Adverse impact of coercive treatments on psychiatric inpatients' satisfaction with care.
Consumers' satisfaction with inpatient mental health care is recognized as a key quality indicator that prospectively predicts functional and clinical outcomes. Coercive treatment experience is a frequently cited source of dissatisfaction with inpatient care, yet more research is needed to understand the factors that influence consumers' perceptions of coercion and its effects on satisfaction, including potential "downstream" effects of past coercive events on current treatment satisfaction. The current study examined associations between objective and subjective indices of coercive treatments and patients' satisfaction with care in a psychiatric inpatient sample (N = 240). Lower satisfaction ratings were independently associated with three coercive treatment variables: current involuntary admission, perceived coercion during current admission, and self-reported history of being refused a requested medication. Albeit preliminary, these results document associations between patients' satisfaction ratings and their subjective experiences of coercion during both current and prior hospitalizations.
Center for Health Services Research in Primary Care, VISN 6 MIRECC, Bldg 6, 508 Fulton Street, Durham, NC 27705, USA. jennifer.strauss@va.gov
Jennifer L
JL
Strauss
Jennifer B
JB
Zervakis
Karen M
KM
Stechuchak
Maren K
MK
Olsen
Jeffrey
J
Swanson
Marvin S
MS
Swartz
Morris
M
Weinberger
Christine E
CE
Marx
Patrick S
PS
Calhoun
Daniel W
DW
Bradford
Marian I
MI
Butterfield
Eugene Z
EZ
Oddone
D000328:Adult; D003068:Coercion; D005260:Female; D019538:Health Care Surveys; D006778:Hospitals, Psychiatric; D006787:Hospitals, Veterans; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000628:therapy*; D008875:Middle Aged; D009657:North Carolina; D017060:Patient Satisfaction; D012720:Severity of Illness Index