title: Perceived coercion at hospital admission and adherence to mental health treatment after discharge.
abstract: The authors investigated whether mental health inpatients' perceptions of coercion were associated with later treatment adherence. Psychiatric inpatients receiving acute care at three sites were interviewed during their hospitalization and up to five times after discharge. Patients' perceptions of coercion were measured at admission. Adherence to medication and clinical treatment was measured every ten weeks for one year after discharge. Among the 825 patients who had a perceived coercion score and ten-week follow-up data and who reported that outpatient treatment was prescribed, perceived coercion scores were not associated with treatment adherence. The authors concluded that perceived coercion neither increases nor decreases psychiatric inpatients' medication adherence or use of treatment services after discharge.
authors.affiliation: Policy Research Associates, Inc., Delmar, New York 12054, USA.
authors.forename: Sarah D
authors.initials: SD
authors.lastname: Rain
authors.forename: Valerie F
authors.initials: VF
authors.lastname: Williams
authors.forename: Pamela Clark
authors.initials: PC
authors.lastname: Robbins
authors.forename: John
authors.initials: J
authors.lastname: Monahan
authors.forename: Henry J
authors.initials: HJ
authors.lastname: Steadman
authors.forename: Roumen
authors.initials: R
authors.lastname: Vesselinov
mesh_terms: D000293:Adolescent; D000328:Adult; D001290:Attitude; D003068:Coercion; D005260:Female; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000534:rehabilitation / Q000628:therapy*; D010343:Patient Admission / Q000706:statistics & numerical data*; D010349:Patient Compliance / Q000706:statistics & numerical data*; D010351:Patient Discharge / Q000706:statistics & numerical data*; D013997:Time Factors