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
Ahead of Print:
24 ago 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.
Filiaciones:
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 M:
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 M:
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 E:
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 S:
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 K:
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 U:
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 N:
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 A:
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 M:
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 M:
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 D:
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 R:
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
Green Published, Green Accepted, gold
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