In A. Molodynski, J. Rugkasa & T. Burns (eds.), Coercion in Community Mental Health Care: International Perspectives. Oxford University Press (2016)

Tania Gergel
King's College London
A book chapter exploring the potential consquences and ethical ramifications of using coercive measures within community mental healthcare. We argue that, althogh the move towards 'care in the community' may have had liberalising motivations, the subsequent reduction in inpatient or other supported residential provision, means that there has been an increasing move towards coercive measures outside of formal inpatient detention. We consider measures such as Community Treatment Orders, inducements, and other forms of leverage, explaining the underlying concepts, aims, and exploring adverse consequences and ethical difficulties.
Keywords Coercion, mental healthcare, psychiatry, leverage, autonomy, mental health law, psychiatric ethics
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References found in this work BETA

Ethics in Human Subjects Research: Do Incentives Matter?Ruth W. Grant & Jeremy Sugarman - 2004 - Journal of Medicine and Philosophy 29 (6):717 – 738.
Financial Incentives for Patients in the Treatment of Psychosis.G. Szmukler - 2009 - Journal of Medical Ethics 35 (4):224-228.
Coercion.Alan Wertheimer - 1989 - Ethics 99 (3):642-644.

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Paternalism and Factitious Disorder: Medical Treatment in Illness Deception.Anthony Fry & Tania L. Gergel - 2016 - Journal of Evaluation in Clinical Practice 22 (4):565-574.

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