Use of coercion in mental healthcare services in Nigeria: Service providers' perspective. Aluh, D. O., Ayilara, O., Onu, J. U., Pedrosa, B., Silva, M., Grigaitė, U., Santos-Dias, M., Cardoso, G., & Caldas-de-Almeida, J. M. Journal of Mental Health (Abingdon, England), February, 2023. doi abstract bibtex BACKGROUND: There is increasing advocacy to reduce coercive practices in mental healthcare. Little research has been done on the topic in developing countries. AIMS: To explore what mental health professionals in Nigeria think about coercion, why it is used, and what contextual factors influence its use in mental healthcare services. METHODS: Semi-structured interviews were carried out with 16 doctors and 14 nurses from two psychiatric hospitals in two regions of Nigeria. The audio-recorded interviews were analyzed thematically with the aid of MAXQDA software. RESULTS: Three broad categories relating to the perception of, reasons for, and barriers/facilitators to the use of coercion were derived. Coercion was viewed as being for the best interests of patients, a means to an end, and effective for achieving desired outcomes. Safety was both a reason to use a coercive measure and a deterrent to using specific coercive measures thought to be unsafe. The socio-cultural context, obsolete mental health legislation, staff shortages, and attitudes were factors influencing the use of coercion in mental healthcare. CONCLUSION: Coercion was perceived to be ultimately beneficial in mental health practice. There is need for a new mental health legislation and more resources for mental health care in Nigeria to address the problem of coercion.
@article{aluh_use_2023,
title = {Use of coercion in mental healthcare services in {Nigeria}: {Service} providers' perspective},
issn = {1360-0567},
shorttitle = {Use of coercion in mental healthcare services in {Nigeria}},
doi = {10.1080/09638237.2023.2182426},
abstract = {BACKGROUND: There is increasing advocacy to reduce coercive practices in mental healthcare. Little research has been done on the topic in developing countries.
AIMS: To explore what mental health professionals in Nigeria think about coercion, why it is used, and what contextual factors influence its use in mental healthcare services.
METHODS: Semi-structured interviews were carried out with 16 doctors and 14 nurses from two psychiatric hospitals in two regions of Nigeria. The audio-recorded interviews were analyzed thematically with the aid of MAXQDA software.
RESULTS: Three broad categories relating to the perception of, reasons for, and barriers/facilitators to the use of coercion were derived. Coercion was viewed as being for the best interests of patients, a means to an end, and effective for achieving desired outcomes. Safety was both a reason to use a coercive measure and a deterrent to using specific coercive measures thought to be unsafe. The socio-cultural context, obsolete mental health legislation, staff shortages, and attitudes were factors influencing the use of coercion in mental healthcare.
CONCLUSION: Coercion was perceived to be ultimately beneficial in mental health practice. There is need for a new mental health legislation and more resources for mental health care in Nigeria to address the problem of coercion.},
language = {eng},
journal = {Journal of Mental Health (Abingdon, England)},
author = {Aluh, Deborah Oyine and Ayilara, Olaniyi and Onu, Justus Uchenna and Pedrosa, Barbara and Silva, Manuela and Grigaitė, Ugnė and Santos-Dias, Margarida and Cardoso, Graça and Caldas-de-Almeida, José Miguel},
month = feb,
year = {2023},
pmid = {36850036},
keywords = {Coercion, Nigeria, barriers and facilitators, involuntary admission, mental health professionals, perceptions, restraint},
pages = {1--9},
}
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METHODS: Semi-structured interviews were carried out with 16 doctors and 14 nurses from two psychiatric hospitals in two regions of Nigeria. The audio-recorded interviews were analyzed thematically with the aid of MAXQDA software. RESULTS: Three broad categories relating to the perception of, reasons for, and barriers/facilitators to the use of coercion were derived. Coercion was viewed as being for the best interests of patients, a means to an end, and effective for achieving desired outcomes. Safety was both a reason to use a coercive measure and a deterrent to using specific coercive measures thought to be unsafe. The socio-cultural context, obsolete mental health legislation, staff shortages, and attitudes were factors influencing the use of coercion in mental healthcare. CONCLUSION: Coercion was perceived to be ultimately beneficial in mental health practice. There is need for a new mental health legislation and more resources for mental health care in Nigeria to address the problem of coercion.","language":"eng","journal":"Journal of Mental Health (Abingdon, England)","author":[{"propositions":[],"lastnames":["Aluh"],"firstnames":["Deborah","Oyine"],"suffixes":[]},{"propositions":[],"lastnames":["Ayilara"],"firstnames":["Olaniyi"],"suffixes":[]},{"propositions":[],"lastnames":["Onu"],"firstnames":["Justus","Uchenna"],"suffixes":[]},{"propositions":[],"lastnames":["Pedrosa"],"firstnames":["Barbara"],"suffixes":[]},{"propositions":[],"lastnames":["Silva"],"firstnames":["Manuela"],"suffixes":[]},{"propositions":[],"lastnames":["Grigaitė"],"firstnames":["Ugnė"],"suffixes":[]},{"propositions":[],"lastnames":["Santos-Dias"],"firstnames":["Margarida"],"suffixes":[]},{"propositions":[],"lastnames":["Cardoso"],"firstnames":["Graça"],"suffixes":[]},{"propositions":[],"lastnames":["Caldas-de-Almeida"],"firstnames":["José","Miguel"],"suffixes":[]}],"month":"February","year":"2023","pmid":"36850036","keywords":"Coercion, Nigeria, barriers and facilitators, involuntary admission, mental health professionals, perceptions, restraint","pages":"1–9","bibtex":"@article{aluh_use_2023,\n\ttitle = {Use of coercion in mental healthcare services in {Nigeria}: {Service} providers' perspective},\n\tissn = {1360-0567},\n\tshorttitle = {Use of coercion in mental healthcare services in {Nigeria}},\n\tdoi = {10.1080/09638237.2023.2182426},\n\tabstract = {BACKGROUND: There is increasing advocacy to reduce coercive practices in mental healthcare. Little research has been done on the topic in developing countries.\nAIMS: To explore what mental health professionals in Nigeria think about coercion, why it is used, and what contextual factors influence its use in mental healthcare services.\nMETHODS: Semi-structured interviews were carried out with 16 doctors and 14 nurses from two psychiatric hospitals in two regions of Nigeria. The audio-recorded interviews were analyzed thematically with the aid of MAXQDA software.\nRESULTS: Three broad categories relating to the perception of, reasons for, and barriers/facilitators to the use of coercion were derived. Coercion was viewed as being for the best interests of patients, a means to an end, and effective for achieving desired outcomes. Safety was both a reason to use a coercive measure and a deterrent to using specific coercive measures thought to be unsafe. The socio-cultural context, obsolete mental health legislation, staff shortages, and attitudes were factors influencing the use of coercion in mental healthcare.\nCONCLUSION: Coercion was perceived to be ultimately beneficial in mental health practice. There is need for a new mental health legislation and more resources for mental health care in Nigeria to address the problem of coercion.},\n\tlanguage = {eng},\n\tjournal = {Journal of Mental Health (Abingdon, England)},\n\tauthor = {Aluh, Deborah Oyine and Ayilara, Olaniyi and Onu, Justus Uchenna and Pedrosa, Barbara and Silva, Manuela and Grigaitė, Ugnė and Santos-Dias, Margarida and Cardoso, Graça and Caldas-de-Almeida, José Miguel},\n\tmonth = feb,\n\tyear = {2023},\n\tpmid = {36850036},\n\tkeywords = {Coercion, Nigeria, barriers and facilitators, involuntary admission, mental health professionals, perceptions, restraint},\n\tpages = {1--9},\n}\n\n\n\n\n\n\n\n\n\n\n\n","author_short":["Aluh, D. O.","Ayilara, O.","Onu, J. 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