ArticleSocial psychiatry and psychiatric epidemiology2010
Involuntary admission may support treatment outcome and motivation in patients receiving assertive community treatment.
Article in Social psychiatry and psychiatric epidemiology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
What it found
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Who cites it
17 citing papers in PubMed.
- Motivation and treatment engagement intervention trial (MotivaTe-IT): the effects of motivation feedback to clinicians on treatment engagement in patients with severe mental illness.BMC psychiatry · 2012Trial
- Development of a machine learning model for predicting compulsory psychiatric care using clinical notes.BMC psychiatry · 2025Article
- Predictors of rehospitalization due to violent behavior in patients with psychotic disorders with a history of violent behavior.Frontiers in psychiatry · 2025Article
- The benefits and harms of inpatient involuntary psychiatric treatment: a scoping review.Psychiatry, psychology, and law : an interdisciplinary journal of the Australian and New Zealand Association of Psychiatry, Psychology and Law · 2025Article
- Electroconvulsive therapy in a tertiary Australian mental health facility between 2009 and 2020.The Australian and New Zealand journal of psychiatry · 2024Article
- Beyond Patient Characteristics: A Narrative Review of Contextual Factors Influencing Involuntary Admissions in Mental Health Care.Healthcare (Basel, Switzerland) · 2023Review
- Mental health law: a comparison of compulsory hospital admission in Italy and the UK.Frontiers in public health · 2023Review
- Impact of compulsory admission on treatment and outcome: A propensity score matched analysis.European psychiatry : the journal of the Association of European Psychiatrists · 2022Article
- Factors associated with involuntary psychiatric hospitalization in Portugal.International journal of mental health systems · 2021Article
- How dangerousness evolves after court-ordered compulsory psychiatric admission: explorative prospective observational cohort study.BJPsych open · 2019Article
- Reduction of Involuntary Admissions in Patients With Severe Psychotic Disorders Treated in the ACCESS Integrated Care Model Including Therapeutic Assertive Community Treatment.Frontiers in psychiatry · 2019Article
- Crucial factors preceding compulsory psychiatric admission: a qualitative patient-record study.BMC psychiatry · 2017Article
- Depot-medication compliance for patients with psychotic disorders: the importance of illness insight and treatment motivation.Neuropsychiatric disease and treatment · 2016Article
- Defining multiple criteria for meaningful outcome in routine outcome measurement using the Health of the Nation Outcome Scales.Social psychiatry and psychiatric epidemiology · 2014Article
- Long-term effects of involuntary hospitalization on medication adherence, treatment engagement and perception of coercion.Social psychiatry and psychiatric epidemiology · 2013Article
- Predictors of outcomes of assertive outreach teams: a 3-year follow-up study in North East England.Social psychiatry and psychiatric epidemiology · 2011Article
- Is the implementation of assertive community treatment in a low-income country feasible? The experience of Tbilisi, Georgia.Social psychiatry and psychiatric epidemiology · 2010Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivePatients with severe mental illness who are treated in assertive community treatment (ACT) teams are sometimes involuntarily admitted when they are dangerous to themselves or others, and are not motivated for treatment. However, the consequences of involuntary admission in terms of psychosocial outcome and treatment motivation are largely unknown. We hypothesized that involuntary admission would improve psychosocial outcome and not adversely affect their treatment motivation.
methodsIn the context of routine 6-monthly outcome monitoring in the period January 2003-March 2008, we used the Health of the Nation Outcome Scales (HoNOS) and a motivation-for-treatment scale to assess 260 severely mentally ill patients at risk for involuntary admission. Mixed models with repeated measures were used for data analyses.
resultsDuring the observation period, 77 patients (30%) were involuntarily admitted. Relative to patients who were not involuntarily admitted, these patients improved significantly in HoNOS total scores (F = 17,815, df = 1, p < 0.001) and in motivation for treatment (F = 28.139, df = 1, p < 0.001). Patients who were not involuntarily admitted had better HoNOS and motivation scores at baseline, but did not improve.
conclusionsInvoluntary admission in the context of ACT was associated with improvements in psychosocial outcome and motivation for treatment. There are no indications that involuntary admission leads to deterioration in psychosocial outcome or worsening of motivation for treatment.
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