TY - JOUR
T1 - Sechs Jahre „offene Türen“ an den Universitären Psychiatrischen Kliniken Basel
AU - Kowalinski, Eva
AU - Hochstrasser, Lisa
AU - Schneeberger, Andres R.
AU - Borgwardt, Stefan
AU - Lang, Undine E.
AU - Huber, Christian G.
N1 - Publisher Copyright:
© 2019, Springer Medizin Verlag GmbH, ein Teil von Springer Nature.
PY - 2019/7/1
Y1 - 2019/7/1
N2 - Background: Coercive measures in psychiatry have well-known negative consequences for the patients and their treatment. They are considered ethically problematic and must only be used as a last resort. Locked wards may promote a threatening atmosphere leading to more aggression and a subsequent higher use of coercive measures. The aim of this was to investigate the frequency of seclusion and forced medication during clinic-wide implementation of an open-door policy. Material and methods: In this 6‑year longitudinal observational study (2010–2015) the frequencies of seclusion and forced medication were investigated on the basis of 17,359 cases treated in the University Psychiatric Hospital Basel. During the observational period, six formerly permanently locked wards were opened. Results: The examined data showed a clinically relevant decrease in the frequency of seclusion (from 8.2% to 3.5%) and forced medication (from 2.4% to 1.2%) during the observational period. Conclusion: These results underline the potential of a less restrictive policy in psychiatry to reduce the frequency of coercive measures.
AB - Background: Coercive measures in psychiatry have well-known negative consequences for the patients and their treatment. They are considered ethically problematic and must only be used as a last resort. Locked wards may promote a threatening atmosphere leading to more aggression and a subsequent higher use of coercive measures. The aim of this was to investigate the frequency of seclusion and forced medication during clinic-wide implementation of an open-door policy. Material and methods: In this 6‑year longitudinal observational study (2010–2015) the frequencies of seclusion and forced medication were investigated on the basis of 17,359 cases treated in the University Psychiatric Hospital Basel. During the observational period, six formerly permanently locked wards were opened. Results: The examined data showed a clinically relevant decrease in the frequency of seclusion (from 8.2% to 3.5%) and forced medication (from 2.4% to 1.2%) during the observational period. Conclusion: These results underline the potential of a less restrictive policy in psychiatry to reduce the frequency of coercive measures.
UR - http://www.scopus.com/inward/record.url?scp=85068735479&partnerID=8YFLogxK
U2 - 10.1007/s00115-019-0733-3
DO - 10.1007/s00115-019-0733-3
M3 - Zeitschriftenaufsätze
C2 - 31101956
AN - SCOPUS:85068735479
SN - 0028-2804
VL - 90
SP - 705
EP - 708
JO - Nervenarzt
JF - Nervenarzt
IS - 7
ER -