Long term outcomes and causal modelling of compulsory inpatient and outpatient mental health care using Norwegian registry data: Protocol for a controversies in psychiatry research project.
causal inference
coercion
compulsion
compulsory mental health care
geographical variation
instrumental variables
psychiatric epidemiology
Journal
International journal of methods in psychiatric research
ISSN: 1557-0657
Titre abrégé: Int J Methods Psychiatr Res
Pays: United States
ID NLM: 9111433
Informations de publication
Date de publication:
08 Jul 2023
08 Jul 2023
Historique:
received:
01
06
2023
accepted:
19
06
2023
medline:
8
7
2023
pubmed:
8
7
2023
entrez:
8
7
2023
Statut:
aheadofprint
Résumé
Compulsory mental health care includes compulsory hospitalisation and outpatient commitment with medication treatment without consent. Uncertain evidence of the effects of compulsory care contributes to large geographical variations and a controversy on its use. Some argue that compulsion can rarely be justified and should be reduced to an absolute minimum, while others claim compulsion can more frequently be justified. The limited evidence base has contributed to variations in care that raise issues about the quality/appropriateness of care as well as ethical concerns. To address the question whether compulsory mental health care results in superior, worse or equivalent outcomes for patients, this project will utilise registry-based longitudinal data to examine the effect of compulsory inpatient and outpatient care on multiple outcomes, including suicide and overall mortality; emergency care/injuries; crime and victimisation; and participation in the labour force and welfare dependency. By using the natural variation in health providers' preference for compulsory care as a source of quasi-randomisation we will estimate causal effects of compulsory care on short- and long-term trajectories. This project will provide valuable insights for service providers and policy makers in facilitating high quality clinical care pathways for a high risk population group.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e1980Subventions
Organisme : The Research Council of Norway
ID : 326407
Informations de copyright
© 2023 The Authors. International Journal of Methods in Psychiatric Research published by John Wiley & Sons Ltd.
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