Compulsory admissions of patients with mental disorders: State of the art on ethical and legislative aspects in 40 European countries
Por:
Wasserman D, Apter G, Baeken C, Bailey S, Balazs J, Bec C, Bienkowski P, Bobes J, Ortiz M, Brunn H, Boke O, Camilleri N, Carpiniello B, Chihai J, Chkonia E, Courtet P, Cozman D, David M, Dom G, Esanu A, Falkai P, Flannery W, Gasparyan K, Gerlinger G, Gorwood P, Gudmundsson O, Hanon C, Heinz A, Dos Santos M, Hedlund A, Ismayilov F, Ismayilov N, Isometsa E, Izakova L, Kleinberg A, Kurimay T, Reitan S, Lecic-Tosevski D, Lehmets A, Lindberg N, Lundblad K, Lynch G, Maddock C, Malt U, Martin L, Martynikhin I, Maruta N, Matthys F, Mazaliauskiene R, Mihajlovic G, Peles A, Miklavic V, Mohr P, Ferrandis M, Musalek M, Neznanov N, Ostorharics-Horvath G, Pajevic I, Popova A, Pregelj P, Prinsen E, Rados C, Roig A, Kuzman M, Samochowiec J, Sartorius N, Savenko Y, Skugarevsky O, Slodecki E, Soghoyan A, Stone D, Taylor-East R, Terauds E, Tsopelas C, Tudose C, Tyano S, Vallon P, van der Gaag R, Varandas P, Vavrusova L, Voloshyn P, Wancata J, Wise J, Zemishlany Z, Oncu F, Vahip S
Publicada:
1 ene 2020
Resumen:
Background. Compulsory admission procedures of patients with mental disorders vary between countries in Europe. The Ethics Committee of the European Psychiatric Association (EPA) launched a survey on involuntary admission procedures of patients with mental disorders in 40 countries to gather information from all National Psychiatric Associations that are members of the EPA to develop recommendations for improving involuntary admission processes and promote voluntary care. Methods. The survey focused on legislation of involuntary admissions and key actors involved in the admission procedure as well as most common reasons for involuntary admissions. Results. We analyzed the survey categorical data in themes, which highlight that both medical and legal actors are involved in involuntary admission procedures. Conclusions. We conclude that legal reasons for compulsory admission should be reworded in order to remove stigmatization of the patient, that raising awareness about involuntary admission procedures and patient rights with both patients and family advocacy groups is paramount, that communication about procedures should be widely available in lay-language for the general population, and that training sessions and guidance should be available for legal and medical practitioners. Finally, people working in the field need to be constantly aware about the ethical challenges surrounding compulsory admissions.
Direcciones
Wasserman, D:
Comm Eth Issues, European Psychiat Assoc, Strasbourg, France; Karolinska Inst, Natl Ctr Suicide Res & Prevent Mental Ill Hlth, Stockholm, Sweden
Apter, G:
French Federat Psychiat, Paris, France; Univ Rouen, Grp Hosp Havre, Rouen, France
Baeken, C:
Flemish Assoc Psychiat, Kortenberg, Belgium; Univ Ghent, Dept Psychiat & Med Psychiat, Ghent, Belgium
Bailey, S:
Comm Eth Issues, European Psychiat Assoc, Strasbourg, France; Univ Cent Lancashire, Preston, Lancs, England
Balazs, J:
Hungarian Psychiat Assoc, Budapest, Hungary; Eotvos Lorand Univ, Dept Dev & Clin Child Psychol, Inst Psychol, Budapest, Hungary
Bec, C:
Karolinska Inst, Natl Ctr Suicide Res & Prevent Mental Ill Hlth, Stockholm, Sweden
Bienkowski, P:
Polish Psychiat Assoc, Warsaw, Poland; Warsaw Med Univ, Dept Psychiat, Warsaw, Poland
Bobes, J:
Spanish Soc Psychiat, Madrid, Spain; Univ Oviedo, Sch Med, Dept Psychiat, Oviedo, Spain
Ortiz, MFB:
Assoc Psychiatrists Spanish Assoc Neuropsychiat, Madrid, Spain; Univ Autonoma Madrid, La Paz Univ Hosp, Clin Psychol & Mental Hlth, Dept Psychiat, Madrid, Spain
Brunn, H:
Comm Eth Issues, European Psychiat Assoc, Strasbourg, France; Danish Psychiat Assoc, Copenhagen, Denmark; Univ Southern Denmark, Inst Reg Hlth Res, Odense, Denmark
Boke, O:
Psychiat Assoc Turkey, Ankara, Turkey; Ondokuz Mayis Univ, Samsun, Turkey
Camilleri, N:
Maltese Assoc Psychiat, Attard, Malta; Univ Malta, Msida, Malta
Carpiniello, B:
Natl Psychiat Assoc, European Psychiat Assoc Council, Strasbourg, France; Italian Psychiat Assoc, Rome, Italy; Univ Cagliari, Dept Publ Hlth Clin & Mol Med, Sardinia, Italy
Chihai, J:
Soc Psychiatrists Narcologists Psychotherapists &, Kishinev, Moldova; Univ Nicolae Testemitanu, Dept State Med & Pharmaceut, Kishinev, Moldova
Chkonia, E:
Soc Georgian Psychiatrists, Tbilisi, Georgia; Tbilisi State Med Univ, Dept Psychiat, Tbilisi, Georgia
Courtet, P:
French Congress Psychiat, Paris, France; Univ Montpellier, CHRU Montpellier, Montpellier, France; Lapeyronie Hosp, Dept Emergency Psychiat & Acute Care, Montpellier, France
Cozman, D:
Romanian Assoc Psychiat & Psychotherapy, Bucharest, Romania; Iuliu Hatieganu Univ Med & Pharm, Med Psychol Dept, Cluj Napoca, Romania
David, M:
French Federat Psychiat, Paris, France; Fdn Bon Sauveur, Begard, France
Dom, G:
Belgium Profess Assoc Med Specialists Psychiat, Brussels, Belgium; Antwerp Univ UA, Dept Psychiat, Antwerp, Belgium
Esanu, A:
Soc Psychiatrists Narcologists Psychotherapists &, Kishinev, Moldova; State Univ Med & Pharm, Dept Psychiat Narcol & Med Psychol, Kishinev, Moldova
Falkai, P:
German Assoc Psychiat Psychotherapy & Psychosomat, Berlin, Germany; Ludwig Maximilians Univ Munchen, Clin Psychiat & Psychotherapy, Munich, Germany
Flannery, W:
Coll Psychiatrists Ireland, Dublin, Ireland; Mater Misericordiae Univ Hosp, Dept Adult Psychiat, Dublin, Ireland
Gasparyan, K:
Armenian Psychiat Assoc, Yerevan, Armenia; Yerevan State Mkhitar Herats Med Univ, Med Psychol Dept, Yerevan, Armenia
Gerlinger, G:
German Assoc Psychiat Psychotherapy & Psychosomat, Berlin, Germany
Gorwood, P:
Tbilisi State Med Univ, Dept Psychiat, Tbilisi, Georgia; Univ Paris, Inst Psychiat & Neurosci Paris IPNP, Paris, France
Gudmundsson, O:
Iceland Psychiat Assoc, Kopavogur, Iceland; Univ Hosp Iceland, Psychiat Dept, Landspitali, Reykjavik, Iceland
Hanon, C:
Comm Eth Issues, European Psychiat Assoc, Strasbourg, France; Ctr Univ Paris, Corentin Celton Hosp, AP HP, Reg Resource Ctr Old Age Psychiat, Paris, France
Heinz, A:
German Assoc Psychiat Psychotherapy & Psychosomat, Berlin, Germany; Charite, Clin Psychiat & Psychotherapy, Berlin, Germany
Dos Santos, MJH:
Portuguese Soc Psychiat & Mental Hlth, Lisbon, Portugal; Univ Lisbon FMUL, Inst Environm Hlth ISAMB, Fac Med, Lisbon, Portugal
Hedlund, A:
Swedish Psychiat Assoc, Sundsvall, Sweden; Stockholm Cty Med Area SLSO, North Stockholm Psychiat, Stockholm, Sweden
Ismayilov, F:
Azerbaijan Psychiat Assoc, Baku, Azerbaijan; Natl Mental Hlth Ctr, Baku, Azerbaijan
Ismayilov, N:
Azerbaijan Psychiat Assoc, Baku, Azerbaijan; Azerbaijan Med Univ, Dept Psychiat, Baku, Azerbaijan
Isometsa, ET:
Finnish Psychiat Assoc, Helsinki, Finland; Univ Helsinki, Dept Psychiat, Fac Med, Helsinki, Finland
Izakova, L:
Slovak Psychiat Assoc, Bratislava, Slovakia; Comenius Univ, Dept Psychiat, Fac Med, Bratislava, Slovakia; Univ Hosp, Bratislava, Slovakia
Kleinberg, A:
Estonian Psychiat Assoc, Tartu, Estonia; Tallinn Children Hosp, Children Mental Hlth Ctr, Tallinn, Estonia
Kurimay, T:
Natl Psychiat Assoc, European Psychiat Assoc Council, Strasbourg, France; Semmelweis Univ, Dept Psychiat & Psychiat Rehabil, Teaching Dept, Budapest, Hungary
Reitan, SK:
Semmelweis Univ, Dept Psychiat & Psychiat Rehabil, Teaching Dept, Budapest, Hungary; Norwegian Psychiat Assoc, Oslo, Norway; Norweigan Univ Sci & Technol, Dept Mental Hlth, Fac Med & Hlth Sci, Trondheim, Norway
Lecic-Tosevski, D:
Serbian Psychiat Assoc, Belgrade, Serbia; Psychiat Assoc Eastern Europe & Balkans, Athens, Greece; Serbian Acad Arts & Sci, Dept Med Sci, Belgrade, Serbia
Lehmets, A:
Estonian Psychiat Assoc, Tartu, Estonia; Tallinn West Cent Hosp, Psychiat Ctr, Tallinn, Estonia
Lindberg, N:
Finnish Psychiat Assoc, Helsinki, Finland; Univ Helsinki, Forens Psychiat, Helsinki, Finland; Helsinki Univ Hosp, Helsinki, Finland
Lundblad, KA:
Swedish Psychiat Assoc, Sundsvall, Sweden; Stockholm Cty Med Area SLSO, Adult Psychiat, Stockholm, Sweden
Lynch, G:
Royal Coll Psychiatrists, London, England
Maddock, C:
Royal Coll Psychiatrists, London, England
Malt, UF:
Norwegian Psychiat Assoc, Oslo, Norway; Univ Oslo, Inst Clin Med, Fac Med Psychiat & Psychosomat Med, Oslo, Norway
Martin, L:
Coll Psychiatrists Ireland, Dublin, Ireland; St Lomans Hosp, Mullingar, Ireland
Martynikhin, I:
Russian Soc Psychiatrists, Moscow, Russia; First Pavlov State Med Univ St Petersburg, St Petersburg, Russia
Maruta, NO:
Assoc Neurologists Psychiatrists & Narcologists U, Kharkiv, Ukraine; NAMS Ukraine State Insitut, Inst Neurol Psychiat & Narcol, Kharkiv, Ukraine
Matthys, F:
Flemish Assoc Psychiat, Kortenberg, Belgium; Univ Ziekenhuis, Dept Psychiat, Brussels, Belgium
Mazaliauskiene, R:
Lithuanian Psychiat Assoc, Vilnius, Lithuania; Lithuanian Univ Hlth Sci, Psychiat Clin, Kaunas, Lithuania
Mihajlovic, G:
Serbian Psychiat Assoc, Belgrade, Serbia; Univ Kragujevac, Clin Psychiat, Kragujevac, Serbia
Peles, AM:
Croatian Psychiat Assoc, Zagreb, Croatia; Zagreb Sch Med, Zagreb, Croatia; Zagreb Univ Hosp Ctr, Zagreb, Croatia
Miklavic, V:
Slovenian Psychiat Assoc, Ljubljana, Slovenia; Univ Ljubljana, Med Ctr, Ljubljana, Slovenia
Mohr, P:
Czech Psychiat Assoc, Prague, Czech Republic; Charles Univ Prague, Fac Med 3, Prague, Czech Republic
Ferrandis, MM:
Assoc Psychiatrists Spanish Assoc Neuropsychiat, Madrid, Spain
Musalek, M:
Comm Eth Issues, European Psychiat Assoc, Strasbourg, France; Inst Social Aesthet & Mental Hlth, Vienna, Austria; Sigmund Freud Univ, Vienna, Austria
Neznanov, N:
Russian Soc Psychiatrists, Moscow, Russia; St Petersburg VM Bekhterev Psychoneurol Res Inst, St Petersburg, Russia
Ostorharics-Horvath, G:
Hungarian Psychiat Assoc, Budapest, Hungary
Pajevic, I:
Psychiat Assoc Bosnia Herzegovina, Tuzla, Bosnia & Herceg; Univ Clin Ctr Tuzla, Dept Psychiat, Tuzla, Bosnia & Herceg
Popova, A:
Comm Eth Issues, European Psychiat Assoc, Strasbourg, France; Coll Private Psychiat Bulgaria, Sofia, Bulgaria; Nikola Shipkovenski Mental Hlth Ctr, Sofia, Bulgaria
Pregelj, P:
Slovenian Psychiat Assoc, Ljubljana, Slovenia; Univ Ljubljana, Dept Psychiat, Ljubljana, Slovenia
Prinsen, E:
Netherlands Psychiat Assoc, Utrecht, Netherlands
Rados, C:
Austrian Soc Psychiat & Psychotherapy, Vienna, Austria; Villach State Hosp, Dept Psychiat & Psychotherapeut Med, Villach, Austria
Roig, A:
Assoc Psychiatrists Spanish Assoc Neuropsychiat, Madrid, Spain; Mental Hlth Ctr, Barcelona, Spain
Kuzman, MR:
Croatian Psychiat Assoc, Zagreb, Croatia; Zagreb Sch Med, Zagreb, Croatia; Zagreb Univ Hosp Ctr, Zagreb, Croatia
Samochowiec, J:
Polish Psychiat Assoc, Warsaw, Poland; Natl Psychiat Assoc, European Psychiat Assoc Council, Strasbourg, France; Pomeranian Med Univ, Dept Psychiat, Szczecin, Poland
Sartorius, N:
Comm Eth Issues, European Psychiat Assoc, Strasbourg, France; Assoc Improvement Mental Hlth Programmes AMH, Geneva, Switzerland
Savenko, Y:
Independent Psychiat Assoc Russia, Moscow, Russia
Skugarevsky, O:
Belarusian Psychiat Assoc, Minsk, BELARUS; Belarusian State Med Univ, Psychiat & Med Psychol Dept, Minsk, BELARUS
Slodecki, E:
Royal Coll Psychiatrists, London, England
Soghoyan, A:
Armenian Psychiat Assoc, Yerevan, Armenia; Yerevan State Med Univ, Ctr Psychosocial Recovery, Yerevan, Armenia
Stone, DS:
Karolinska Inst, Natl Ctr Suicide Res & Prevent Mental Ill Hlth, Stockholm, Sweden
Taylor-East, R:
Maltese Assoc Psychiat, Attard, Malta; Univ Malta, Msida, Malta
Terauds, E:
Latvian Psychiat Assoc, Riga, Latvia; Riga Stradins Univ, Dept Psychiat & Narcol, Riga, Latvia
Tsopelas, C:
Psychiat Assoc Eastern Europe & Balkans, Athens, Greece; Psychiat Hosp Athens, Dept Psychiat, Athens, Greece
Tudose, C:
Romanian Assoc Psychiat & Psychotherapy, Bucharest, Romania; Carol Davila Univ Med & Pharm, Dept Psychiat Carol, Bucharest, Romania
Tyano, S:
Comm Eth Issues, European Psychiat Assoc, Strasbourg, France
Vallon, P:
Swiss Soc Psychiat & Psychotherapy, Bern, Switzerland
van der Gaag, RJ:
Comm Eth Issues, European Psychiat Assoc, Strasbourg, France; Univ Riga, Psychosomat & Psychotherapy Stradina Dept, Riga, Latvia
Varandas, P:
Portuguese Soc Psychiat & Mental Hlth, Lisbon, Portugal; Irmas Hosp Sagrado Coracao Jesus, Casa Saude Idanha & San Jose Psychiat Clin Inst, Belas, Portugal
Vavrusova, L:
Comm Eth Issues, European Psychiat Assoc, Strasbourg, France; Slovak Psychiat Assoc, Bratislava, Slovakia
Voloshyn, P:
Assoc Neurologists Psychiatrists & Narcologists U, Kharkiv, Ukraine; Kharkiv Med Acad Postgrad Educ, Dept Neurol & Neurosurg, Kharkiv, Ukraine
Wancata, J:
Austrian Soc Psychiat & Psychotherapy, Vienna, Austria; Med Univ Vienna, Clin Div Social Psychiat, Dept Psychiat & Psychotherapy, Vienna, Austria
Wise, J:
Comm Eth Issues, European Psychiat Assoc, Strasbourg, France; CNWL NHS Fdn Trust, London, England
Zemishlany, Z:
Israel Psychiat Assoc, Ramat Gan, Israel
Oncu, F:
Psychiat Assoc Turkey, Ankara, Turkey; Bakirkoy Res & Training Hosp Psychiat Neurol & Ne, Forens Psychiat Dept, Istanbul, Turkey
Vahip, S:
Natl Psychiat Assoc, European Psychiat Assoc Council, Strasbourg, France; Ege Univ, Dept Psychiat, Sch Med, Izmir, Turkey
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