The Use of Coercive Measures in Forensic Psychiatric Care

Legal, Ethical and Practical Challenges

  • Birgit Völlm
  • Norbert Nedopil

Table of contents

  1. Front Matter
    Pages i-vi
  2. Birgit Völlm, Norbert Nedopil
    Pages 1-6
  3. The Context

  4. Coercion in Different Settings

    1. Front Matter
      Pages 101-101
    2. Peter Curtis, Bradley Hillier, Rachel Souster, Faisil Sethi
      Pages 103-134
    3. Norbert Nedopil
      Pages 135-149
    4. Ada Hui, Hugh Middleton, Birgit Völlm
      Pages 151-184
    5. Johann Brink, Ilvy Goossens
      Pages 185-208
    6. Vicenç Tort-Herrando, Ellen B. M. L. Van Lier, Aitor-Eneko Olive-Albitzur, Hans P. A. J. Hulsbos, Alvaro Muro-Alvarez
      Pages 209-227
  5. The Experience of Coercion

    1. Front Matter
      Pages 229-229
    2. Tero Laiho, Anja Hottinen, Nina Lindberg, Eila Sailas
      Pages 231-240
    3. Päivi Soininen, Raija Kontio, Grigori Joffe, Hanna Putkonen
      Pages 255-270
    4. Peter Andrew Staves
      Pages 271-281
  6. Practical Challenges

    1. Front Matter
      Pages 283-283
    2. Susan Elcock, Jessica Lewis
      Pages 315-331

About this book


This book presents the legal context and describes the ethical and practical challenges when using coercive measures in forensic psychiatric settings. A wide range of aspects relevant to the use of such measures, including environmental, patient-related, and staff-related factors, are explored, and the experience of coercive interventions is described from the staff and the patient perspective. Differences in jurisdictions and examples of good practice are highlighted. The authors are from a range of professional backgrounds, ensuring breadth as well as depth in discussion of the topic.

The use of coercive measures, in particular restraint, seclusion, and involuntary medication, for the control of aggression in psychiatry remains controversial. Forensic mental health care deals with individuals who pose a risk to others and often present with significant management problems within institutions. The care of patients in these settings gives rise to debates about the balance between care and safety, and between the interests of the patients and those of the wider society to be protected. Despite these tensions, limited research has been conducted specifically on the use of coercive measures in forensic mental health care. This volume aims to fill the gap and will be of value to all professionals working in forensic psychiatric settings as well as to those working in general psychiatric and custodial settings, law professionals, and patients.


Coercion Coercive Measures Ethics in Psychiatry Forensic Medicine Forensic Mental Health Care Forensic Psychiatry Restraint in Psychiatry

Editors and affiliations

  • Birgit Völlm
    • 1
  • Norbert Nedopil
    • 2
  1. 1.University of NottinghamNottinghamUnited Kingdom
  2. 2.Department of Forensic PsychiatryPsychiatric Hosp.of the Univ. of MünchenMünchenGermany

Bibliographic information

  • DOI
  • Copyright Information Springer International Publishing Switzerland 2016
  • Publisher Name Springer, Cham
  • eBook Packages Medicine
  • Print ISBN 978-3-319-26746-3
  • Online ISBN 978-3-319-26748-7
  • Buy this book on publisher's site