University of Tasmania
Browse

File(s) under permanent embargo

The many faces of risk: a qualitative study of risk in outpatient involuntary treatment

journal contribution
posted on 2023-05-18, 18:44 authored by Light, E, Robertson, M, Boyce, P, Carney, T, Rosen, A, Cleary, M, Hunt, G, O'Connor, N, Ryan, CJ, Kerridge, J

OBJECTIVE: This study aimed to derive a conceptualized model of risk in outpatient involuntary psychiatric treatment that has utility and meaning for stakeholders.

METHODS: Thirty-eight participants-patients, caregivers, clinicians, and legal decision makers-participated in qualitative interviews about their experiences of outpatient involuntary psychiatric treatment. Interview data were analyzed by using a general inductive method.

RESULTS: Six types of risk were identified: actual harm, social adversity, therapeutic outcome or compromised treatment, the system, interpersonal distress, and epistemic issues. There were overlaps between discourses on risk but variation in how different aspects of risk were emphasized by participant groups.

CONCLUSIONS: A comprehensive model of risk contextualized to outpatient involuntary treatment is proposed. It incorporates domains of risk of harm to self or others, risk of social adversity, risk of excess distress, and risk of compromised treatment. This model may have instrumental value in the implementation and the scrutiny of risk-based mental health laws.

History

Publication title

Psychiatric Services

Volume

66

Issue

6

Pagination

649-52

ISSN

1075-2730

Department/School

School of Nursing

Publisher

American Psychiatric Association

Place of publication

United States

Rights statement

Copyright 2015 American Psychiatric Association (APA)

Repository Status

  • Restricted

Socio-economic Objectives

Mental health

Usage metrics

    University Of Tasmania

    Exports

    RefWorks
    BibTeX
    Ref. manager
    Endnote
    DataCite
    NLM
    DC