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Do you agree with forced injections in mental health?

I work on psychiatric wards and I don't agree with patients being restrained and forcibly injected with medication if they refuse to take it. Its the law though if a doctor puts them on a section 3 they have to have the medication but I was reading a few websites and thought what if people don't want chimcals inside them, you know they just might prefere to be left alone and want to try more natural methods/milder medications instead.

Last week I heard a nurse trying to get a patient to take his oral medication and she said 'you have two choices you can either do this the simple way and take this tablet orally or you will be restrained and have the medication injected into your buttocks' and he was like 'I don't want it full stop'.

Im open to different opinions but this is my first thought I don't agree what do you think though:confused: I was reading this site http://www.mindfreedom.org/kb/prison-mental-health/forced-psychiatric-drugs/view

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Reply 1
I certainly don't agree with it.

I have seen it on a patient I know personally. I just can't agree with any hospital that thinks they can justify using six grown men using unreasonable force to restrain one non violent patient, on the basis that he didn't want to take his medicine because it made him drowsy. Suffice to say that I am not a fan of the current mental health system.

I was going to post a whole page long rant about this but I'm so tired...

edit: for clarity
As much as I would like to say no, I don't like it, I think in some cases it's necessary. It's for your own good - if you've been sectioned it's generally because you're a risk to yourself and/or others, and you're not of sound mind, which means you're not thinking rationally or sensibly.

It's ugly, but so is mental illness.
Reply 3
smellslikemarmite
As much as I would like to say no, I don't like it, I think in some cases it's necessary. It's for your own good - if you've been sectioned it's generally because you're a risk to yourself and/or others, and you're not of sound mind, which means you're not thinking rationally or sensibly.

It's ugly, but so is mental illness.


but in the case of many people even if they could think rationally/sensibly they would refuse it because they don't want to be injected with chemicals.
alio~
but in the case of many people even if they could think rationally/sensibly they would refuse it because they don't want to be injected with chemicals.


I seriously doubt the rationality of anyone who has been sectioned.
Reply 5
It's necessary. There's regulations binding the care, and the patient must be "Sectioned" (detained under various sections of the Mental Health Act) which may ultimately lead to the Drs and Nurses being able to administer care at their own discretion as the patient is incapable of demonstrating mental competancy. So yes, I agree with it. However, I have seen some pretty horrific stuff on Psychiatric Wards that have been caused by over-sedation. Likewise, an under-sedated patient can be equally dangerous.
Reply 6
Yes. Provided it's ICD-10.
It depends if the patient poses a risk to themselves or others, or not. If that is the case, then I believe forced injection is justified. If not, then we can take a more relaxed approach to their medication.

These people saying it's not justified, that they don't agree with it... get real.
Reply 8
avalanche
I work on psychiatric wards and I don't agree with patients being restrained and forcibly injected with medication if they refuse to take it. Its the law though if a doctor puts them on a section 3 they have to have the medication but I was reading a few websites and thought what if people don't want chimcals inside them, you know they just might prefere to be left alone and want to try more natural methods/milder medications instead.

If you're sectioned, then you're not mentally fit to look after yourself or make decisions regarding your own well-being. That's why they're in secure hospitals in the first place.
Reply 9
I'd never really thought of it as an issue before. If you're sick, you take medicine to control your illness and possibly cure you.

That website and the extracts from his letters really made me rethink it, i was almost crying at some of the things he was saying (might be to do with that its 1 in the morning...) I can't imagine what it would be like if it was one of my family going through that and feeling like he did

I really dont know where I stand on this issue now, im not usually an "on the fence" person but i am on this now :s-smilie:
Reply 10
there is waaaaaaaaay too much overprescription on the NHS. psychiatry is going down the toilet and i'll be damned if I ever want to go near it the way it's going atm.

good psychs sometimes going round on locums can half the prescription of a drug and see double the improvements in a patient with a different method (or more experience) of treating that condition!
L i b
If you're sectioned, then you're not mentally fit to look after yourself or make decisions regarding your own well-being. That's why they're in secure hospitals in the first place.


:ditto:

Why can't people crying "injustice" see that? :rolleyes:
Reply 12
smellslikemarmite
I seriously doubt the rationality of anyone who has been sectioned.


What Im saying is even if they could be rational but still had to take it for whatever reason would they give their consent? A lot probably would not so its questionable if they should be forced to have it just because they cannot think straight and make their own decision.

Then if it is in their best interest I guess thats the way it has to be.
alio~
What Im saying is even if they could be rational but still had to take it for whatever reason would they give their consent? A lot probably would not so its questionable if they should be forced to have it just because they cannot think straight and make their own decision.

Then if it is in their best interest I guess thats the way it has to be.


You're missing the point. If you're forced medication, you have probably been sectioned. If you've been sectioned, I highly doubt you are rational whatsoever. Your ability to give consent requires that you are of sound mind, and those who have been sectioned are clearly not.

People who are sectioned are sectioned because they are a risk to themselves or others, ergo, any medication administered is for the patient's benefit.
Reply 14
smellslikemarmite
You're missing the point. If you're forced medication, you have probably been sectioned. If you've been sectioned, I highly doubt you are rational whatsoever. Your ability to give consent requires that you are of sound mind, and those who have been sectioned are clearly not.

People who are sectioned are sectioned because they are a risk to themselves or others, ergo, any medication administered is for the patient's benefit.

It sounds like you are making a lot of assumptions about links between people who have been sectioned and people who require medication and people who are of sound mind. Not everything done in a hospital is for the patient's benefit so "ergo" nothing.

I don't have enough knowledge of the subject to argue with you, so I won't attempt it and end up looking like a fool in the process. The Mental Health System is consistently going under review and change because the way it's run is a shambles, and it has very far to go.
ban these wards i have anxiety and depression and got sectioned for neigbours lies unfair
Reply 16
On the flipside would be a good thing to leave people to suffer from distress caused by psychotic illness, when we have medicine that can help because they have absolutely no insight into what's going on and can't make a rational choice to accept treatment?

Not to mention that medication often needs to be administered as an injection to rapidly tranquillize people who are an immediate danger to themselves and/or others. An alternative would be to use mechanical restraints or lock them up in seclusion room long term. Neither of those is a particularly good solution.

Medication that we have available are not perfect, we need more scope for talking therapies, but even in a perfect system I doubt we will ever be in position when treating those most mentally unwell does not involve some degree of coercion.
Mandatory medication is evil. Any state that imposes it is evil and should be overthrown.
I think everyone should have the right to make their own decisions but if a doctor has decided that person is not in their right mind then maybe it's okay? It's a tough one really
Person A is a highly educated, highly intelligent, highly experienced, clinical psychologist.

Person B is a highly educated, highly intelligent, highly experienced, specialist pharmacist.

Person C is a poorly educated, highly retarded, clueless, imbecile, as sane as a box of frogs.

Which person shouldn't decide what and when they're medicated, for their and others safety?

Get f'ckin real. I, my family, my friends, my community, don't want sociopaths off their heads on the streets.