Caregivers' appraisals of patients' involuntary hospital treatment: European multicentre study

Br J Psychiatry. 2012 Dec;201(6):486-91. doi: 10.1192/bjp.bp.112.112813. Epub 2012 Oct 25.

Abstract

Background: Mental health policies emphasise that caregivers' views of involuntary psychiatric treatment should be taken into account. However, there is little evidence on how caregivers view such treatment.

Aims: To explore caregivers' satisfaction with the involuntary hospital treatment of patients and what factors are associated with caregivers' appraisals of treatment.

Method: A multicentre prospective study was carried out in eight European countries. Involuntarily admitted patients and their caregivers rated their appraisal of treatment using the Client Assessment of Treatment Scale 1 month after admission.

Results: A total of 336 patients and their caregivers participated. Caregivers' appraisals of treatment were positive (mean of 8.5 on a scale from 0 to 10) and moderately correlated with patients' views. More positive caregivers' views were associated with greater patients' symptom improvement.

Conclusions: Caregivers' appraisals of involuntary in-patient treatment are rather favourable. Their correlation with patients' symptom improvement may underline their relevance in clinical practice.

Publication types

  • Multicenter Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Caregivers / psychology*
  • Commitment of Mentally Ill*
  • Europe
  • Female
  • Hospitalization*
  • Humans
  • Male
  • Mental Disorders / therapy*
  • Middle Aged
  • Patient Satisfaction
  • Personal Satisfaction*
  • Prospective Studies