The object of this prospective, descriptive investigation was to illustrate how the committed patients assessed and experienced the actual compulsory commitment and their assessment of the Danish legislation concerning mental illness by means of an interview investigation on discharge. During the period of investigation of 23 months, there were 64 compulsory admissions. Of these, 31 were on account of danger (red admission papers) and 33 on health grounds (yellow admission papers). Thirty-three (52%) patients were interviewed and of these 13 were admitted on account of danger and 20 on health grounds. Twenty-two (67%) of the patients did not realise that they were undergoing compulsory admission until the police came to fetch them. The majority considered that the functions of the police (68%), admission staff (55%) and the remainder of the staff (79%) had been good or satisfactory. 46% did not know who had demanded admission and did not ask the interviewer. 30% were satisfied with information about complaints. 42% were satisfied with the function of the supervisory committee but just under 30% did not realise that it existed. 61% considered that compulsory admission could have been avoided if other help had been offered. 61% were satisfied with the hospitalization. 64% considered that it is necessary to have legislation which permits compulsory admission. Relatively more of the patients admitted with red admission papers expressed satisfaction with, and accept of, their own compulsory admission and accept of compulsory admission in general. The present investigation will form a basis for comparison of the conditions under the new Danish legislation concerning mental illness.
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BMC Psychiatry
December 2024
Department of Psychology, Panteion University of Social & Political Sciences, Athens, Greece.
Background: Mental health professionals' (MHPs) attitudes towards involuntary admissions have not received adequate attention in efforts to curb their rates. Thus, the present study set out to (i) explore MHP attitudes regarding involuntary hospitalisation, (ii) describe their perceived dangerousness of people with severe mental illness (SMI) and their trust in psychiatry, (iii) identify the predictors of attitudes towards compulsory admissions and (iv) gauge the contribution of perceived dangerousness versus trust in psychiatry to explaining them.
Methods: A random sample of 300 mental health professionals working in public mental health services located in the Northern part of Athens and in the two psychiatric hospitals of Attica participated in the study.
Sci Rep
November 2024
Institute of Health Services Research, Yonsei University, Seoul, Republic of Korea.
To reduce long hospitalization durations and the high rate of compulsory psychiatric hospitalization in Korea, a revision of the Mental Health Welfare law was passed and implemented in 2017. This study quantitatively analyzed changes in hospitalization use behavior of patients with psychotic and mood disorders after revision of the Mental Health Welfare law in South Korea. The intervention time was June 2017.
View Article and Find Full Text PDFEur Arch Psychiatry Clin Neurosci
November 2024
Universitäre Psychiatrische Kliniken Basel, Universität Basel, Wilhelm Klein-Str. 27, Basel, 4002, Switzerland.
Prior research shows that locked doors and coercive measures are not only applied due to safety concerns, but also due to the specific local tradition of an institution. We examined the association of the use of coercive measures and the admission to a locked ward with person-related characteristics compared to the admission to a specific clinic. In this 15-year, naturalistic observational study, we examined 230,684 admissions to 14 German psychiatric inpatient clinics from Jan 1, 1998, to Dec 31, 2012.
View Article and Find Full Text PDFBMC Psychiatry
November 2024
Health Services and Population Research Department, David Goldberg Centre, King's College London Institute of Psychiatry, Psychology and Neuroscience, De Crespigny Park, London, SE5 8AF, UK.
Background: Advance Choice Documents (ACDs) have been recommended for use in England and Wales based on evidence from trials that show that they can reduce involuntary hospitalisation, which disproportionately affects Black African and Caribbean people. Our aim was therefore to develop and test ACD implementation resources and processes for Black people who have previously been involuntarily hospitalised and the people that support them.
Methods: Resource co-production workshops were held to inform the development of the ACD template and two types of training for all stakeholders, comprising a Recovery College course and simulation training.
Tijdschr Psychiatr
October 2024
Background: The law regulating the forced or protective admission of the mentally ill person in Belgium is 34 years old. The parliament recently agreed on an extensive legislative amendment to better adapt the law to the changing mental health care system and society.
Aim: Outlining the epidemiological, clinical and legal developments regarding forced admissions in Belgium.
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