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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