title: Caregivers' appraisals of patients' involuntary hospital treatment: European multicentre study.
abstract: BACKGROUND
  Mental health policies emphasise that caregivers' views of involuntary psychiatric treatment should be taken into account. However, there is little evidence on how caregivers view such treatment.
  
  
  OBJECTIVE
  To explore caregivers' satisfaction with the involuntary hospital treatment of patients and what factors are associated with caregivers' appraisals of treatment.
  
  
  METHODS
  A multicentre prospective study was carried out in eight European countries. Involuntarily admitted patients and their caregivers rated their appraisal of treatment using the Client Assessment of Treatment Scale 1 month after admission.
  
  
  RESULTS
  A total of 336 patients and their caregivers participated. Caregivers' appraisals of treatment were positive (mean of 8.5 on a scale from 0 to 10) and moderately correlated with patients' views. More positive caregivers' views were associated with greater patients' symptom improvement.
  
  
  CONCLUSIONS
  Caregivers' appraisals of involuntary in-patient treatment are rather favourable. Their correlation with patients' symptom improvement may underline their relevance in clinical practice.
authors.affiliation: Department of Psychiatry, University of Naples SUN, Largo Madonna delle Grazie, 80138, Naples, Italy. giaccod@gmail.com
authors.forename: Domenico
authors.initials: D
authors.lastname: Giacco
authors.forename: Andrea
authors.initials: A
authors.lastname: Fiorillo
authors.forename: Valeria
authors.initials: V
authors.lastname: Del Vecchio
authors.forename: Thomas
authors.initials: T
authors.lastname: Kallert
authors.forename: Georgi
authors.initials: G
authors.lastname: Onchev
authors.forename: Jiri
authors.initials: J
authors.lastname: Raboch
authors.forename: Anastasia
authors.initials: A
authors.lastname: Mastrogianni
authors.forename: Alexander
authors.initials: A
authors.lastname: Nawka
authors.forename: Tomasz
authors.initials: T
authors.lastname: Hadrys
authors.forename: Lars
authors.initials: L
authors.lastname: Kjellin
authors.forename: Mario
authors.initials: M
authors.lastname: Luciano
authors.forename: Corrado
authors.initials: C
authors.lastname: De Rosa
authors.forename: Mario
authors.initials: M
authors.lastname: Maj
authors.forename: Stefan
authors.initials: S
authors.lastname: Priebe
mesh_terms: D000328:Adult; D017028:Caregivers / Q000523:psychology*; D003134:Commitment of Persons with Psychiatric Disorders; D005060:Europe; D005260:Female; D006760:Hospitalization; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000628:therapy*; D008875:Middle Aged; D017060:Patient Satisfaction; D010549:Personal Satisfaction; D011446:Prospective Studies