A European recommendation on best practice of procedural aspects of mechanical restraint, and forced medication
نویسندگان
چکیده
Methods Each of the 12 EUNOMIA centers formed a local "expert group" with representatives from parties involved in the procedure of coercive treatment (e.g. mental health professionals, users, legal experts) and organized semi-structured personal and/or group interviews. Current national legislation and nationally accepted guidelines on mechanical restraint and forced medication – where available – were also reviewed. All obtained information was elaborated by the local EUNOMIA teams and specific guidelines were extracted. By use of a qualitative contentanalytical method, these local documents were finally integrated into common clinical recommendations.
منابع مشابه
Use of coercive measures during involuntary hospitalization: findings from ten European countries.
OBJECTIVE Involuntary treatment in mental health care is a sensitive but rarely studied issue. This study was part of the European Evaluation of Coercion in Psychiatry and Harmonization of Best Clinical Practice (EUNOMIA) project. It assessed and compared the use of coercive measures in psychiatric inpatient facilities in ten European countries. METHODS The sample included 2,030 involuntarily...
متن کاملGender differences in coerced patients with schizophrenia
BACKGROUND Despite the recent increase of research interest in involuntary treatment and the use of coercive measures, gender differences among coerced schizophrenia patients still remain understudied. It is well recognized that there are gender differences both in biological correlates and clinical presentations in schizophrenia, which is one of the most common diagnoses among patients who are...
متن کاملCoercive measures in six Swiss geronto-psychatric hospitals: a benchmarking project
Methods To discover best practice we measured the duration of coercive measures (seclusion, mechanical restraint to beds or chairs, restraint in wheelchairs, the application of bedrailings, and involuntary medication) and the frequency of falls and aggressive behavior. Base-line measurement was conducted during three months in 2004 and evaluation was carried out in 2005 after introducing improv...
متن کاملFrequency and patterns of coercive measures in acute psychiatric wards in Switzerland
Results The data cover 2,344 treatment episodes of 2,017 patients (41,560 treatment days). The patients mean age was 39 years, 46.6% were females, 39% were involuntarily admitted, and the median LOS was 8 days. The most frequent ICD-10 diagnoses were F2 (schizophrenia; 29%), F1 (psychoactive substance use; 24.9%), F3 (affective disorders, 16.7%) and F4/6 (neurosis/personality disorders, 18%). A...
متن کاملInvoluntary psychiatric hospitalization: current status and future prospects.
The general aims of this article are: a) to cover the current status of research on the important clinical and human rights issue of involuntary psychiatric hospitalization, and b) to discuss some factors which might influence future developments in this area of mental health care provision. Firstly, the article will outline main results from two literature reviews on outcomes of involuntary ho...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
دوره 7 شماره
صفحات -
تاریخ انتشار 2007