Working alliance, interpersonal trust and perceived coercion in mental health review hearings.

ABSTRACT:

Background

There is some evidence that when mental health commitment hearings are held in accordance with therapeutic jurisprudence principles they are perceived as less coercive, and more just in their procedures leading to improved treatment adherence and fewer hospital readmissions. This suggests an effect of the hearing on therapeutic relationships. We compared working alliance and interpersonal trust in clinicians and forensic patients, whose continued detentions were reviewed by two different legal review bodies according to their legal category.

Methods

The hearings were rated as positive or negative by patients and treating psychiatrists using the MacArthur scales for perceived coercion, perceived procedural justice (legal and medical) and for the impact of the heari

SUBMITTER: Donnelly V 

PROVIDER: S-EPMC3227564 | biostudies-literature | 2011 Nov

REPOSITORIES: biostudies-literature