[Interventions to prevent and reduce coercive measures in psychiatric care and residential care for children and young people]
SBU
Record ID 32018005281
English
Original Title:
Interventioner för att förebygga och minska tvångsåtgärder inom psykiatrisk vård och institutionsvård av barn och unga
Authors' objectives:
The main purpose of this systematic review was to (1) evaluate the scientific evidence regarding effective interventions aiming to reduce the use of coercive measures in child and adolescent psychiatric care and residential care and (2) investigate experiences of such interventions among children/adolescents and staff. The systematic review includes an ethical discussion.
Authors' results and conclusions:
Interventions targeting organisational culture and staff practice may reduce coercive measures (restraint and seclusion) in child and adolescent psychiatric care as well as in residential care.
Conclusions:
Interventions focusing on organisational culture and staff practice may have an effect on moderate to large reductions in coercive measures, whereas child-focused behavioural interventions appear to have more limited or uncertain effects.
Reports from children (including adolescents) and staff highlight the importance of relational care, collaboration, staff reflexivity, and organisational support, in prevention of coercive measures.
Details
Project Status:
Completed
Year Published:
2025
URL for published report:
https://www.sbu.se/400e
English language abstract:
An English language summary is available
Publication Type:
Full HTA
Country:
Sweden
MeSH Terms
- Involuntary Treatment, Psychiatric
- Residential Treatment
- Forensic Psychiatry
- Coercion
- Mental Health Services
- Commitment of Persons with Psychiatric Disorders
Keywords
- Psychiatric compulsory care
- Forensic psychiatric care
- State institutional care
Contact
Organisation Name:
Swedish Agency for Health Technology Assessment and Assessment of Social Services
Contact Address:
SBU – Swedish Agency for Health Technology Assessment and Assessment of Social Services, P.O. Box 6183, SE-102 33 Stockholm, Sweden. Tel: +46 8 4123200, Fax: +46 8 4113260
Contact Name:
registrator@sbu.se
Contact Email:
registrator@sbu.se
Copyright:
SBU – Swedish Agency for Health Technology Assessment and Assessment of Social Services
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.