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    The therapeutic relationship after psychiatric admission.

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    Authors
    Roche, Eric
    Madigan, Kevin
    Lyne, John P
    Feeney, Larkin
    O'Donoghue, Brian
    Affiliation
    Cluain Mhuire Community Mental Health Service, Dublin, Ireland; †St Vincent's University Hospital, Dublin, Ireland; and ‡Royal College of Surgeons of Ireland, Dublin, Ireland.
    Issue Date
    2014-03
    Keywords
    MENTAL AND BEHAVIOURAL DISORDER
    THERAPY
    Local subject classification
    THERAPEUTIC RELATIONSHIP
    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
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    Metadata
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    Citation
    Roche E et al. The therapeutic relationship after psychiatric admission. J. Nerv. Ment. Dis. 2014, 202 (3):186-92
    Journal
    The Journal of nervous and mental disease
    URI
    http://hdl.handle.net/10147/324613
    DOI
    10.1097/NMD.0000000000000102
    PubMed ID
    24566503
    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.
    Item Type
    Article
    Language
    en
    ISSN
    1539-736X
    ae974a485f413a2113503eed53cd6c53
    10.1097/NMD.0000000000000102
    Scopus Count
    Collections
    Saint John of God Hospitaller Services

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