Status and Trends of Coercive Measures Across Europe

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
T. Kallert
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Clinical Guidelines ◽  
European Countries ◽  
Current Status ◽  
Coercive Measures ◽  
Legal Problems ◽  
Status And Trends

The presentation will adress the following questions: 1.Do coercive measures in European countries increase? 2.Could coercive measures be minimized? 3.Are coercive measures less effective than voluntary measures? 4.Are alternatives to coercive measures available, and if so which ones? 5.Is coercion always coercion, and does it influence prognosis? 6.What is the current status of the development of clinical guidelines pertaining to the use of coercive measures? 7.Is the use of coercive measures an indicator for the quality of mental health care? 8.Are the main legal problems associated with the use of coercive measures solved? 9.What are the consequences of having answered questions 1.-8.? 10. Are there issues in the field of coercion in psychiatry which have gained recent importance?

Reducing Seclusion and Restraint in Mental Health Care: A European Challenge

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1 ◽  
Author(s):  
T. Steinert
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Mentally Ill ◽  
Physical Restraint ◽  
European Countries ◽  
Psychiatric Institutions ◽  
History Of ◽  
Degrading Treatment

The discussion on the use of coercive interventions such as seclusion and restraint accompanies the history of psychiatry from its beginning. It is the oldest and still topical issue of psychiatric institutions. Nowadays, the political growing together of Europe puts questions of common ethical standards on the agenda. The quality of psychiatric care and particularly the use of freedom-restricting coercive measures for mentally ill people are a challenge for modern civilized societies. There is a wide variety in the use of coercive interventions in different European countries in the past and the presence. An important supra-national institution dealing with the issue of coercive interventions in mental health care is the CPT (Committee for the Prevention of Inhumane or degrading Treatment or Punishment). Available data on the use of coercive interventions in different countries were found by literature review. The percentage of admissions exposed to seclusion or restraint varies from zero (Iceland) to 35% (Austria). The median duration of a coercive measure varies from 15 minutes (physical restraint, UK) to 16 days (seclusion, Netherlands). Recently, in several European countries (Finland, Germany, Netherlands, Norway, Switzerland, UK) initiatives have emerged to reduce seclusion and restraint. Obstacles for decreasing coercion in clinical psychiatry are discussed, suggestions for action are given.

Depressions Plural

2017 ◽  
Author(s):  
K W M (Bill) Fulford ◽  
David Crepaz-Keay ◽  
Giovanni Stanghellini
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Personal Values ◽  
The Political ◽  
Medical Law ◽  
Isaiah Berlin ◽  
Political Philosopher

This chapter examines how values influence the heterogeneity of depression. The plurality of values is increasingly significant for contemporary person-centred mental health care with its emphasis on quality of life and development of self-manvnagement skills. Values-based practice is a partner with medical law invn working with the plurality of personal values. The chapter explains what values are, shows how the plurality of values influences the heterogeneity of depression at several levels, and provides an overview of values-based practice. It looks at the resources available for combining values-based practice with medical law in contemporary person-centred care and indicates some of the challenges this raises. It concludes with a brief reflection on these challenges understood as an instance of what the political philosopher Isaiah Berlin called the challenge of pluralism.

scholarly journals The Quality Mental Health Care Network: A roadmap to improving quality mental healthcare in Canada

2021 ◽  
Vol 34 (2) ◽  
pp. 100-106
Author(s):  
Emily J. Follwell ◽  
Siri Chunduri ◽  
Claire Samuelson-Kiraly ◽  
Nicholas Watters ◽  
Jonathan I. Mitchell
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Focus Groups ◽  
Lived Experiences ◽  
Mental Healthcare ◽  
Care Network ◽  
Key Informant ◽  
Health Care Network

Although there are numerous quality of care frameworks, little attention has been given to the essential concepts that encompass quality mental healthcare. HealthCare CAN and the Mental Health Commission of Canada co-lead the Quality Mental Health Care Network (QMHCN), which has developed a quality mental healthcare framework, building on existing provincial, national, and international frameworks. HealthCare CAN conducted an environmental scan, key informant interviews, and focus groups with individuals with lived experiences to develop the framework. This article outlines the findings from this scan, interviews and focus groups.

scholarly journals Inpatient Volume and Quality of Mental Health Care Among Patients With Unipolar Depression

2018 ◽  
Vol 69 (7) ◽  
pp. 797-803 ◽  
Author(s):  
Line Ryberg Rasmussen ◽  
Jan Mainz ◽  
Mette Jørgensen ◽  
Poul Videbech ◽  
Søren Paaske Johnsen
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Unipolar Depression

scholarly journals Improving the quality of mental health care

2009 ◽  
Vol 21 (6) ◽  
pp. 415-420 ◽  
Author(s):  
M. Funk ◽  
C. Lund ◽  
M. Freeman ◽  
N. Drew
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care

Mental health care in Italy: Basaglia’s ashes in the wind of the crisis of the last decade

2020 ◽  
Vol 66 (4) ◽  
pp. 321-330 ◽  
Author(s):  
Mauro G Carta ◽  
Matthias C Angermeyer ◽  
Anita Holzinger
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Psychiatric Hospitals ◽  
Scientific Methods ◽  
Italian Experience ◽  
Italian Regions ◽  
Care Culture ◽  
Health Care Culture

Background and Aims: The purpose is to highlight the legal and ethical principles that inspired the reform of mental health care in Italy, the only country to have closed its psychiatric hospitals. The article will also try to verify some macro-indicators of the quality of care and discuss the crisis that the mental health care system in Italy is experiencing. Methods: Narrative review. Results: The principal changes in the legislation on mental health care in Italy assumed an important role in the evolution of morals and common sense of the civil society of that country. We describe three critical points: first, the differences in implementation in the different Italian regions; second, the progressive lack of resources that cannot be totally attributed to the economic crisis and which has compromised application of the law; and finally, the scarce attention given to measurement of change with scientific methods. Conclusion: Italy created a revolutionary approach to mental health care in a historical framework in which it produced impressive cultural expressions in many fields. At that time, people were accustomed to ‘believing and doing’ rather than questioning results and producing research, and this led to underestimating the importance of a scientific approach. With its economic and cultural crisis, Italy has lost creativity as well as interest in mental health, which has been guiltily neglected. Any future humanitarian approach to mental health must take the Italian experience into account, but must not forget that verification is the basis for any transformation in health care culture.

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