The therapeutic relationship after psychiatric admission.
Roche, Eric Madigan, Kevin Lyne, John P Feeney, Larkin O'Donoghue, Brian
Roche, Eric
Madigan, Kevin
Lyne, John P
Feeney, Larkin
O'Donoghue, Brian
Advisors
Editors
Other Contributors
Date
2014-03
Date Submitted
Keywords
MENTAL AND BEHAVIOURAL DISORDER
THERAPY
THERAPY
Other Subjects
THERAPEUTIC RELATIONSHIP
Subject Mesh
Adult
Coercion
Commitment of Mentally Ill
Female
Humans
Ireland
Male
Mental Disorders
Mental Health Services
Middle Aged
Patient Satisfaction
Physician-Patient Relations
Psychiatric Department, Hospital
Psychiatric Status Rating Scales
Coercion
Commitment of Mentally Ill
Female
Humans
Ireland
Male
Mental Disorders
Mental Health Services
Middle Aged
Patient Satisfaction
Physician-Patient Relations
Psychiatric Department, Hospital
Psychiatric Status Rating Scales
Planned Date
Start Date
Collaborators
Principal Investigators
Alternative Titles
Publisher
Abstract
The therapeutic relationship is one of the most central and important factors in the treatment of mental health disorders. A better therapeutic relationship is associated with service engagement, medication adherence, and satisfaction with services. This study aimed to compare the demographic and clinical factors associated with the therapeutic relationship in voluntarily and involuntarily admitted psychiatric service users. We found that individuals who had been admitted involuntarily, who had a diagnosis of a psychotic disorder, and who reported higher levels of perceived pressures on admission were more likely to have a poorer therapeutic relationship with their consultant psychiatrist. Greater levels of insight and treatment satisfaction, together with higher levels of procedural justice experienced on admission, were associated with a better therapeutic relationship. We found that the level of perceived coercion on admission was not related to the therapeutic relationship. Targeted interventions to improve the therapeutic relationship, particularly for involuntarily admitted service users, are discussed.
Language
en
ISSN
1539-736X
eISSN
ISBN
DOI
10.1097/NMD.0000000000000102
PMID
24566503