Tilman Steinert 1 , Joachim Scharfetter 2 Show Affiliations »
Abstract
OBJECTIVE: Many psychiatric hospitals in Austria have an open door policy. We aimed to compare staffing levels, use of coercive measures, and beds per inhabitants between an Austrian and a German psychiatric hospital with partly locked doors. METHODS: Analysis of frequency of seclusion and restraint, aggressive incidents, police searches, availability of beds, and staffing levels in standardized counts. RESULTS: German wards were open 65 % of daytime, Austrian wards 100 %. In the German region, considerable part of hospital beds were located in day clinics and psychosomatic clinics. The percentage of all admissions subjected to coercion was considerably lower in Germany, but this did not apply to involuntary admissions. Police searches were comparable in frequency. Staffing levels of physicians and psychologists were similar, in Austria considerably more nurses were available. CONCLUSION: The results do not provide evidence that the open door policy in Austrian psychiatry is realized by use of other coercive measures. Possibly more nursing staff is important to open doors. © Georg Thieme Verlag KG Stuttgart · New York.
OBJECTIVE: Many psychiatric hospitals in Austria have an open door policy. We aimed to compare staffing levels, use of coercive measures, and beds per inhabitants between an Austrian and a German psychiatric hospital with partly locked doors. METHODS: Analysis of frequency of seclusion and restraint, aggressive incidents, police searches, availability of beds, and staffing levels in standardized counts. RESULTS: German wards were open 65 % of daytime, Austrian wards 100 %. In the German region, considerable part of hospital beds were located in day clinics and psychosomatic clinics. The percentage of all admissions subjected to coercion was considerably lower in Germany, but this did not apply to involuntary admissions. Police searches were comparable in frequency. Staffing levels of physicians and psychologists were similar, in Austria considerably more nurses were available. CONCLUSION: The results do not provide evidence that the open door policy in Austrian psychiatry is realized by use of other coercive measures. Possibly more nursing staff is important to open doors. © Georg Thieme Verlag KG Stuttgart · New York.
Entities: Disease
Mesh： See more »
Year: 2018
PMID： 29801183 DOI： 10.1055/a-0597-8123
Source DB: PubMed Journal: Psychiatr Prax ISSN： 0303-4259