K Adorjan1, T Steinert2, E Flammer2, A Deister3, M Koller4, M Zinkler5, S C Herpertz6, S Häfner6, F Hohl-Radke7, K H Beine8, P Falkai1, G Gerlinger9, O Pogarell10, T Pollmächer11. 1. Klinik für Psychiatrie und Psychotherapie, Ludwig-Maximilians-Universität München, Nußbaumstr. 7, 80336, München, Deutschland. 2. Zentrum für Psychiatrie Südwürttemberg, Bad Schussenried, Deutschland. 3. Zentrum für Psychosoziale Medizin, Klinikum Itzehoe, Itzehoe, Deutschland. 4. Asklepios Fachklinikum Göttingen, Göttingen, Deutschland. 5. Psychotherapie und Psychosomatik, Klinik für Psychiatrie, Heidenheim, Deutschland. 6. Klinik für Allgemeine Psychiatrie, Universität Heidelberg, Heidelberg, Deutschland. 7. Asklepios Fachklinikum Brandenburg, Brandenburg an der Havel, Deutschland. 8. St. Marien-Hospital Hamm, Klinik für Psychiatrie, Psychotherapie und Psychosomatik, Universitätsklinik Witten/Herdecke, Hamm, Deutschland. 9. Psychosomatik und Nervenheilkunde (DGPPN-Geschäftsstelle), Deutsche Gesellschaft für Psychiatrie und Psychotherapie, Berlin, Deutschland. 10. Klinik für Psychiatrie und Psychotherapie, Ludwig-Maximilians-Universität München, Nußbaumstr. 7, 80336, München, Deutschland. Oliver.Pogarell@med.uni-muenchen.de. 11. Zentrum für Psychische Gesundheit, Klinikum Ingolstadt, Ingolstadt, Deutschland.
Abstract
STUDY OBJECTIVE: A simple instrument to record case-related coercive measures was tested as part of a pilot project of the German Association for Psychiatry, Psychotherapy and Psychosomatics (DGPPN). METHODS: To assess coercive measures data were collected for 3 months in 8 German hospitals for psychiatry and psychotherapy. The type of measures used, the main diagnosis and the legal basis for the coercive measures were documented. RESULTS: In the sample studied, coercive measures were applied in 8% of cases. Coercive measures were most commonly used in patients with a schizophrenic disorder. The principle of justifiable necessity according to § 34 of the German Penal Code was used particularly often as the legal basis for justifying the coercive measures. CONCLUSION: Suitable measurement instruments and reliable data that enable the learning of best practices represent the basis for a reduction of coercive measures.
STUDY OBJECTIVE: A simple instrument to record case-related coercive measures was tested as part of a pilot project of the German Association for Psychiatry, Psychotherapy and Psychosomatics (DGPPN). METHODS: To assess coercive measures data were collected for 3 months in 8 German hospitals for psychiatry and psychotherapy. The type of measures used, the main diagnosis and the legal basis for the coercive measures were documented. RESULTS: In the sample studied, coercive measures were applied in 8% of cases. Coercive measures were most commonly used in patients with a schizophrenic disorder. The principle of justifiable necessity according to § 34 of the German Penal Code was used particularly often as the legal basis for justifying the coercive measures. CONCLUSION: Suitable measurement instruments and reliable data that enable the learning of best practices represent the basis for a reduction of coercive measures.
Authors: Natalija Gavrilovic Haustein; Maurice Freudiger; Anna Hunziker; Urs Hepp; Lena Jellestad; Roland von Känel; Niklaus Stulz Journal: BMC Psychiatry Date: 2022-06-25 Impact factor: 4.144
Authors: Johanna Baumgardt; Dorothea Jäckel; Heike Helber-Böhlen; Nicole Stiehm; Karin Morgenstern; Andre Voigt; Enrico Schöppe; Ann-Kathrin Mc Cutcheon; Edwin Emilio Velasquez Lecca; Michael Löhr; Michael Schulz; Andreas Bechdolf; Stefan Weinmann Journal: Front Psychiatry Date: 2019-05-24 Impact factor: 4.157