Mental Health Care Institutions in Nine European Countries, 2002 to 2006

Priebe, Stefan; Frottier, Patrick; Gaddini, Andrea; Kilian, Reinhold; Lauber, Christoph; Martínez‐Leal, Rafael; Munk‐Jørgensen, Povl; Walsh, Dermot; Wiersma, Durk; Wright, Donna

doi:10.1176/ps.2008.59.5.570

Cited by 195 publications

(89 citation statements)

References 4 publications

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“…Of all admissions, substance use disorders are the most common diagnostic group, followed by affective disorders, anxiety disorders and schizophrenia in descending order (FHR, 2008b). The proportion of involuntary admissions has been rather stable over time representing 14-17% of all psychiatric admissions (Salize et al, 2007), despite an increase from 114.4 cases per 100,000 population in 1990 to 237.2 in 2006 (Priebe et al, 2008), representing a trend seen in parts of other European countries (Priebe et al, 2008;Salize & Dressing, 2004).…”

Section: Overview Of Mental Health Care Services In Germany and Japanmentioning

confidence: 99%

“…Although this shift from hospital-based to community-based services has been accompanied by a reduction in hospital beds and a shortened duration of inpatient care, there have also been negative consequences (MunkJørgensen, 1999). The critical demand for acute psychiatric inpatient services is reflected by the increase in compulsory admissions (Priebe et al, 2008;Salize & Dressing, 2004) and readmissions (Appleby et al, 1993;Goldstein & Shemansky, 2000). In contrast, in Japan, the number of psychiatric beds increased between the 1960s and 1990s and was associated with longer length of stay relative to other countries (Shinfuku, 1998).…”

Section: Introductionmentioning

confidence: 99%

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Acute psychiatric inpatient care: A cross-cultural comparison between two hospitals in Germany and Japan

Moriwaki

Neuner

Hübner-Liebermann

et al. 2012

Int J Soc Psychiatry

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Background: Intercultural differences influence acute inpatient psychiatric care systems. Aims: To evaluate characteristics of acute inpatient care in a German and a Japanese hospital. Method: Based on a sample of 465 admissions to the Psychiatric State Hospital Regensburg (BKR) and 91 admissions to the Hirakawa Hospital (HH) over a six-month period in 2008, data from the psychiatric basic documentation system (BADO) were analysed with regard to socio-demographic characteristics, treatment processes and outcome indicators. Results: Schizophrenia and related psychosis was the most common diagnosis in both hospitals. Cases at the BKR were admitted more quickly after onset of the present episode. Global Assessment of Psychosocial Functioning (GAF) ratings at admission were lower at the HH. Most admissions to both hospitals received psychopharmacological treatment, but more at the HH received psychotherapy. Length of stay was significantly longer at the HH (75 days) than at the BKR (28 days). Admissions to the HH were more improved with regard to GAF and clinical global impression (CGI). Conclusions: Acute admissions in Germany provide intensive care with short hospitalization as crisis intervention. For acute admissions in Japan, comprehensive care for severe mental illness precedes emergency admissions and achieves greater improvement with longer hospitalization.

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Section: Overview Of Mental Health Care Services In Germany and Japanmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Acute psychiatric inpatient care: A cross-cultural comparison between two hospitals in Germany and Japan

Moriwaki

Neuner

Hübner-Liebermann

et al. 2012

Int J Soc Psychiatry

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“…Yasada zorunlu yatırılmanın koşulları şu şekilde sıralan-mıştır: Hastanın kendisini öldürme ya da bedenine ciddi zarar verme olasılığı; sosyal konumunu ve çevresini tahrip etme isteği; kendisini tamamen ihmal etmesi. [24][25][26] Psikiyatri hastalarını ve zorunlu yatış konusunu yasalarla ayrıntılı olarak ele alan ve ulusal değişkenlere göre yeniden düzenleyen İn-giltere ise ulusal özgünlük açısından örnek teşkil etmektedir. Zira bu ülke sürekli olarak mevcut yasasını ulusal konjonktürde değerlendirip, eksik ve uygulanabilir olmayan yanlarını düzelterek, kendisine ve çevresine zarar verme riski yüksek psikiyatri hastalarının hakları ile toplumun güvenliği arasındaki dengeyi sağlamak üzere yasaları çağın ve toplumun koşullarıyla uyumlu hale getirmeye çalışmaktadır.…”

Section: Avrupa Bi̇rli̇ği̇'ni̇n "Ruh Sağliği" Poli̇ti̇kalariunclassified

“…32,33 He ne kadar tehlikelilik ve tedavi ihtiyacı zorunlu yatırılmanın esası olarak belirtilse de, yasada özgürlüğü sınırlandırılabilecek kişilerin "akıl hastaları, alkol ve madde bağımlıları, evsizler" şek-linde sıralanması "sosyal hijyen" olarak değerlen-dirilmiştir. 26,34 Zihinsel Kapasite Yasası 2005'te karar verme "kapasitesi yetersiz" hastaların tedavisi üzerinde durulmuştur. "Yetersizlik", karar verme kapasitesinin yoksunluğu olarak açıklanmış; kararla ilgili bilginin anlaşılamaması, karar sürecinde bu bilginin kullanılamaması ve verilecek kararla neden-sonuç ilişkisinin kurulamaması yetersizlik ölçütü olarak belirlenmiştir.…”

Section: Avrupa Bi̇rli̇ği̇'ni̇n "Ruh Sağliği" Poli̇ti̇kalariunclassified

The Significance and Necessity of the National ''Mental Health Act'' from Special to Compulsory Hospitalization: Review

Nesipoğlu¹

2017

Turkiye Klinikleri J Med Ethics

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“…Priebe et al, 2005Priebe et al, & 2008Turner 2005), the inclusion of carers in the treatment and recovery process (while the patient is in hospital) is as important as supporting carers in the community. Historically, psychiatric inpatient settings have been described by Goffman (1968) as 'total institutions' intended to separate the patient from the outside world.…”

Section: Introductionmentioning

confidence: 99%

Creating ‘therapeutic landscapes’ for mental health carers in inpatient settings: A dynamic perspective on permeability and inclusivity

Wood

Curtis

Gesler³

et al. 2013

Social Science & Medicine

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(2013) 'Creating 'therapeutic landscapes' for mental health carers in inpatient settings : a dynamic perspective on permeability and inclusivity.', Social science medicine., 91 . pp. 122-129. Further information on publisher's website:http://dx.doi.org/10. 1016/j.socscimed.2012.09.045 Publisher's copyright statement: NOTICE: this is the author's version of a work that was accepted for publication in Social Science Medicine. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be re ected in this document. Changes may have been made to this work since it was submitted for publication. A de nitive version was subsequently published in Social Science Medicine, 91, 2013Medicine, 91, , 10.1016Medicine, 91, /j.socscimed.2012 Additional information: Use policyThe full-text may be used and/or reproduced, and given to third parties in any format or medium, without prior permission or charge, for personal research or study, educational, or not-for-pro t purposes provided that:• a full bibliographic reference is made to the original source • a link is made to the metadata record in DRO • the full-text is not changed in any way The full-text must not be sold in any format or medium without the formal permission of the copyright holders.Please consult the full DRO policy for further details. Creating 'therapeutic landscapes' for mental health carers in inpatient settings: a dynamic perspective on permeability and inclusivity. Authors and affiliations:Dr ABSTRACT: Although there has been a shift toward treatment in the home and the community, in the UK inpatient facilities are still important in modern mental health care.'Informal carers', including family members, often play an essential role, not only in providing care in the community but also in care of patients during periods of hospitalisation. UK National Health Service policies increasingly consider the position of these carers as 'partners' in the care process, but relatively little attention has been paid to their position within the hospital settings where treatment is provided for inpatients. This paper contributes to geographical work on carers' experiences, by reporting how this issue emerged through a study focused on perceptions of a newly built hospital, compared with the inpatient facilities it replaced. We draw on qualitative research findings from discussion groups and interviews with informal carers. The material considered here focused especially on carers' views of aspects of the hospital environment that were important for wellbeing of carers and the people they look after. The carers' views were supplemented by relevant material drawn from other interviews from our wider study, which included service users and members of hospital staff. These accounts revealed how informal carers experienced the hospital environment; we interpret our findings through a conceptual framework that emphasises carers' experiences of a 'journey' along a 'caring ...

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Mental Health Care Institutions in Nine European Countries, 2002 to 2006

Abstract: The findings suggest an ongoing although not consistent trend toward increasing provision of institutionalized mental health care across Europe.

Cited by 195 publications

References 4 publications

Acute psychiatric inpatient care: A cross-cultural comparison between two hospitals in Germany and Japan

Acute psychiatric inpatient care: A cross-cultural comparison between two hospitals in Germany and Japan

The Significance and Necessity of the National ''Mental Health Act'' from Special to Compulsory Hospitalization: Review

Creating ‘therapeutic landscapes’ for mental health carers in inpatient settings: A dynamic perspective on permeability and inclusivity

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