Patients treated for psychosis and their perceptions of care in compulsory treatment: basis for an action plan
Article first published online: 22 MAY 2011
© 2011 Blackwell Publishing
Journal of Psychiatric and Mental Health Nursing
Volume 19, Issue 1, pages 15–22, February 2012
How to Cite
ANDREASSON, E. and SKÄRSÄTER, I. (2012), Patients treated for psychosis and their perceptions of care in compulsory treatment: basis for an action plan. Journal of Psychiatric and Mental Health Nursing, 19: 15–22. doi: 10.1111/j.1365-2850.2011.01748.x
- Issue published online: 2 JAN 2012
- Article first published online: 22 MAY 2011
- Accepted for publication: 21 April 2011
- mental health;
- qualitative methodology
- • Patients in acute psychiatric care perceive compulsory treatment as good if they are given good care, if they are given the shelter they need and if they are given help with understanding what is happening.
- • They feel respected if they are allowed to retain their autonomy and are invited to participate, even though they are in compulsory treatment.
- • It is important to take advantage of patients' own resources to prevent their traumatization when receiving compulsory treatment.
- • Preparation of individual action plans for future compulsory treatment may empower patients during compulsory treatment and improve their experience of care.
The purpose of the study was to describe patients' conceptions and experiences of care in compulsory treatment for acute onset of psychosis. Twelve patients with experience of compulsory treatment were interviewed in 2008–2009, and phenomenographic analysis was used to analyse the data. Two descriptive categories emerged in the results: receiving needed support and perceiving respectful care. Patients perceived that coercive interventions were positive if they were given good care, if they were given the shelter they needed, if they got help with understanding and if the setting was healing. Patients felt respected if they were treated like human beings, if they were allowed to retain as much of their autonomy as possible and if they were invited to participate even though they were under compulsory treatment. The results show that it is important to prevent patients from being traumatized during compulsory treatment and to take advantage of patients' inner resources. Patients' experiences of compulsory treatment can form the basis for preparing an individual action plan for future compulsory treatment. Individual action plans could empower patients during compulsory treatment and improve their experience of care.