Presentation Information
[SY-85-01]Do involuntarily treated psychiatric patients become accepting of treatment afterwards? - A scoping review
*Samuel F. Law1, Deandra Osayande1, Waverly Chan2 (1.University of Toronto(Canada), 2.McMaster University(Canada))
Keywords:
Convention on rights of people with disability (CRPD),involuntary hospitalization,involuntary treatment,capacity for treatment decisions,treatment acceptance
BackgroundThe UN Convention for the Rights of Persons with Disabilities (CRPD) - focusing on rights and not on capacity - advocates for the complete elimination of current mental health practices such as involuntary hospitalization, compulsory treatment, and substitute decision making. Controversies exist, as opponents believe this approach would render individuals, particularly those with severe mental illnesses who lack the capacity to make informed treatment decisions, much vulnerable as many of them would lack appreciation of their illness and necessity of treatment and elect to avoid treatment. Understanding how these patients view their involuntary treatment experience, outcomes, their long-term impacts, and if they later come to appreciate the treatment will help inform the reform mandated by the CRPD. This scoping review examines in particular the change in patients’ views about their involuntary treatment.MethodsThe scoping review was conducted in accordance with the PRISMA ScR framework. Multiple platforms, including OVID, Embase, Journals@Ovid Full Text, PubMed, and Google Scholar, were utilized to search for pertinent articles. A total of 346 articles were retrieved across all databases using the keywords “(“Involuntary admission” OR “Involuntary treatment”) AND (“Retrospective views” OR “Retrospective Attitudes” OR “Patient Views” OR “Patient Attitudes”)” and “(“Involuntary admission” OR “Involuntary treatment”) AND (“Retrospective views” OR “Retrospective Attitudes” OR “Patient Views” OR “Patient Attitudes”)”. After thorough full-text screening, 19 articles were selected.ResultsResearch shows that, after initially found to be incapable and given involuntary treatment, 40 to 77% of these patients had positive attitudes toward their treatment afterwards. They came to appreciate their treatment and felt it was necessary once they regained their capacity. While many studies indicate that participants changed their views, there is limited research on the factors associated with these changes.ConclusionsThere is a diverse range of views about involuntary treatment, and such views do change after treatment, depending on factors such as capacity and overall experiences. Eliminating in voluntary hospitalization and treatment may lead to missing needed treatment for those who could benefit from it the most.