A qualitative meta-synthesis of service users’ and carers’ experiences of assessment and involuntary hospital admissions under mental health legislations: a five-year update Article Swipe
Gergely Bartl
,
Ruth Stuart
,
Nafiso Ahmed
,
Katherine R. K. Saunders
,
Sofia Loizou
,
Gráinne Brady
,
Hannah Gray
,
Andrew Grundy
,
Tamar Jeynes
,
Patrick Nyikavaranda
,
Karen Persaud
,
Ari Raad
,
Una Foye
,
Alan Simpson
,
Sonia Johnson
,
Brynmor Lloyd-Evans
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1186/s12888-024-05914-w
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1186/s12888-024-05914-w
Background Compulsory admissions occur in psychiatric hospitals around the world. They result in coercive and sometimes traumatic experiences for service users and carers. Legal and service reforms in various countries are intended to reduce rates of detention and improve service user experience. We aimed to inform policy and service delivery by providing an up-to-date synthesis of qualitative evidence on service users’ and carers’ experiences of assessment and detention under mental health legislation, updating previous reviews in which we searched for literature published up to 2018. Methods We searched five bibliographic databases for studies published between January 2018 and March 2023. We identified 24 additional studies reporting qualitative investigations of service users’ or carers’ experiences of assessment or detention under mental health legislation. A team including researchers with relevant personal experience analysed and synthesised data using a thematic synthesis approach. Results Findings suggest that views on compulsory admissions and assessment varied: many reports highlighted its often negative, traumatic impacts on emotional well-being and self-worth, with fewer accounts of it as an opportunity to access help and support, accompanied by feelings of relief. Experiences of racial discrimination, inequality of access, and dissatisfaction with support before and after hospital stay were more prominent than in our previous reviews. Conclusions Increasing service user and carer involvement in treatment decisions, provision of timely information at key stages of the admission process, training of key personnel, addressing the issue of discrimination, and investing in community alternatives of inpatient care may contribute to and lead to better overall treatment experiences. Protocol registration The study protocol has been registered in the PROSPERO database on 30th May 2023 (CRD42023423439).
Related Topics
Concepts
Metadata
- Type
- review
- Language
- en
- Landing Page
- https://doi.org/10.1186/s12888-024-05914-w
- OA Status
- gold
- Cited By
- 22
- References
- 75
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4400092715
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4400092715Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1186/s12888-024-05914-wDigital Object Identifier
- Title
-
A qualitative meta-synthesis of service users’ and carers’ experiences of assessment and involuntary hospital admissions under mental health legislations: a five-year updateWork title
- Type
-
reviewOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2024Year of publication
- Publication date
-
2024-06-27Full publication date if available
- Authors
-
Gergely Bartl, Ruth Stuart, Nafiso Ahmed, Katherine R. K. Saunders, Sofia Loizou, Gráinne Brady, Hannah Gray, Andrew Grundy, Tamar Jeynes, Patrick Nyikavaranda, Karen Persaud, Ari Raad, Una Foye, Alan Simpson, Sonia Johnson, Brynmor Lloyd-EvansList of authors in order
- Landing page
-
https://doi.org/10.1186/s12888-024-05914-wPublisher landing page
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
-
https://doi.org/10.1186/s12888-024-05914-wDirect OA link when available
- Concepts
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Mental health, Mental health service, Psychology, Psychiatry, Service (business), Mental Health Act, Qualitative research, MEDLINE, Medicine, Business, Social science, Law, Sociology, Marketing, Political scienceTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
22Total citation count in OpenAlex
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2025: 21, 2024: 1Per-year citation counts (last 5 years)
- References (count)
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75Number of works referenced by this work
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-
10Other works algorithmically related by OpenAlex
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