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
2014-03Keywords
MENTAL AND BEHAVIOURAL DISORDERTHERAPY
Local subject classification
THERAPEUTIC RELATIONSHIPMeSH
AdultCoercion
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
Metadata
Show full item recordCitation
Roche E et al. The therapeutic relationship after psychiatric admission. J. Nerv. Ment. Dis. 2014, 202 (3):186-92Journal
The Journal of nervous and mental diseaseDOI
10.1097/NMD.0000000000000102PubMed ID
24566503Abstract
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
ArticleLanguage
enISSN
1539-736Xae974a485f413a2113503eed53cd6c53
10.1097/NMD.0000000000000102