+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Psychiatric past history and health care after compulsory admission. Care use as an indicator of the quality of care for patients in compulsory care in Rotterdam



Psychiatric past history and health care after compulsory admission. Care use as an indicator of the quality of care for patients in compulsory care in Rotterdam



Tijdschrift Voor Psychiatrie 48(2): 81-93



In evaluations of the Act on Special Admissions to Psychiatric Hospitals in The Netherlands (Dutch acronym BOPZ) hardly any attention has been given to the use of mental health care services before and after a compulsory admission. To investigate whether patterns of care before and after compulsory admissions can be considered as indicators of the quality of care provided by the mental health services. For 623 patients with first-time acute compulsory admissions in Rotterdam, the use of the care services was monitored over a period of 12 months before and after admission. The outcomes were compared for 3 different patient groups: 'old acquaintances', 'newcomers' and 'passers-by'. In order to identify differences before an after the introduction of the BOPZ Act of 1994, we compared the use made of care facilities by patients admitted between 1992 and 1993 and between 1996 and 1997. More than one third of the patients admitted to acute compulsory care leaves the psychiatric hospital within three weeks. The average length of stay is more than two months and in more than half of the cases the first contact with mental health services occurs within one week after discharge. Within one year after the compulsory admission more than one third of patients is re-admitted and after one year more than fifty percent of patients are still receiving mental health care. Intensive care is targeted particularly at the patient group referred to as 'old acquaintances'. Following the introduction of the BOPZ Act the percentage of suicide-threats and cases of self-neglect increased. The number ofcompulsory re-admissions increased as well. The research results provide an encouraging picture of the quality of care provided before and after compulsory admissions. However, the cases which fail to receive mental health care before emergency compulsory admission and miss out on outpatient follow-up emphasise the needfor alternative measures such as an earlier conditional compulsory admission (voorwaardelijke machtiging) and more intensive outpatient treatment.

Please choose payment method:






(PDF emailed within 1 workday: $29.90)

Accession: 050062679

Download citation: RISBibTeXText

PMID: 16958192


Related references

Reaction to 'Psychiatric past history and health care after compulsory admission'. Tijdschrift Voor Psychiatrie 48(5): 411; Author Reply 411, 2006

Patientcentred care and compulsory admission to hospital: students consider communication skills in mental health care. Journal of Mental Health Training Education and Practice 4(4): 26-34, 2009

LSPV (Law for Providing Inpatient Psychiatric Care) becomes LPV (Law for Providing Psychiatric care): alcoholics and narcotic addicts, basis for compulsory care of adults. Vardfacket 3(16): 50-52, 1979

Predictors of Compulsory Re-admission to Psychiatric Inpatient Care. Frontiers in Psychiatry 10: 120, 2019

Preventing Compulsory Admission to Psychiatric Inpatient Care: Perceived Coercion, Empowerment, and Self-Reported Mental Health Functioning after 12 Months of Preventive Monitoring. Frontiers in Psychiatry 6: 161, 2015

Psychiatric compulsory care as tool for good and safe care. Lakartidningen 107(47): 2982, 2011

Preventing compulsory admission to psychiatric inpatient care through psycho-education and crisis focused monitoring. Bmc Psychiatry 12: 136, 2012

Voluntary or compulsory health care reform? The case of primary care organisations in Scotland. Health Policy 72(3): 351-358, 2005

Preventing compulsory admission to psychiatric inpatient care using psycho-education and monitoring: feasibility and outcomes after 12 months. European Archives of Psychiatry and Clinical Neuroscience 265(3): 209-217, 2015

Unplanned admission to the intensive care unit in postoperative patients--an indicator of quality of anaesthetic care?. Anaesthesia and Intensive Care 34(5): 592-598, 2006

Outcomes of a psycho-education and monitoring programme to prevent compulsory admission to psychiatric inpatient care: a randomised controlled trial. Psychological Medicine 48(5): 849-860, 2018

Patients' and next-of-kins' attitudes towards compulsory psychiatric care. Nordic Journal of Psychiatry 62(6): 444-449, 2008

Admission experiences of psychiatric patients in tertiary care: An implication toward Mental Health Care Bill, 2013. Journal of Neurosciences in Rural Practice 8(1): 89-95, 2017

Some problems of a psychiatric care unit in a general hospital. II: Compulsory health treatments. Rivista di Patologia Nervosa e Mentale 100(1): 45-56, 1979

Involuntary Admission and Compulsory Treatment in Mental Health Services (II) || Models of Care for Mentally Disordered Prisoners in Italy. International Journal of Mental Health 37(4): 71-87, 2008