“Necessary evil” or hidden harm? A scoping review of informal coercion in psychiatry

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Informal coercion – the subtle pressure patients feel in psychiatric care – is common but poorly understood. A new scoping review sheds light on how it’s defined, where it happens, and why it matters for patients and professionals alike.

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Inequity in action: why minoritised ethnic patients are more often rapidly tranquilised and what needs to change

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New evidence reveals that rapid tranquilisation is disproportionately used on minoritised ethnic patients in hospitals. Beyond the statistics, how do we create fair, compassionate, and equitable care?

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Updated review of experiences of compulsory treatment builds the case for legal reform to be grounded in lived experiences

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Jill Stavert summarises a recent qualitative meta-synthesis of service users’ and carers’ experiences of assessment and involuntary hospital admissions under mental health legislations.

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When care causes harm: a systematic review of adverse experiences in mental health wards

By addressing the full spectrum of adverse experiences, mental health services can make strides towards environments that not only prevent harm but actively contribute to the wellbeing and recovery of individuals in their care.

Jessica Griffiths and Una Foye explore a recent qualitative review of adverse mental health inpatient experiences, which proposes a strategic approach to improving service design and delivery, advocating for environments that prioritise patient safety, dignity and respect.

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All eyes on the ward: the use and impact of surveillance in inpatient mental health settings

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Nima Hunt summarises a new systematic review published today on the use and impact of surveillance-based technology initiatives in inpatient and acute mental health settings. The review suggests that surveillance technologies should not be used in mental health settings until further research supports their use.

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Wide variance in the use of coercion in children and young people’s inpatient services

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John Baker reflects on a recent review on rates and risk factors of coercion in inpatient child and adolescent mental health services.

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How can you compare data about mental health and mental capacity law across borders? #BIGSPD24

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Alex Ruck-Keene reviews a recent study from the island of Ireland, which compares mental health and mental capacity law data across international borders.

There’s an accompanying podcast interview with the review authors, as we prepare for the #BIGSPD24 conference in Belfast in June 2024.

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Opening ward doors doesn’t make staff any more coercive

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John Baker summarises a new Norwegian trial published last week, which compares an open-door policy to treatment-as-usual in urban psychiatric inpatient wards.

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From subject to cause: can patients’ circumstances predict the use of coercion in psychiatric hospital admissions?

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Nima Cas Hunt explores a recent research study carried out at a mental health hospital in Switzerland, which tries to predict coercion during the course of psychiatric hospitalisations.

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Psychiatric Advance Directives: more effective when facilitated by peer workers, according to French RCT

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Rob Allison considers a French randomised controlled trial, which provides support for the use of peer worker–facilitated psychiatric advance directives to prevent compulsory rehospitalisation in people with severe mental illness.

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