title: Constraints perceived by psychiatrists working in community mental health services. Development and pilot study of a novel instrument.
abstract: An inventory of institutional constraints perceived as limiting therapeutic choices was developed and completed by psychiatrists working in Italian public mental health services. Constraints considered most limiting were social and institutional pressures toward social control, violence risk assessment and prevention, and lack of control over workload. The total mean score of the perceived constraints instrument was significantly negatively correlated with ratings of perceived freedom in therapeutic choices and with overall job satisfaction. Reliability was good (alpha = 0.85). Addressing perceived constraints may result in more choice options to reach therapeutic goals in a collaborative framework with patients, and improve job satisfaction.
authors.affiliation: Newham Rehabilitation and Recovery Team, East London, London, UK. galeazzi@unimore.it
authors.forename: Gian Maria
authors.initials: GM
authors.lastname: Galeazzi
authors.forename: Andrew
authors.initials: A
authors.lastname: Mackinnon
authors.forename: Paolo
authors.initials: P
authors.lastname: Curci
mesh_terms: D001291:Attitude of Health Personnel; D003068:Coercion; D003156:Community Mental Health Services / Q000458:organization & administration*; D005260:Female; D005610:Freedom; D006801:Humans; D007558:Italy; D007588:Job Satisfaction; D008297:Male; D008875:Middle Aged; D010555:Personality Inventory / Q000706:statistics & numerical data*; D010817:Physician-Patient Relations; D010865:Pilot Projects; D011570:Psychiatry / Q000706:statistics & numerical data*; D011634:Public Health; D015203:Reproducibility of Results; D018570:Risk Assessment; D012926:Social Control, Formal; D014754:Violence / Q000523:psychology / Q000706:statistics & numerical data