Cristin-resultat-ID: 1616460
Sist endret: 1. oktober 2018 08:57
Vitenskapelig foredrag

Family members' moral dilemmas with coercion in mental healthcare

  • Marit Helene Hem
  • Reidun Norvoll og
  • Hilde Lindemann


Navn på arrangementet: EACME European Association of Centers of Medical Ethics
Sted: Amsterdam
Dato fra: 6. september 2018
Dato til: 8. september 2018


Arrangørnavn: Department of Medical Humanities, VU Medical Center

Om resultatet

Vitenskapelig foredrag
Publiseringsår: 2018

Beskrivelse Beskrivelse


Family members' moral dilemmas with coercion in mental healthcare


Objectives: Coercion in mental healthcare does not only affect the patient, but also the patient’s families. The objective of the present narrative study is to explore family members’ moral dilemmas regarding coercion and the factors influencing these dilemmas. Methods: Qualitative individual - and focus group interviews with 36 family members of adult and adolescent people with mental health problems and coercion experiences were carried out. Results: Four major themes are identified: a) the ambiguity of coercion; b) struggling to stay connected and establishing collaboration; c) worries and distress regarding compulsory care; d) and dilemmas regarding initiating coercion. Subsequently, coercion can reduce, but also add burden for the family by creating strains on family relations, moral dilemmas, moral distress, and retrospective regrets; this is reinforced by the lack of information or involvement and low-quality care. Discussion: It is a moral obligation to develop more responsive and voluntary-oriented professionals and services for patients and families. The family members’ stories underline the need for improved communication, information, and family support from health professionals regarding their dilemmas. Real participation in care and informed consent require dialogue and a more thorough information about the possible effects of coercive measures compared to the alternative treatment possibilities. The findings seem to reflect systemic problems within the healthcare system, including the general lack of use of the input of family members. Conclusion: It is a moral duty for professionals, as well as the government, to secure quality care during coercion, to provide information that gives the family more opportunities to make the right choices, and to be open for the family members’ evaluation of how coercion affects the patient and the family.


Aktiv cristin-person

Marit Helene Hem

  • Tilknyttet:
    ved Fakultet for helsefag ved VID vitenskapelige høgskole
Aktiv cristin-person

Reidun Norvoll

  • Tilknyttet:
    ved Senter for medisinsk etikk ved Universitetet i Oslo

Hilde Lindemann

  • Tilknyttet:
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