Examining the Prevalence and Forms of Leveraged Treatment Pressure and Its Relationship to Personal Recovery: A Canadian Cross-Sectional Study

Across jurisdictions, the use of ‘leverage’ to promote adherence to mental health treatment is widespread. However, little research exists on the possible association between the application of leverage and personal recovery. We examined the prevalence of various forms of leverage in a Canadian cont...

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Bibliographic Details
Published in:Community mental health journal 2023-10, Vol.59 (7), p.1352-1363
Main Authors: Sirotich, Frank, Law, Samuel F., Simpson, Alexander I. F., Nakhost, Arash
Format: Article
Language:English
Subjects:
Community and Environmental Psychology
Community mental health services
Cross-sectional studies
Financial leverage
Housing
Leverage
Medicine
Medicine & Public Health
Mental disorders
Mental health care
Mental health services
Original Paper
Patient satisfaction
Psychiatry
Recovery
Treatment compliance
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Summary:Across jurisdictions, the use of ‘leverage’ to promote adherence to mental health treatment is widespread. However, little research exists on the possible association between the application of leverage and personal recovery. We examined the prevalence of various forms of leverage in a Canadian context and compared these rates with those in other jurisdictions. Additionally, we examined the relationship between two prominent forms of leverage (financial and housing) and the experience of personal recovery. Structured interviews were conducted with people receiving community-based mental health care in Toronto, Canada. Rates of overall leverage in our sample were similar to rates reported in other jurisdictions. Personal recovery was negatively associated with financial leverage but was not associated with housing leverage. Our results highlight the importance of separately examining the relationship of specific forms of leverage and personal recovery and raise questions for future research about the possible effect of financial leverage on recovery.
ISSN:0010-3853
1573-2789
DOI:10.1007/s10597-023-01122-0