Evidence map›Paper›PMID 36781485›Full record

ArticleSocial psychiatry and psychiatric epidemiology2023

A qualitative integrative analysis of service users' and service providers' perspectives on ways to reduce coercion in mental health care.

Deborah Oyine Aluh, Justus Uchenna Onu, Olaniyi Ayilara, Barbara Pedrosa, Manuela Silva, Ugnė Grigaitė, Margarida Dias, Graça Cardoso, José Miguel Caldas-de-Almeida

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Article in Social psychiatry and psychiatric epidemiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from 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.

2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Deborah Oyine AluhLisbon Institute of Global Mental Health, Lisbon, Portugal. aluhdeborah@yahoo.com.ORCID http://orcid.org/0000-0001-6939-5547
Justus Uchenna OnuDepartment of Mental Health, Faculty of Medicine, Nnamdi Azikiwe University, Nnewi Campus, Awka, Anambra State, Nigeria.
Olaniyi AyilaraDepartment of Clinical Services, Federal Neuropsychiatric Hospital, Uselu, Edo State, Nigeria.
Barbara PedrosaLisbon Institute of Global Mental Health, Lisbon, Portugal.
Manuela SilvaLisbon Institute of Global Mental Health, Lisbon, Portugal.
Ugnė GrigaitėLisbon Institute of Global Mental Health, Lisbon, Portugal.
Margarida DiasLisbon Institute of Global Mental Health, Lisbon, Portugal.
Graça CardosoLisbon Institute of Global Mental Health, Lisbon, Portugal.
José Miguel Caldas-de-AlmeidaLisbon Institute of Global Mental Health, Lisbon, Portugal.

Funding

Fundação para a Ciência e a Tecnologia UI/BD/151072/2021Fundação para a Ciência e a Tecnologia UI/BD/151073/2021"la Caixa" Foundation LCF/BQ/DI20/11780013
6 · The paper itself

Abstract

purposeThe movement to develop and implement non-coercive alternatives in the provision of mental health care is gaining momentum globally. To strengthen the basis of potential interventions that will be contextually relevant, and to complement the body of literature which is largely from high-income settings, the current study sought to explore the suggestions of service users and providers in Nigeria on how to reduce the use of coercive measures in mental health settings.

methodsSemi-structured interviews with 30 mental health professionals and four focus group discussions among 30 service users from two psychiatric hospitals in Nigeria were conducted. The data were analyzed thematically with the aid of MAXQDA.

resultsThe suggestions proposed by service users and mental health professionals were within the broad themes of communication, policies and legislation, and increased resources. Service users felt that improved communication, home consultations, non-legal advocates and clear rules and legislation would reduce the use of coercion, while service providers suggested increased public mental health literacy, better interpersonal relationships with patients, increased resources for mental health care, more research on the topic and regulation of coercive measures.

conclusionMany of the suggestions from this study reinforce strategies already in place to decrease coercion in other settings. However, additional recommendations that are relevant to the study setting, such as enhancing public mental health literacy, mental health legislation reform and increasing access to mental health services, deserve further consideration.

Indexed as

Mental HealthMental Health ServicesCoercionFocus GroupsHumansQualitative ResearchReferral and ConsultationCoercionInterventionsMental health professionalsNigeriaService users

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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.