“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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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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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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Care or punishment? Black service users’ experiences of inpatient mental health care under detention

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Ian Cummins summarises findings from a recent qualitative study by Solanki et al. (2023), which explores the experiences of individuals from Black Ethnic backgrounds detained under the Mental Health Act (1983).

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PACT advance decision-making template: is another form really the answer?

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Peter Bartlett considers the usefulness of the new PACT advance-decision making template, which is a fillable template for advance decision making in fluctuating mental health conditions – PACT (Preferences and Advance decisions for Crisis and Treatment).

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REsTRAIN YOURSELF: reducing restrictive practices on mental health wards #BCTcompare

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Krysia Canvin helps us prepare for the #BCTcompare event on Wed 5th June by blogging about a recent study, which looks at the outcome of a restraint reduction programme (‘REsTRAIN YOURSELF’) to minimise the use of physical restraint in acute mental health services.

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Mental Health Act review: the demise of the nearest relative?

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Kathryn Berzins considers the implications of a recent rapid systematic review of the views and experiences of the Nearest Relative provision of the Mental Health Act (1983).

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The impact of physical restraint on people in mental health settings

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Rob Allison considers the findings of a recent integrative review that explores the physical and psychological harm inherent in using restraint in mental health inpatient settings.

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“Treat me with respect”. What happens before, during and after coercion?

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John Baker takes a look at a recent systematic review and thematic analysis, which explores psychiatric patients’ reported perceptions of the situations associated with the process of coercion.

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Locked wards vs open wards: does control = safety?

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André Tomlin summarises a 15 year observational study published today in The Lancet Psychiatry, which provides fascinating insight into suicide risk and absconding in psychiatric inpatient units with locked wards and open door policies.

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