Ellen Boldrup Tingleff

Reduction of mechanical restraint in forensic psychiatry – Patient and relatives’ perceptions and perspectives on mechanical restraint in forensic psychiatry

 (From 1.9 2015 to 31.8. 2018)

 

Ellen 1PhD-Student & project responsible: Ellen Boldrup Tingleff, Ph.d-student, MScN ,RN, Institute of Clinical Research, OPEN, Faculty of Health Science, University of Southern Denmark

Head Supervisor: Lise Hounsgaard, PhD. Professor OPEN, Institute of Clinical Research, Faculty of Health Science, University of Southern Denmark and Docent, University College Lillebaelt

Supervisor: Frederik A.Gildberg, Ph.d., Professor (Associate) & Head of Research, Lecturer in Forensic Mental Health, PhD, MScN, RN. CPS, Institute of Regional Health Research, Faculty of Health Science, University of Southern Denmark. Lecturer & Head of Research, Dept. of Psychiatry Middelfart, Region of Southern Denmark.

Supervisor: Stephen Bradley, Dr. Catherine McAuley School of Nursing and Midwifery, Brookfield Health Sciences Complex, University College Cork.

 

English Abstract:

Background: In Denmark, the objective is to reduce coercion in psychiatric settings by 50 % in 2020. However, the number of prolonged episodes of mechanical restraint (MR) is currently increasing, especially among forensic psychiatric patients. Research suggests that involvement of patients and relatives contributes to reduction in coercion, including MR. However, research into forensic psychiatric patients and relatives’ perceptions of situations before, during and after MR episodes and their perspectives on what can help reduce use and duration of MR is very sparse.

Aim: To generate knowledge about what characterizes the meaning forensic psychiatric patients and relatives’ ascribe to perceptions of situations before, during and after MR episodes and to develop knowledge about what can reduce use and duration of MR.

Method: The project is carried out as a systematic literature review, qualitative semi-structured single interview with forensic psychiatric patients and qualitative semi-structured single and focus group interviews with relatives of forensic psychiatric patients. The investigation is epistemologically and methodologically informed by the assumptions of Symbolic Interactionism.

Anticipated Results: Increased knowledge about patients and relatives perceptions on situations connected with MR episodes and perspectives on what can reduce use and duration of MR will contribute to the development of interventions with the aim of reducing MR.

 

Danish Abstract:

Baggrund: I Danmark skal tvang reduceres med 50 % inden år 2020. Samtidig er antallet af langvarige bæltefikseringer stigende, specielt blandt retspsykiatriske patienter. Inddragelse af patienter og pårørende, kan jævnfør forskning, bidrage til at nedbringe tvang, herunder bæltefikseringer. Men forskning i retspsykiatriske patienter og pårørendes opfattelser af situationer før, under og efter bæltefikseringer og deres perspektiver på hvad der kan reducere antallet og varigheden af bæltefikseringer, er meget sparsom.

Formål: Formålet er at udvikle viden om hvad der karakteriserer den mening retspsykiatriske

patienter og pårørende tillægger opfattelser af situationer før, under og efter bæltefikseringer og

deres perspektiver på hvad der kan reducere antallet og varigheden heraf.

Metode: Projektet gennemføres som et systematisk litteraturstudie, kvalitative semi-strukturerede interviews med retspsykiatriske patienter og kvalitative semi-strukturerede enkelt- og fokusgruppe interviews med pårørende til retspsykiatriske patienter, inden for rammerne af

symbolsk interaktionisme.

Forventede resultater: De forventede resultater om retspsykiatriske patienter og pårørendes opfattelser af situationer i forbindelse med bæltefikseringer og perspektiver på hvad der kan reducere antallet og varigheden af bæltefikseringer, skal anvendes til at udvikle interventioner med formålet om at reducere bæltefikseringer.