Perceived coercion, client-centredness, and positive and negative pressures in an assertive community treatment program: An exploratory study
Abstract
Scales initially developed to measure coercion in inpatient psychiatric settings were adapted to the assertive community treatment (ACT) team setting and administered to consenting clients of a high-fidelity team in Montreal (38/68). More than 75% of respondents scored 5 out of 6 or above on the client-centredness scale. The remaining respondents, who scored below 5, also tended to report more negative pressures (threat or constraint) and more perceived coercion, and they tended to be lower functioning and to have personality disorders. A simple measure of client-centredness could help ACT teams identify clients who might benefit from a different clinical approach.
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Eight studies found no significant association between marital status and perceived coercion.
“Eight studies found no significant association [15,82,85,117,123,130,139,154].”
From Factors Associated with Perceived Coercion in Adults Receiving Psychiatric Care: A Scoping Review (2025) · cites this paper as [82]
Some studies found no association between persuasion, inducement, threats, or force and perceived coercion.
“However, some studies found no association between persuasion, inducement, threats, or force and perceived coercion [82], nor between coercive strategies in outpatient settings and perceived coercion [77].”
From Factors Associated with Perceived Coercion in Adults Receiving Psychiatric Care: A Scoping Review (2025) · cites this paper as [82]
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“Latimer et al. (2010) found a significant association between comorbid personality disorders and coercion.”
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Employment Inequity and Workplace Stigma
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Stuart, H. L., & Sartorius, N. (2022) · Oxford University Press eBooks · doi:10.1093/med/9780197555804.003.0008
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Stuart, H. L., & Sartorius, N. (2022) · Oxford University Press eBooks · doi:10.1093/med/9780197555804.003.0002
Stuart, H. L., & Sartorius, N. (2022) · Oxford University Press eBooks · doi:10.1093/med/9780197555804.003.0007
Stuart, H. L., & Sartorius, N. (2022) · Oxford University Press eBooks · doi:10.1093/med/9780197555804.003.0006
Stuart, H. L., & Sartorius, N. (2022) · Oxford University Press eBooks · doi:10.1093/med/9780197555804.003.0005
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Stuart, H. L., & Sartorius, N. (2022) · Oxford University Press eBooks · doi:10.1093/med/9780197555804.003.0003
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Stuart, H., & Sartorius, N. (2022) · Oxford University Press eBooks · doi:10.1093/med/9780197555804.002.0004
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Perceptions of Youth Transport in Wilderness Therapy
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““I don’t know” responses were interpreted as ambivalence and scored as .50 (Latimer et al., 2010; Schafer & Graham, 2002).”
- Authors
- Latimer, E., Farmer, O., Crocker, A. G., & Jenkins, T.
- Affiliations
- Douglas Mental Health University Institute (CA)
- Centre Hospitalier de l’Université de Montréal (CA)
- McGill University (CA)
- Venue
- Canadian Journal of Community Mental Health
- Published
- 2010-04-01
- Volume
- 29
- Issue
- 1
- Pages
- 35-50
- ISSN
- 0713-3936 (ISSN-L)
- OpenAlex
- W2317694054
- Cited by
- 21
- References
- 41
- Citations by year
- 2025: 1 · 2024: 1 · 2022: 18
- FWCI
- 0.35
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Canadian Journal of Community Mental Health (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Healthcare Decision-Making and Restraints
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Keywords
- assertive community treatment, perceived coercion, client-centered practice, personality disorders, community mental health services
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