PURPOSE: Informal practices aimed at managing psychiatric patients in the community
setting fall outside legal and policy provision or guidance.“Leverage” is an informal practice …

BackgroundCoercion has usually been equated with legal detention. Non-statutory
pressures to adhere to treatment,'leverage', have been identified as widespread in US public …

Background: Leverage is a particular type of treatment pressure that is used within
community mental health services to increase patients' adherence to treatment. Because …

Abstract Treatment pressure restricts patients' voluntary and autonomous decisions. Yet
interventions involving treatment pressure are widely used in mental health and …

There is probably no more unpleasant task for a clinician working in mental health than
imposing treatment on an unwilling patient; and probably no experience for the patient that …

OBJECTIVES: A variety of tools are being used as leverage to improve adherence to
psychiatric treatment in the community. This study is the first to obtain data on the frequency …

Objective: Involuntary treatment in the community has become an increasing and accepted
part of the landscape of mental health service delivery. Community Treatment Orders (CTOs) …

“Compulsion” in mental health care is a reasonably straightforward notion: the use of force,
one hopes always governed by law, to make a person accept treatment that has been …

Purpose Although community mental health services aim to support patients' autonomy and
independence, they have repeatedly been criticised for making patients dependent. Yet, it …

Background: Despite the extensive research and intense debate on coercion in psychiatry
we have seen in recent years, little is still known about formally voluntarily admitted patients …