Bitte macht (irgend)was! Eine bundesweite Online-Befragung Psychiatrieerfahrener zum Einsatz milderer Maßnahmen zur Vermeidung von Zwangsmaßnahmen

TY - JOUR

T1 - Bitte macht (irgend)was! Eine bundesweite Online-Befragung Psychiatrieerfahrener zum Einsatz milderer Maßnahmen zur Vermeidung von Zwangsmaßnahmen

AU - Heumann, Kolja

AU - Bock, Thomas

AU - Lincoln, Tania M

N1 - © Georg Thieme Verlag KG Stuttgart · New York.

PY - 2017/3

Y1 - 2017/3

N2 - Aim: In recent years the legal basis in Germany for the use of coercive measures in psychiatry has changed. Now, coercive measures are permitted only as last resort after milder measures failed. However, there is no regulation of the type or amount of milder measures. In this study, we investigated which and how many milder measures were experienced by service users before coercion was used and which measures they value as potentially helpful to avoid it. Methods: A sample of 83 service users was recruited. In an online survey the experience with 21 milder measures and their evaluation as helpful were assessed by self-report. Results: On average, participants reported 5.4 experienced milder measures. The most frequent reason provided for why measures failed were structural factors, followed by staff behavior, and reasons caused by the participants themselves. The only milder measure rated by less than 50 % as potentially helpful in avoiding coercive measures was being persuaded to take medication . Conclusion: Although many milder measures are perceived as potentially helpful, only few seem to be made use of in routine clinical practice. In order to prevent coercion staff members should apply a wider range of milder measures.

AB - Aim: In recent years the legal basis in Germany for the use of coercive measures in psychiatry has changed. Now, coercive measures are permitted only as last resort after milder measures failed. However, there is no regulation of the type or amount of milder measures. In this study, we investigated which and how many milder measures were experienced by service users before coercion was used and which measures they value as potentially helpful to avoid it. Methods: A sample of 83 service users was recruited. In an online survey the experience with 21 milder measures and their evaluation as helpful were assessed by self-report. Results: On average, participants reported 5.4 experienced milder measures. The most frequent reason provided for why measures failed were structural factors, followed by staff behavior, and reasons caused by the participants themselves. The only milder measure rated by less than 50 % as potentially helpful in avoiding coercive measures was being persuaded to take medication . Conclusion: Although many milder measures are perceived as potentially helpful, only few seem to be made use of in routine clinical practice. In order to prevent coercion staff members should apply a wider range of milder measures.

U2 - 10.1055/s-0041-109033

DO - 10.1055/s-0041-109033

M3 - SCORING: Zeitschriftenaufsatz

C2 - 26668093

VL - 44

SP - 85

EP - 92

JO - PSYCHIAT PRAX

JF - PSYCHIAT PRAX

SN - 0303-4259

IS - 2

ER -