Tvangsmedisinering av psykisk syke pasienter

Abstract Objective: The aim of this project was to examine the consequences and effects of forced medication on patients with mental disorders. Methods: A systematic search for relevant studies published between 1994 and august 2014, was conducted in Medline. No studies were excluded based on quality. On the subfield of outpatient commitment, only systematic reviews were included. Experts in this field of science have been contacted and some additional papers were included. Results: Researchers in this field use different methods and outcome measures, and there are few randomized, controlled trials. The effects are small, and often not consistent among the studies. Patients have both positive and negative perceptions of forced medication, and it seems that insight into own illness and retrospective treatment adherence, are important factors for how the measure is accepted. Caretakers tend to overrate the patients acceptance of forced medication. Patients mention alternatives to forced medication when asked. Conclusions: At this time we can not decide whether forced medication helps the patients or not, and there is no evidence based foundation for this practice in psychiatric care. This was true for both inpatient and outpatient commitment. Additional randomized controlled trials should be conducted in this field to determine if forced medication is good practice or not.

Abstract Objective: The aim of this project was to examine the consequences and effects of forced medication on patients with mental disorders. Methods: A systematic search for relevant studies published between 1994 and august 2014, was conducted in Medline. No studies were excluded based on quality. On the subfield of outpatient commitment, only systematic reviews were included. Experts in this field of science have been contacted and some additional papers were included. Results: Researchers in this field use different methods and outcome measures, and there are few randomized, controlled trials. The effects are small, and often not consistent among the studies. Patients have both positive and negative perceptions of forced medication, and it seems that insight into own illness and retrospective treatment adherence, are important factors for how the measure is accepted. Caretakers tend to overrate the patients acceptance of forced medication. Patients mention alternatives to forced medication when asked. Conclusions: At this time we can not decide whether forced medication helps the patients or not, and there is no evidence based foundation for this practice in psychiatric care. This was true for both inpatient and outpatient commitment. Additional randomized controlled trials should be conducted in this field to determine if forced medication is good practice or not.