List of Papers
Papers I and II are removed due to copyright restrictions.
Husum, T. L., Finset, A., & Ruud, T. (2008). The Staff Attitude to Coercion Scale(SACS): Reliability, validity and feasibility.
International Journal of Law and Psychiatry, 31, 5, 417–422.
Husum, T. L., Bjørngaard, J. H., Finset, A., & Ruud, T. (2010). Staff attitudes and thoughts about the use of coercion in psychiatric
acute wards. Social Psychiatry and Psychiatric Epidemiology
Husum, T. L., Bjørngaard, J. H., Finset, A., & Ruud, T. (2010). A cross-sectional prospective study of seclusion, restraint and
involuntary medication in acute psychiatric wards: Patient, staff and ward characteristics. BMC Health Services Research, 10, 89.
Husum, T., & Hjort, H. (2009). Menneskerettigheter i psykisk helsevern (Human rights in mental health care). Tidsskrift for Norsk Psykologforening, 46(12), 1169-1174 (in Norwegian)
Previous research has repeatedly shown differences between otherwise comparable wards, hospitals, geographical areas and countries as regards the amount of coercive intervention used in psychiatric facilities. Worldwide, there is growing concern about the ethical questions related to the use of coercion and to its potentially harmful effect on patients and patients’ human rights in mental health care. Because of this, reducing use of coercion to a minimum is a highly prioritized matter in health politics worldwide. To be able to reduce the use, we need to know more about the processes and factors involved that lead to coercive intervention. This thesis
investigates the attitudes of acute psychiatric staff towards the use of coercion and investigates amount and variation in actual use of coercive interventions on Norwegian acute psychiatric wards. Further, it analyses staff, ward and patient variables associated with the actual use of coercive measures. To do this, a questionnaire was developed to measure staff attitudes towards the use of coercion.
The thesis also includes an ethical essay on how coercion in MHC may be seen in relationship to users’ human rights.