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Involvement of patients in planning their future treatment may reduce compulsory admissions to hospital
  1. Steve Kisely
  1. University of Queensland, Brisbane, Queensland, Australia; s.kisely@uq.edu.au

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ABSTRACT FROM: de Jong MH, Kamperman AM, Oorschot M, et al. Interventions to reduce compulsory psychiatric admissions: a systematic review and meta-analysis. JAMA Psychiatry 2016;73:657–64.

What is already known on this topic?

The use of coercion in the treatment of psychiatric patients is of growing concern, particularly in the context of United Nations Convention on the Rights of Persons with Disabilities (http://www.un.org/disabilities/convention/conventionfull.shtml). Increasing rates of compulsory admission are one example. It is therefore important to find interventions that can prevent compulsory admission to hospital for people with severe mental illness. Approaches to reduce compulsory admission such as advance directives or compulsory treatment orders have been studied in isolation.1 ,2

Methods

de Jong et al conducted a systematic review and meta-analysis of all interventions to reduce compulsory admission rates. They only included randomised controlled trials (RCTs) conducted in outpatient or community settings …

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