Auswirkungen des Betreuungsgesetzes im wiedervereinigten Deutschland (1992–2009)

Abstract

In spite of the legal changes in the direction of a dynamic instrument in mental health care, the practise of the Legal Guardianship Law indicates a continuous increase of guardianship orders since 1992. It is necessary to recognise that a slowdown of the upward trend is not in sight. Therefore it is pertinent to call those persons in charge of regulating legal guardianship to consider their daily practise carefully. On the other hand it is a task of mental health services research to analyse the driving factors of the presented developments.

The Use of Coercive Interventions in Mental Health Care in Germany and the Netherlands. A Comparison of the Developments in Two Neighboring Countries

“…Again, there are considerable and not convincingly explained differences between the 16 German federal states (14), rates and quotas being lower in the 5 new (former German Democratic Republic) states. The data displayed in Table 1 indicate that the rates of involuntary commitment have been considerably (and continuously) rising within the 15 years observed, while the quota of all psychiatric admissions has even decreased.…”

“…However, the most recent very comprehensive data collection indicated considerably lower figures (rate 131/100,000, quota 10% of all admissions) for the same year. The most topical available data from the year 2009 (14) is displayed in Table 1.…”

“…The data displayed in Table 1 indicate that the rates of involuntary commitment have been considerably (and continuously) rising within the 15 years observed, while the quota of all psychiatric admissions has even decreased. This is due to the fact that the number of psychiatric admissions has also been continuously increasing during this period, even slightly more than the number of involuntary commitments, so that the percentage of involuntary patients among psychiatric hospital patients is even declining in spite of an increasing percentage of the population being subjected to involuntary commitment (14). …”

Inpatient forensic-psychiatric care: Legal frameworks and service provision in three European countries

“…However, rates of psychiatric detention (per 100,000) for the three countries are as follows; 74.8 for England and Wales (Hewlett & Horner, 2015), 171.9 for Germany (Valdes-Stauber, Deinert, & Kilian, 2012) and 136 for the Netherlands (Ministerie van Justitie, 2013). The higher rates in Germany and the Netherlands may reflect the differences in admission criteria (i.e.…”

Gibt es unterschiedliche Tendenzen in der Anordnung von Betreuungen und Unterbringungen zwischen Großstadt und Land?

“…Die Wahl von zwei strukturell so verschiedenen Regionen innerhalb eines Bundeslandes mit denselben rechtlichen Rahmenbedingungen könnte Aufschluss darüber geben, ob die Anordnung von Betreuungen und die Entscheidung über Unterbringungsmaßnahmen homogen orts-oder regionübergreifend erfolgt oder ob relevante Unterschiede bestehen, die einer versorgungsmedizinischen Diskussion bedürfen. Diese Arbeit versteht sich als Vertiefung früherer explorativer Untersuchungen der Autoren, welche die Bundes-und Länder-ebene verglichen als auch eine bestimmte Versorgungsregion analysierten [4,5,8]. Die Auseinandersetzung mit bereits veröf-fentlichten Arbeiten und die sich ergebenden Probleme in der Behandlung von aggregierten Daten um ausreichend zuverlässige Vergleiche ziehen zu können, haben relevante methodische Schwierigkeiten zutage gebracht, die hier berücksichtigt wurden und Anlass für methodische Sorgfalt in künftigen Forschungen auf diesem Gebiet sein sollen.…”