ArticleCulture, medicine and psychiatry2020
Moral Experiences of Crisis Management in a Child Mental Health Setting: A Participatory Hermeneutic Ethnographic Study.
Article in Culture, medicine and psychiatry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.
- Perceptions about children and adolescents' mental health crisis intervention: a qualitative systematic review.Cadernos de saude publica · 2024Pooled it
- I Didn't Want the Psychotic Thing to Get Out to Anyone at All: Adolescents with Early Onset Psychosis Managing Stigma.Culture, medicine and psychiatry · 2024Trial
- Experiences of restrictive practices in child and adolescent mental health inpatient care: an integrative review.Child and adolescent psychiatry and mental health · 2026Review
- Living ethics: a stance and its implications in health ethics.Medicine, health care, and philosophy · 2024Article
- The Use of Chemical Control Within Coercive Controlling Intimate Partner Violence and Abuse.Violence against women · 2023Article
- Article
- Research, policy making, and practice with young people.Canadian journal of public health = Revue canadienne de sante publique · 2023Article
- Children's Lived Experiences of Wellbeing at School in England: a Phenomenological Inquiry.Child indicators research · 2023Article
- Inclusion of children with disabilities in qualitative health research: A scoping review.PloS one · 2022Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
Restraints and seclusion are routinely used in child mental health settings for conflict and crisis management, but raise significant ethical concerns. Using a participatory hermeneutic ethnographic framework, we studied conflict and crisis management in a child mental health setting offering care to children aged 6-12 years old in Quebec, Canada. The use of this framework allowed for an in-depth examination of the local imaginaries, of what is morally meaningful to the people in the setting, in addition to institutional norms, structures and practices. Data collection involved participant observation, interviews, and documentation review, with an interpretive framework for data analysis. We argue that the prevalent view of children shared by staff members as "incomplete human becomings" led to the adoption and legitimization of authoritative norms, structures and practices guided largely by a behavioral approach, which sometimes led to an increased use of control measures for reasons other than imminent harm. Children experienced these controlling practices as abusive and hindering the development of trusting relationships, which impeded the implementation of more collaborative approaches staff members sought to put in place to prevent the use of control measures. Study results are discussed in light of conceptions of children as moral agents.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.