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A qualitative study of consumer-surv...

Gagne, Cheryl Ann.

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A qualitative study of consumer-survivors' perspectives about the effects of choice and coercion within the mental health system on recovery from psychiatric disability.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	A qualitative study of consumer-survivors' perspectives about the effects of choice and coercion within the mental health system on recovery from psychiatric disability./
作者:	Gagne, Cheryl Ann.
面頁冊數:	302 p.
附註:	Source: Dissertation Abstracts International, Volume: 66-04, Section: B, page: 1975.
Contained By:	Dissertation Abstracts International66-04B.
標題:	Health Sciences, Mental Health. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3171146
ISBN:	0542079194

A qualitative study of consumer-survivors' perspectives about the effects of choice and coercion within the mental health system on recovery from psychiatric disability.
Gagne, Cheryl Ann.

A qualitative study of consumer-survivors' perspectives about the effects of choice and coercion within the mental health system on recovery from psychiatric disability. - 302 p.

Source: Dissertation Abstracts International, Volume: 66-04, Section: B, page: 1975.

Thesis (Sc.D.)--Boston University, 2005.

This exploratory concept-generating study used qualitative strategies to examine the experiences of choice and coercion within the Massachusetts Mental Health System of eleven adults with serious psychiatric disabilities and the putative effects of these experiences on their recovery from mental illness. The nine women and two men who participated in the study ranged in age from 36 to 55 years old (average 48.4 years) and spent a range of 13--37 years (average 26.2) using public mental health services. Research participants were in agreement with the general findings that choice within the mental health system is a relatively rare phenomenon, and that both legal and extra-legal coercion are relatively common experiences. Most commonly, choice occurred outside of the mental health system, and most people used mental health services for years before recognizing the choices they do have. Participants made the point that the most important choices are those that contribute to "everyday freedom" and that poverty limits everyday choices. In addition, research participants reported that the mental health system has made positive changes in how much it recognizes the rights of people who use its services. Coercive experiences included: legal methods like involuntary commitment to psychiatric institutions and forced medication and extra-legal coercion ranging from gentle persuasion to threats of loss of liberty, housing, or services. Those experiencing legal coercion described the importance of "procedural justice" in their dealings with the courts and psychiatric institutions.

ISBN: 0542079194Subjects--Topical Terms:

1017693
Health Sciences, Mental Health.

A qualitative study of consumer-survivors' perspectives about the effects of choice and coercion within the mental health system on recovery from psychiatric disability.
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245 1 2 $a A qualitative study of consumer-survivors' perspectives about the effects of choice and coercion within the mental health system on recovery from psychiatric disability.
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500 $a Major Professor: Patricia Nemec.
502 $a Thesis (Sc.D.)--Boston University, 2005.
520 $a This exploratory concept-generating study used qualitative strategies to examine the experiences of choice and coercion within the Massachusetts Mental Health System of eleven adults with serious psychiatric disabilities and the putative effects of these experiences on their recovery from mental illness. The nine women and two men who participated in the study ranged in age from 36 to 55 years old (average 48.4 years) and spent a range of 13--37 years (average 26.2) using public mental health services. Research participants were in agreement with the general findings that choice within the mental health system is a relatively rare phenomenon, and that both legal and extra-legal coercion are relatively common experiences. Most commonly, choice occurred outside of the mental health system, and most people used mental health services for years before recognizing the choices they do have. Participants made the point that the most important choices are those that contribute to "everyday freedom" and that poverty limits everyday choices. In addition, research participants reported that the mental health system has made positive changes in how much it recognizes the rights of people who use its services. Coercive experiences included: legal methods like involuntary commitment to psychiatric institutions and forced medication and extra-legal coercion ranging from gentle persuasion to threats of loss of liberty, housing, or services. Those experiencing legal coercion described the importance of "procedural justice" in their dealings with the courts and psychiatric institutions.
520 $a The study contributed to a tentative ecological model of choice and coercion within the public mental health system. This study increases what is known about the experience of people who have serious psychiatric disabilities with choice and coercion within the mental health system and how people perceive the effects of these experiences on their recovery from mental illness. Suggestions for future research include studying the prevalence and types of extralegal coercion experienced by people with psychiatric disabilities; the barriers and facilitators of consumer involvement in their own treatment and rehabilitation; in mental health programs and in mental health systems; and family, practitioner, and consumer-survivor perspectives on the risks and benefits of coercive interventions and choice.
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