+ Site Statistics
References:
54,258,434
Abstracts:
29,560,870
PMIDs:
28,072,757
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

Coercive procedures in forensic psychiatry : Current treatment practice in forensic psychiatric hospitals from a medical ethics perspective



Coercive procedures in forensic psychiatry : Current treatment practice in forensic psychiatric hospitals from a medical ethics perspective



Der Nervenarzt 87(7): 780-786



In 2011 the legal foundations of coercive treatment in German forensic psychiatric clinics were declared to be unconstitutional. In the present study we analyzed the frequency of coercive procedures in forensic psychiatric hospitals before and after 2011, the consequences for medical care as well as the ethical assessments by attending chief physicians. By a questionnaire-based survey of views of attending chief physicians in forensic psychiatric clinics in 2013, data on the current state of patient care were collected and analyzed from an ethical perspective. These were compared with treatment data from a large forensic psychiatric clinic collected over the period 2007-2013. Even after 2011 coercive forms of treatment were applied in forensic psychiatric hospitals. In practice, there is a high degree of legal uncertainty regarding the limits of coercive treatment. Of all patients treated in forensic psychiatric clinics in 2012, on average 13 % had been in isolation at least once, approximately 3 % had been treated under fixation at least once and 2.2 % had been subjected to coercive medical treatment at least once. From an ethical perspective an open debate about the practice of coercive treatment is urgently required. Legal regulations, ethical guidelines and treatment standards have to be developed for the special situation of patient care in forensic psychiatric hospitals.

(PDF emailed within 0-6 h: $19.90)

Accession: 057434890

Download citation: RISBibTeXText

PMID: 26482288

DOI: 10.1007/s00115-015-4437-z


Related references

Forensic treatment in the United States: a survey of selected forensic hospitals. Treatment services at Kirby Forensic Psychiatric Center. International Journal of Law and Psychiatry 16(1-2): 83-104, 1993

Level of Development of Clinical Ethics Consultation in Psychiatry - Results of a Survey Among Psychiatric Acute Clinics and Forensic Psychiatric Hospitals. Psychiatrische Praxis 46(2): E1, 2019

Level of Development of Clinical Ethics Consultation in Psychiatry - Results of a Survey Among Psychiatric Acute Clinics and Forensic Psychiatric Hospitals. Psychiatrische Praxis 2018, 2018

Predicting discharge in forensic psychiatry: the legal and psychosocial factors associated with long and short stays in forensic psychiatric hospitals. International Journal of Law and Psychiatry 35(3): 213-221, 2012

Exit procedures of forensic psychiatric hospitals in The Netherlands: current problems and future prospects. Health Law in Canada 12(1): 26-31, 1990

Forensic psychiatry in Kuwait - characterization of forensic psychiatry patients evaluated over year duration in the only available forensic psychiatry unit. International Journal of Law and Psychiatry 60: 12-16, 2018

Forensic treatment in the United States: a survey of selected forensic hospitals. Treatment at Alabama's Taylor Hardin Secure Medical Facility. International Journal of Law and Psychiatry 16(1-2): 105-116, 1993

Forensic treatment in the United States: a survey of selected forensic hospitals. Forensic treatment at Atascadero State Hospital. International Journal of Law and Psychiatry 16(1-2): 57-70, 1993

Development of forensic psychiatry (section 63 StGB) in North-Rhine-Westphalia. Comparison of the current situation with introduction of the forensic psychiatry regulation (MRVG-NW) 10 years ago. Psychiatrische Praxis 24(5): 237-244, 1998

Forensic treatment in the United States: a survey of selected forensic hospitals. Treatment at Michigan's Forensic Center. International Journal of Law and Psychiatry 16(1-2): 71-81, 1993

Reorganization of forensic psychiatry wards in psychiatric hospitals. Psychiatria Polska 7(2): 209-214, 1973

Community forensic psychiatry: restoring some sanity to forensic psychiatric rehabilitation. Acta Psychiatrica Scandinavica. Supplementum 2002(412): 47-53, 2002

Ethnic differences in forensic psychiatry: an exploratory study at a Dutch forensic psychiatric centre. Tijdschrift Voor Psychiatrie 58(12): 846-853, 2018

Enrichment activities in the medical school psychiatry programme - could this be a key to engaging medical students in psychiatry? A study from a high secure forensic psychiatric UK hospital. Bmc Psychiatry 17(1): 83, 2017

Forensic psychiatry and psychology Patient evaluations The development of standards for forensic psychiatric examination of PTSD claimants. Journal of Occupational Medicine 35(4): 429, 1993