative evidence to better understand how nurses can contribute to the recognition, protection, and advocate for human rights in a psychiatric context. Systematic review registration PROSPERO, CRD42019116862

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Mental health implications of detaining asylum seekers: systematic review

The British Journal of Psychiatry ◽

10.1192/bjp.bp.108.053223 ◽

2009 ◽

Vol 194 (4) ◽

pp. 306-312 ◽

Cited By ~ 198

Author(s):

Katy Robjant ◽

Rita Hassan ◽

Cornelius Katona

Keyword(s):

Mental Health ◽

Systematic Review ◽

Asylum Seekers ◽

Mental Health Problems ◽

Negative Impact ◽

Adult Child ◽

Health Problems ◽

Internally Displaced ◽

Manual Search ◽

The Impact

BackgroundThe number of asylum seekers, refugees and internally displaced people worldwide is rising. Western countries are using increasingly restrictive policies, including the detention of asylum seekers, and there is concern that this is harmful.AimsTo investigate mental health outcomes among adult, child and adolescent immigration detainees.MethodA systematic review was conducted of studies investigating the impact of immigration detention on the mental health of children, adolescents and adults, identified by a systematic search of databases and a supplementary manual search of references.ResultsTen studies were identified. All reported high levels of mental health problems in detainees. Anxiety, depression and posttraumatic stress disorder were commonly reported, as were self-harm and suicidal ideation. Time in detention was positively associated with severity of distress. There is evidence for an initial improvement in mental health occurring subsequent to release, although longitudinal results have shown that the negative impact of detention persists.ConclusionsThis area of research is in its infancy and studies are limited by methodological constraints. Findings consistently report high levels of mental health problems among detainees. There is some evidence to suggest an independent adverse effect of detention on mental health.

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The Effectiveness of Individual Mental Health Interventions for Depressive, Anxiety and Conduct Disorder Symptoms in School Environment for Adolescents Aged 12–18—A Systematic Review

Frontiers in Psychiatry ◽

10.3389/fpsyt.2021.779933 ◽

2021 ◽

Vol 12 ◽

Author(s):

Johanna Karukivi ◽

Outi Herrala ◽

Elina Säteri ◽

Anna Tornivuori ◽

Sanna Salanterä ◽

...

Keyword(s):

Mental Health ◽

Systematic Review ◽

School Environment ◽

Mental Health Problems ◽

Health Problems ◽

Health Interventions ◽

Control Group ◽

Qualitative Synthesis ◽

Mental Health Interventions

Background: Mental health problems are a major health issue for children and adolescents around the world. The school environment allows adolescents to be reached comprehensively and on a low threshold, making it a potential environment for mental health interventions. The aim of this review was to describe interventions delivered by health-care workers in school environment for individual adolescents aged 12–18 with mental health problems and to assess the effectiveness of these interventions.Methods: This systematic review was conducted in adherence with the PRISMA guidelines. Altogether 349 studies were screened and 24 of them were included in full text assessment. Eight studies were included in the qualitative synthesis. Only in three studies the intervention was compared to another intervention or the study setting included a control group. Five of the interventions were based on cognitive-behavioral therapy and three on other approaches. In seven studies, one of the main response variables was based on assessment of depressive symptoms and/or a depressive disorder. The quality of the studies was limited with notable risk for bias for some studies.Results: Based on reported symptom reductions, for most of the interventions, the results were good. Symptom reductions were also typically achieved in a rather low number of sessions (12 or less) supporting the feasibility of these type of interventions in school environment. However, the lack of use of control groups and actual comparisons between the interventions, limit the possibility to draw firm conclusions regarding their effectiveness and thus, the results should be interpreted with caution. Confirming the effectiveness of the studied interventions requires more robust evidence and thus, improving the quality of studies in the school environment is encouraged.

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Lessons from the development of a web portal on prevention and health promotion

Public Health Forum ◽

10.1515/pubhef-2015-0055 ◽

2015 ◽

Vol 23 (3) ◽

pp. 149-152 ◽

Cited By ~ 2

Author(s):

Stefan Kohler ◽

Stefan N. Willich

Keyword(s):

Public Health ◽

Mental Health ◽

Systematic Review ◽

Health Promotion ◽

Knowledge Management ◽

Mental Health Problems ◽

Lessons Learned ◽

World Health ◽

Web Portals ◽

Internet Portals

Abstract A modern urban lifestyle can be a risk factor for developing non-communicable diseases and mental health problems (Eckert S, Kohler S. Urbanization and health in developing countries: A systematic review. World Health Popul. 2014;15:7–20; Penkalla AM, Kohler S. Urbanicity and mental health in Europe: a systematic review. Eur J Ment Health 2014;9:163–77). Two non-commercial, state-funded web portals in the German states of Berlin and Brandenburg are attempting to support the residents in realizing a healthier lifestyle. The initial portal is named Präventionsatlas [Atlas of Prevention] and has existed since 2008. The second portal, called Stadtplan Gesundheitsförderung [Health Promotion Map], went online in 2014 and has become the successor to the former. Both web portals provide health information as well as searchable databases with locally available health promotion courses and projects. Since internet portals and knowledge management through Internet portals have become more and more frequently used as public health tools (see, e.g. Quinn E, Huckel-Schneider C, Campbell D, Seale H, Milat AJ. How can knowledge exchange portals assist in knowledge management for evidence-informed decision making in public health? BMC Public Health 2014;14:443), we share our lessons learned during the development and revision of the health portal www.praeventionsatlas.de in this article.

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O “DESCORTINAMENTO” DAS VULNERABILIDADES DA POPULAÇÃO LGBTQIA+ DIANTE A PANDEMIA DE CORONAVÍRUS

Psicologia e Saúde em Debate ◽

10.22289/2446-922x.v6n2a23 ◽

2020 ◽

Vol 6 (2) ◽

pp. 346-355

Author(s):

Fabiano Saft Silva

Keyword(s):

Mental Health ◽

Systematic Review ◽

Human Rights ◽

Mental Health Problems ◽

Access To Health Services ◽

Access To Health ◽

Sexual Orientations ◽

And Gender ◽

Forms Of Violence

This article proposes a systematic review based on research that addresses the impacts of the Coronavirus pandemic (COVID-19) on the LGBTQIA+ population, explaining that it is a crisis within a crisis. The “unveiling” of oppression and other forms of violence is clear, while the number of mental health problems has potentially worsened for the majority of this segment, who are obliged to live with family members who do not legitimize their sexual orientations and gender identities. Work, income and loneliness are also issues that are aggravated by the scenario of social isolation for a large part of the LGBTQIA+ population. The results found mobilize reflections about the role of Psychology in the fight for Human Rights and full access to health services for this population, who live with the deprivation of these spaces. The intersectoral dialogue with other areas of knowledge is also crucial in order to develop strategic and affirmative actions, in favor of the population that is victim of violence.

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Psychological/psychiatric impact of the novel coronavirus outbreak: lessons learnt from China and call for timely crisis interventions in Italy

10.31234/osf.io/z26yk ◽

2020 ◽

Cited By ~ 2

Author(s):

Patrizia Zeppegno ◽

Carla Gramaglia ◽

Chiara Guerriero ◽

Fabio Madeddu ◽

Raffaella Calati

Keyword(s):

Mental Health ◽

Migrant Workers ◽

Mental Health Problems ◽

Virus Disease ◽

Selection Process ◽

Psychiatric Patients ◽

Homeless People ◽

World Health ◽

Rapid Review ◽

Post Traumatic Stress

Background: The World Health Organization declared the Corona Virus Disease 19 (Covid-19) a pandemic in March 2020. Psychological impact of Covid-19 can be consisent and should be prevented with adequate measures. Methods: We performed a literature mini review searching for studies in PubMed focusing on the psychological/psychiatric impact of Covid-19.Results: The selection process yielded 34 papers focusing on the relation between Covid-19 and mental health: 9 correspondence, 8 letters to the editor, 7 commentaries, 3 editorials, 4 original studies, 2 brief reports, and 1 a rapid review. The majority of the articles were performed in China. They focused on the general population and particular categories considered more fragile, e.g., psychiatric patients, older adults, international migrant workers, homeless people. Authors are unanimous in believing that Covid-19 will likely increase the risk of mental health problems and worsen existing psychiatric disorders/symptoms in patients, exposed subjects, and staff. Together with the negative emotionality related to the unpredictability of the situation, uncertainty concerning the risk, excessive fear, fear of death, loneliness, guilt, stigma, denial, anger, frustration, boredome, some symptoms might appear such as insomnia until patophobia (specifically, coronaphobia), depressive and anxiety disorders, post-traumatic stress disorder, and suicidal risk.Limitations: Literature is rapidly increasing and present results are only partial. Conclusions: Mental health care should not be overlooked in this moment. The experience of China should be of help for all the countries facing with Covid-19, among them Italy.

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