Article2008

Legal provisions and practice in the management of violent patients. A case vignette study in 16 European countries

99 citations0/0 files storedEuropean Psychiatry

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Healthcare Decision-Making and Restraints Psychopathy, Forensic Psychiatry, Sexual Offending Electroconvulsive Therapy Studies

Abstract

AIM: To compare the clinical management of typical scenarios by using three case vignettes in a substantial number of European countries. METHOD: Three case vignettes and an associated questionnaire, filled in and finalised by at least two experts from each country. RESULTS: Legislation and clinical practice varies widely across the 16 included countries. No specific pattern emerged. Certain practices (intravenous medication, mechanical restraint, net beds and forensic transfers, respectively) only exist in few countries. Legislation for involuntary medication is most restrictive in the Netherlands. CONCLUSIONS: There is little harmonisation and a lack of consistent standards within and across European countries regarding treatment and management of violent patients.

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References

2004Reinstitutionalisation in mental health care: comparison of data on service provision from six European countries 2004Epidemiology of involuntary placement of mentally ill people across the European Union 2004Fifteen years of research with the Staff Observation Aggression Scale: a review 1993Compulsory admission of psychiatric patients – an international comparison 2007The use of mechanical restraint and seclusion in patients with schizophrenia: a comparison of the practice in Germany and Switzerland.2004Cultures of psychiatry and the professional socialization process: the case of containment methods for disturbed patients 2003Satisfaction With Mental Health Services Among People With Schizophrenia in Five European Sites: Results From the EPSILON Study 2005The EUNOMIA project on coercion in psychiatry: study design and preliminary data.

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2011Patients’ Preference and Experiences of Forced Medication and Seclusion 2014The Use of Coercive Interventions in Mental Health Care in Germany and the Netherlands. A Comparison of the Developments in Two Neighboring Countries 2011Methodological issues in monitoring the use of coercive measures 2011A Randomized Controlled Comparison of Seclusion and Mechanical Restraint in Inpatient Settings

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