TY - JOUR
T1 - Beyond Patient Characteristics
T2 - A Narrative Review of Contextual Factors Influencing Involuntary Admissions in Mental Health Care
AU - Aluh, Deborah Oyine
AU - Aigbogun, Osaro
AU - Ukoha-Kalu, Blessing Onyinye
AU - Silva, Manuela
AU - Grigaitė, Ugnė
AU - Pedrosa, Barbara
AU - Santos-Dias, Margarida
AU - Cardoso, Graça
AU - Caldas-de-Almeida, José Miguel
N1 - Funding Information:
Funding: The study did not receive any specific funding. Deborah Oyine Aluh is a PhD student receiving the support of a PhD fellowship from “la Caixa” Foundation (LCF/BQ/DI20/11780013). Barbara Pedrosa and Ugnė Grigaitė are PhD students receiving financial support from the FCT—Fundação para a Ciência e a Tecnologia (UI/BD/151073/2021 and UI/BD/151072/2021).
Publisher Copyright:
© 2023 by the authors.
PY - 2023/7
Y1 - 2023/7
N2 - Variations in the rates of involuntary admission (IA) reflect the influence of unexplained contextual variables that are typically too heterogeneous to be included in systematic reviews. This paper attempts to gather and analyze factors unrelated to the patients that have been linked to IA. The articles included in this review were selected by iteratively searching four electronic databases (PubMed, PsychINFO, EMBASE, and Web of Science). A total of 54 studies from 19 different countries and regions, including 14 European countries, the United States, Canada, China, Vietnam, and Taiwan, were selected. The factors were categorized as service-related factors, impactful events, seasonal and temporal factors, mental health legislation, staff factors, and public attitudes. The factors rarely act in isolation but rather interact and reinforce each other, causing a greater influence on IA. This paper explains how these factors present opportunities for robust and sustainable interventions to reduce IAs. The paper also identifies future directions for research, such as examining the effects of economic recessions. Enhancing global reporting standards is essential to validate future research and support further in-depth studies. The complexity of the factors influencing IA and the implicit role of society suggest that resolving it will require social change.
AB - Variations in the rates of involuntary admission (IA) reflect the influence of unexplained contextual variables that are typically too heterogeneous to be included in systematic reviews. This paper attempts to gather and analyze factors unrelated to the patients that have been linked to IA. The articles included in this review were selected by iteratively searching four electronic databases (PubMed, PsychINFO, EMBASE, and Web of Science). A total of 54 studies from 19 different countries and regions, including 14 European countries, the United States, Canada, China, Vietnam, and Taiwan, were selected. The factors were categorized as service-related factors, impactful events, seasonal and temporal factors, mental health legislation, staff factors, and public attitudes. The factors rarely act in isolation but rather interact and reinforce each other, causing a greater influence on IA. This paper explains how these factors present opportunities for robust and sustainable interventions to reduce IAs. The paper also identifies future directions for research, such as examining the effects of economic recessions. Enhancing global reporting standards is essential to validate future research and support further in-depth studies. The complexity of the factors influencing IA and the implicit role of society suggest that resolving it will require social change.
KW - coercion
KW - context
KW - involuntary admission
KW - legislation
KW - public attitudes
KW - service
KW - staff
UR - http://www.scopus.com/inward/record.url?scp=85166520675&partnerID=8YFLogxK
U2 - 10.3390/healthcare11141986
DO - 10.3390/healthcare11141986
M3 - Review article
AN - SCOPUS:85166520675
SN - 2227-9032
VL - 11
JO - Healthcare (Switzerland)
JF - Healthcare (Switzerland)
IS - 14
M1 - 1986
ER -