scholarly journals Experiences with legally mandated treatment in patients with schizophrenia: A systematic review of qualitative studies

2020 ◽  
Vol 63 (1) ◽  
Author(s):  
Joanne E. Plahouras ◽  
Shobha Mehta ◽  
Daniel Z. Buchman ◽  
George Foussias ◽  
Zafiris J. Daskalakis ◽  
...  

Abstract Background: Patients with severe mental illness, including schizophrenia, may be legally mandated to undergo psychiatric treatment. Patients’ experiences in these situations are not well characterized. This systematic review of qualitative studies aims to describe the experiences of patients with schizophrenia and related disorders who have undergone legally mandated treatment. Methods: Four bibliographic databases were searched: CINAHL Plus (1981–2019), EMBASE (1947–2019), MEDLINE (1946–2019), and PsycINFO (1806–2019). These databases were searched for keywords, text words, and medical subject headings related to schizophrenia, legally mandated treatment and patient experience. The reference lists of included studies and systematic reviews were also investigated. The identified titles and abstracts were reviewed for study inclusion. A thematic analysis was completed for the synthesis of positive and negative aspects of legally mandated treatment. Results: A total of 4,008 citations were identified. Eighteen studies were included in the final synthesis. For the thematic analysis, results were collated under two broad themes; positive patient experiences and negative patient experiences. Patients were satisfied when their autonomy was respected, and dissatisfied when it was not. Patients often retrospectively recognized that their treatment was beneficial. Furthermore, negative aspects of the treatment included deficits in communication and a lack of information. Conclusions: Intervention research has historically focused on clinical outcomes and the quantitative aspects of treatment. Thus, this study provides insight into the qualitative aspects of patients’ experiences with legally mandated treatment. Recognizing these opinions and experiences can lead to better attitudes toward treatment for patients with schizophrenia and related psychiatric illnesses.

2017 ◽  
Vol 40 (10) ◽  
pp. 1522-1542 ◽  
Author(s):  
Jee Young Joo ◽  
Diane L. Huber

The challenges faced by case managers when implementing case management have received little focus. Several qualitative studies have been published that may be able to shed light on those challenges. This study is a systematic review of qualitative literature to identify barriers case managers have when implementing case management. Five electronic bibliographic databases were systematically searched, and 10 qualitative studies were identified for inclusion in the review which were published from 2007 to 2016. Through thematic synthesis of findings, five themes were identified as barriers to case management implementation: unclear scope of practice, diverse and complex case management activities, insufficient training, poor collaboration with other health-care providers, and client relationship challenges. This review study suggested that standardized evidence-based practical protocols and certification programs may help overcome case managers’ barriers and improve case management practices. Health policymakers, case management associations, and health-care management researchers should develop educational and practical supports for case managers.


2019 ◽  
Vol 74 (2) ◽  
pp. 179-192 ◽  
Author(s):  
Jack Jacobson ◽  
Angela Ju ◽  
Amanda Baumgart ◽  
Mark Unruh ◽  
Donal O’Donoghue ◽  
...  

2019 ◽  
Vol 4 (7) ◽  
pp. S196-S197
Author(s):  
A. JU ◽  
J. Jacobson ◽  
A. Baumgart ◽  
M. Unruh ◽  
D. O'Donoghue ◽  
...  

2021 ◽  
Vol 20 (3) ◽  
pp. 61
Author(s):  
Christian Ulrich Eriksen ◽  
Stavros Kyriakidis ◽  
Line D Christensen ◽  
Ramune Jacobsen ◽  
Jannie T E Laursen ◽  
...  

CNS Drugs ◽  
2020 ◽  
Vol 34 (9) ◽  
pp. 925-946
Author(s):  
Joost J. Breeksema ◽  
Alistair R. Niemeijer ◽  
Erwin Krediet ◽  
Eric Vermetten ◽  
Robert A. Schoevers

2019 ◽  
Vol 95 (6) ◽  
pp. 419-427 ◽  
Author(s):  
Rachel J Caswell ◽  
Jonathan DC Ross ◽  
Karen Lorimer

BackgroundObtaining perspectives from those seeking healthcare after sexual violence on care and how it is delivered is important.ObjectivesTo systematically identify any existing patient-reported outcome and experience measures (PROMs and PREMs) for patients attending healthcare services after sexual violence. Also, to identify key themes regarded by patients as priorities for delivering a high-quality service.DesignSystematic review (PROSPERO registration RD42016050297).Data sourcesEight electronic bibliographic databases from inception to March 2017. ‘Grey’ literature also searched. Search words included patient view, patient experience, PROM/PREM, sexual violence, rape.Review methodsStudies of any design, with participants of any gender and aged 13 years or older were included; studies only assessing the views of service providers were excluded. Appraisal tools assessed for study quality. Healthcare outcome data were assessed across the quantitative studies and key experiences across qualitative papers; Framework Analysis was used to synthesise the qualitative studies.ResultsFrom 4153 identified papers, 20 fulfilled criteria for inclusion: 10 qualitative, 8 quantitative and 2 mixed methods. No validated measure of assessing patient experience or outcome was identified. The synthesis of qualitative studies led to the assignment of two overarching themes around the importance of patient-focused and trauma-focused communication, and of care which enhances patient empowerment. A paucity of research within certain patient groups who experience sexual violence, in particular men and LGBT (lesbian, gay, bisexual and trans) patients was noted.LimitationsA broad definition of ‘healthcare setting’ incorporated a wide variety of venues limiting the applicability of findings in specific settings.ConclusionA validated and standardised approach to assess patient experience and outcome in healthcare settings after sexual violence is needed. Themes identified should be incorporated into PROM or PREM development. The review also suggests the need for a change in approach towards those who attend for healthcare after sexual violence to ensure patient autonomy.


2021 ◽  
Vol 80 ◽  
pp. 66-76
Author(s):  
Elaine Cheng ◽  
Nicole Evangelidis ◽  
Chandana Guha ◽  
Camilla S. Hanson ◽  
Mark Unruh ◽  
...  

2020 ◽  
Vol 124 (6) ◽  
pp. 531-547 ◽  
Author(s):  
Mélina Bailly ◽  
Natacha Germain ◽  
Bogdan Galusca ◽  
Daniel Courteix ◽  
David Thivel ◽  
...  

AbstractThe existing literature about the definition and diagnostic criteria of constitutional thinness (CT) appears equivocal. The present work systematically reviewed the criteria used in the diagnosis of adult individuals with CT (PROSPERO registration number: CRD42019138236). Five electronic bibliographic databases were searched between December 2018 and November 2019: MEDLINE, Embase, CENTRAL (Cochrane Library), Google Scholar and Clinical Trials. Search terms were combined with Medical Subject Headings terms. The search strategy included any clinical trials that enrolled adults with CT. Studies were systematically excluded if the state of thinness was not due to a well-identified constitutional origin. From the 689 references after duplicate removal, 199 studies were excluded based on title and 164 based on abstract. According to the inclusion and exclusion criteria, 291 other studies were removed. Finally, thirty-five studies remained at the end of the process. The analysis of these studies showed high heterogeneity in the diagnostic criteria of CT. A real need emerged to adopt a common terminology and to systematically exclude potential non-constitutional origins of thinness such as eating disorders, associated pathology or over-exercising, with validated tools. Weight history, physiological menses and weight gain resistance are also important criteria to consider. The present systematic review revealed that our medical and scientific approaches of CT need to be harmonised in terms of terminology and diagnostic criteria. Although further studies are needed, we finally proposed recommendations and a decision tree to help in the recognition and diagnosis of CT.


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