Aktuelle Empfehlungen der DGPPN für Schizophrenie-Qualitätsindikatoren

Großimlinghaus, I.; Hauth, Iris; Falkai, Peter; Janssen, Birgit; Deister, Arno; Meyer‐Lindenberg, Andreas; Roth-Sackenheim, Christa; Schneider, Frank; Wobrock, Thomas; Zeidler, Reinhard; Gäebel, Wolfgang

doi:10.1007/s00115-017-0347-6

Cited by 11 publications

(5 citation statements)

References 17 publications

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“…Nevertheless, the results of our analysis coincide with those of Adorjan et al in terms of the number of events of restraint per patient; further findings from the same study correspond 2 Effect sizes according to phi or V. 3 Value of p according to two-sided t-test for independent samples. 4 Effect sizes for t-test. Interpretation of the effect sizes: 0.1: small effect, 0.3: medium effect, 0.5: large effect.…”

Section: Discussionmentioning

confidence: 99%

“…3 Value of p according to two-sided Mann-Whitney U test for independent samples. 4 Effect sizes according to r. Interpretation of the effect sizes: 0.1: small effect, 0.3: medium effect, 0.5: large effect. bold=statistically significant.…”

Section: Discussionmentioning

confidence: 99%

“…The United Nations Convention on the Rights of Persons with Disabilities emphasizes that the human rights of people subjected to different measures of restraint in psychiatric treatment settings are at considerable risk (1). There is a general consensus that restraint should only be considered as a last resort measure and governed by stringent regulations that clearly define when it may be applied (2)(3)(4)(5). Reducing the use of restraint has become a priority in the mental health-care systems of many countries (2,3).…”

Section: Introductionmentioning

confidence: 99%

“…The types of restraint measures vary between countries as well, depending on national psychiatric conventions and legislation ( 21 – 26 ). The use of seclusion and restraint was selected by the German Association for Psychiatry, Psychotherapy and Psychosomatics (DGPPN) as one of 10 parameters measuring the quality of mental health care for patients with schizophrenia ( 4 ), while further research has proposed it as an indicator for assessing longitudinal tendencies within medical facilities ( 5 ).…”

Section: Introductionmentioning

confidence: 99%

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Preventing, reducing, and attenuating restraint: A prospective controlled trial of the implementation of peer support in acute psychiatry

Badouin

Bechdolf²,

Bermpohl³

et al. 2023

Front. Psychiatry

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IntroductionThe use of restraint as a means of managing patients is considered a critical factor that interferes with recovery. Strategies to create a less restrictive environment within psychiatric facilities are therefore eagerly sought. Peer support workers (PSWs) are increasingly employed in mental health settings. The prevailing theory is that PSWs have the potential to contribute to conflict and restraint prevention efforts in acute psychiatric wards. However, to date, research in support of this claim remains limited.ObjectiveThe present study aimed at assessing the effectiveness of employing peer support workers with regard to reducing the use of restraint.MethodsThis prospective controlled pre–post study sought to evaluate the implementation of peer support in one locked ward compared to treatment as usual (TAU) with no implementation of peer support in a second locked ward of a psychiatry department in Berlin, Germany. The pre–post comparison was planned to consist of two assessment periods of 3 months each, taking place directly before and after peer support implementation or TAU. Both assessments were extended to a period of 6 months, before and after the initially planned 12-month implementation process, in order to balance the effects of disruptions and of the COVID-19 pandemic. Using routine data, the proportion, frequency, and duration of mechanical restraint, forced medication as well as mechanical restraint in combination with forced medication, were evaluated.ResultsIn the control group, an increase in the proportion of patients subjected to measures of restraint was found between pre- and post-assessment, which was accompanied by a further increase in the mean number of events of restraint per patient within this group. In the intervention group, no significant change in the application of restraint was observed during the study period.DiscussionThere is some indication that peer support may be protective with regard to restraint in acute wards. However, our study faced major challenges during the implementation process and the post-assessment period, such as COVID-19 and staff reorganization. This may have led to peer support not reaching its full potential. The relationship between the implementation of peer support and the use of restraint therefore merits further investigation.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Preventing, reducing, and attenuating restraint: A prospective controlled trial of the implementation of peer support in acute psychiatry

Badouin

Bechdolf²,

Bermpohl³

et al. 2023

Front. Psychiatry

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“…handlungsmodelle gewinnen an Bedeutung (Munz et al 2011;Lambert et al 2014). Gleichzeitig stellt eine niedrige Anzahl von Zwangsbehandlungen ein Qualitätsmerkmal allgemeinpsychiatrischer Behandlungen dar (Großimlinghaus et al 2017). Im forensisch-psychiatrischen Bereich ist die Entwicklung gegenläufig, d. h., die Bettenzahlen steigen kontinuierlich.…”

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Forensic model on prevention of violence at the interface to general psychiatry: the forensic psychiatric liaison service

Schmidt

Nitschke

Habermeyer

2021

Forens Psychiatr Psychol Kriminol

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ZusammenfassungObwohl bei einer Untergruppe psychisch kranker Menschen ein erhöhtes Gewaltrisiko verortet werden kann und Patienten der Maßregelvollzugskliniken in der Regel eine allgemeinpsychiatrische Vorgeschichte haben, existieren bislang nur vereinzelt präventiv ausgerichtete Behandlungsmodelle an der Schnittstelle zwischen forensischer und allgemeiner Psychiatrie. Im vorliegenden Artikel werden unterschiedliche Ansätze einer interdisziplinären Zusammenarbeit vorgestellt und das Angebot des forensisch-psychiatrischen Konsildiensts der Fachstelle Forensic Assessment & Risk Management (FFA) der Klinik für Forensische Psychiatrie (KFP) der Psychiatrischen Universitätsklinik Zürich (PUK) beschrieben.

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