scholarly journals Compulsory admission to a Portuguese psychiatric hospital: retrospective study of 497 involuntary admissions

2007 ◽  
Vol 7 (Suppl 1) ◽  
pp. P2 ◽  
Author(s):  
Sofia Brissos ◽  
Ana Carita ◽  
Fernando Vieira
Author(s):  
Blanca Patricia Silva-Barrera ◽  
Rocio Juliá-Sanchis ◽  
Andrés Montoyo-Guijarro ◽  
Rosa Requena-Morales

Resumen En los últimos años se han suscitado cambios en la salud mental de las personas, debido a las diversas problemáticas sociodemográficas actuales. Se requiere de la exploración de los acontecimientos que causan síntomas psiquiátricos en las personas con necesidad de ingreso y hospitalización. Es por eso que se realizó este estudio retrospectivo sobre 1.593 historias clínicas del hospital psiquiátrico Main-Kinzig-Kreis Schlüchtern en Alemania durante el período 2000-2014 en pacientes de 18 a 69 años. Se identificó como motivo de ingreso a un 37.16% de personas como pacientes con síntomas agudos, una relación con consumos de sustancias provocadas por adicciones en un 41.62% y el trastorno depresivo en un 28.75%. Se detecta la descompensación de trastornos mentales graves en 27.05%, en donde el 34.71% de los pacientes fueron derivadas desde otros dispositivos asistenciales y el 32.89% decidió ingresar por sí mismo. El perfil del paciente ingresado es de ser hombre entre 41-50 años, casado o con pareja, derivado por recurso asistencial relacionado con la descompensación de un trastorno mental grave. Abstract In recent years, changes have occurred in people's mental health due to various current socio- demographic issues. The exploration of the events that cause psychiatric symptoms in people who need admission and hospitalization is required. That is why this retrospective study was conducted on 1.593 clinical history from the Main-Kinzig-Kreis Schlüchtern psychiatric hospital in Germany during the period 2000-2014 in patients aged 18 to 69. A total of 37.16% of the patients were identified as having acute symptoms, 41.62% as having substance abuse due to addiction and 28.75% as having a depressive disorder. Decompensation of severe mental disorders was detected in 27.05%, where 34.71% of the patients were referred from other care devices and 32.89% decided to be admitted on their own. The profile of the admitted patient is a man between 41-50 years old, married or with a partner, referred to the psychiatric hospital for health care resources due to a decompensation of some serious mental disorder.


1993 ◽  
Vol 10 (3) ◽  
pp. 139-144 ◽  
Author(s):  
Teresa G Carey ◽  
John M Owens

AbstractObjective: The aim of this study was to examine the working of the 1945 Irish Mental Treatment Act in relation to compulsory admission and detention and to establish issues that will need to be addressed in imminent new legislation. Method: A 3 year retrospective study was carried out on all compulsory admissions to the Cavan/Monaghan Psychiatric Service using case note material. The circumstances surrounding application for compulsory admission in one year of the study period were further investigated by delivery of a schedule to Relative-Applicants. Results: The study revealed rates of compulsory admission equivalent to other Irish regions but much higher than neighbouring jurisdictions. There was no evidence of deliberate abuse of the act. Indications emerged of excessive and inappropriate recourse to certification by some relatives and General Practitioners. Excessive length of detained stay and lack of specific procedures for informing patients of their rights were evident. Conclusions: A new Mental Treatment Act will need to place much greater emphasis on patients' civil rights while facilitating access to treatment.


1996 ◽  
Vol 13 (4) ◽  
pp. 140-143
Author(s):  
Fionnula O'Loughlin ◽  
Marcus Webb

AbstractObjective:As the provision for the involuntary admission to hospital of alcoholics is likely to be discarded in a new Irish Mental Health Act, the characteristics of patients committed under the 1945 Irish Mental Treatment Act were explored and compared with those alcoholics admitted voluntarily.Method:All alcoholics admitted compulsorily from 1989-1992 to a general psychiatrichospital in Dublin were compared retrospectively with voluntarily admitted alcoholics. Data was taken from case notes.Results:Results showed that patients admitted compulsorily were older (t = 3.74, df = 62, p < 0.001) and had more physical complications (X2= 8.4, df = 1, p < 0.004) than those admitted voluntarily. Although results did not reach a statistically significant level, there were proportionately more females in the compulsorily admitted group compared with the voluntary group. The outcome of admission overall was better in those admitted voluntarily, although this was influenced both by length of stay and previous admissions for treatment of alcohol dependence. One particularly interesting finding, regardless of admission category, was that duration of admission was statistically significantly longer for women when compared with men.Conclusions:Compulsory admission of alcoholics to a psychiatric hospital for very brief periods was not shown to be strikingly helpful, but this study cannot decide whether or not longer periods of compulsory admission would be valuable.


1998 ◽  
Vol 22 (7) ◽  
pp. 432-435 ◽  
Author(s):  
B. T. Farid ◽  
R. H. Bird ◽  
B. Naik

This is a retrospective study of 173 consecutive admissions to a general psychiatric hospital. The aim was to establish the frequency and adequacy with which alcohol and tobacco use were recorded. Regarding alcohol, in 41% of the notes there was no adequate quantitative history, in 29.5% there was a descriptive mention and in 29.5% no history was recorded. Female patients were less likely to have an alcohol history taken than male patients. With tobacco, in 64% of the notes there was an adequate quantitative history, in 6.4% there was a descriptive comment and in 28.9% no history was recorded. It is to be stressed to all doctors that an assessment of alcohol and tobacco use should be made for every patient, whatever their age, gender or ethnic origin.


Author(s):  
Cátia Fernandes Santos ◽  
Filipa Fernandes Martins ◽  
Nelson Descalço ◽  
Adriana Carapucinha ◽  
Ana Cristina Santos Barcelos ◽  
...  

Author(s):  
Kay Vaughn ◽  
Bonnie Cox Young ◽  
Faye Rice ◽  
Martha H Stoner

2021 ◽  
Vol 1 (XXI) ◽  
pp. 307-314
Author(s):  
Jan Ciechorski

The conditions for compulsory admission to a psychiatric hospital under Art. 29 of the Mental Health Act apply only to the person to be admitted, they lack the element of protection of third parties (as opposed to admission under Articles 23 and 24 of this Act). Due to the fact that any admission without consent to a psychiatric hospital constitutes an interference with fundamental human rights (the right to freedom and to decide about one’s life), the provisions authorizing such admission must be strictly interpreted. Art. 29 provides for two groups of reasons for admission without consent: 1) counteracting the deterioration of health and 2) its improvement. Due to the fact that placement in a psychiatric hospital is the most onerous way of treating the patient, the guardianship court is obliged to consider whether less drastic methods of therapy will not be effective in such a case.


2015 ◽  
Vol 37 (2) ◽  
pp. 97-100
Author(s):  
Mazen Khalil Ali ◽  
Haitham Ali Jahrami ◽  
Ahmed Ghareeb

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