Regional psychiatric boards in Israel: Expectations and realities

Bauer, Arie; Rosca, Paola; Grinshpoon, Alex; Khawalled, Razak; Mester, Roberto

doi:10.1016/j.ijlp.2003.09.013

Cited by 5 publications

(3 citation statements)

References 6 publications

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“…As per Israeli legislation (Law on the Treatment of the Mentally Ill, 1991), the Regional Psychiatric Board constitutes one of the chief instruments in monitoring of compulsory hospitalization, compulsory outpatient treatment, and the quality of all inpatient care of the mentally ill (22).…”

Section: Use Of Alcohol and Drugsmentioning

confidence: 99%

Revolving-door Patients in Public Psychiatric Hospital in Israel: Cross Sectional Study

et al. 2009

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AIM. To study social, demographic, clinical, and forensic profiles of frequently re-hospitalized (revolving-door) psychiatric patients. METHODS. The study included all patients (n=183) who were admitted to our hospital 3 or more times during a 2-year period from 1999 through 2000. We compared these patients to 2 control groups of patients who were admitted to our hospital in the same period. For comparison of forensic data, we compared them with all non revolving-door patients (n=1056) registered in the computerized hospital database and for comparison of medical and clinical data we compared them with a random sample of non revolving-door patients (n=98). The sample was sufficiently large to yield high statistical power (above 98%). We collected data on the legal status of the hospitalizations (voluntary or involuntary) and social, demographic, clinical, and forensic information from the forensic and medical records of revolving-door and non revolving-door patients. RESULTS. In the period 1999-2000, 183 revolving-door patients accounted for 771 (37.8%, 4.2 admissions per patient) and 1056 non revolving-door patients accounted for 1264 (62.5%, 1.2 admissions per patient) of the 2035 admissions to our hospital. Involuntary hospitalizations accounted for 23.9% of revolving-door and 76.0% of non revolving-door admissions. Revolving-door patients had significantly shorter mean interval between hospitalizations, showed less violence, and were usually discharged contrary to medical advice. We found no differences in sex, marital status, age, ethnicity, diagnoses, illegal drug and alcohol use, or previous suicide-attempts between the groups. CONCLUSIONS. Revolving-door patients are not necessarily hospitalized for longer time periods and do not have more involuntarily admissions. The main difference between revolving-door and non revolving-door patients is greater self-management of the hospitalization process by shortening the time between voluntary re-admission and discharge against medical advice.

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Section: Use Of Alcohol and Drugsmentioning

confidence: 99%

Revolving-door Patients in Public Psychiatric Hospital in Israel: Cross Sectional Study

et al. 2009

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“…The District Psychiatric Board (DPB) reviews all involuntary commitments, both in the civil and criminal pathway. The DPB is entitled to decide whether extending or not the involuntary hospitalization in the civil pathway and to rule on matters of leave, hospitalization extension or discharge in the criminal pathway [2].…”

Section: Introductionmentioning

confidence: 99%

“…Despite its importance, the LR of mentally ill patients committed under a Compulsory Admission Order remains an understudied issue [2]. For example, it has not become clear yet whether the routine practice of LR in psychiatric hospitals has any impact on nurses' knowledge of human rights in general and on their attitudes towards an individual patient civil rights.…”

Section: Introductionmentioning

confidence: 99%

Changes in psychiatric nurse attitudes towards legal representation of inpatients at District Psychiatric Board hearings in Israel: a pilot study

Grinshpoon¹,

Khawaled²,

Levy³

et al. 2011

OJPsych

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Aims: To compare the initial attitudes of nurses and other professional groups in a psychiatric hospital towards the legal representation (LR) of involuntary admitted psychiatric patients before District Psychiatric Boards (DPB), and to assess how these attitudes changed after LR had become an everyday routine practice in the hospital. Background: LR of hospitalized psychiatric patients before DPB has been introduced into mental health system worldwide, including Israel. Attitudes of psychiatric staff towards LR and their changes over time are a very important –though unstudied issue. Methods: Thirty seven psychiatric nurses employed in the Tirat Carmel Mental Health Center, Israel and 30 other mental health professionals (comparison group) completed the Attitudes to Legal Representation Questionnaire before LR has been instituted in the Center (November 1, 2006) and one year later. Baseline differences between the groups were tested using one-way ANOVA, and prepost differences in the attitude scores were tested by paired t-tests. Results: Baseline psychiatric nurses attitudes towards LR were significantly more negative than those of the comparison group [F67,3 = 6.87, p < 0.0001], but they significantly improved over the study period (t37 = 2.56, p = 0.015). Conclusion: Yearlong, routine exposure to the LR of involuntarily admitted psychiatric patients may attenuate negative nurse beliefs and attitudes towards LR of such patients at DPB hearings. The more positive attitudes may enhance the nurses’ ability to present information about patients without jeopardizing their human and civil rights, and help patients to attain a greater sense of control over their illness management and satisfaction with the services received

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Assessment of health needs, satisfaction with care, and quality of life in compulsorily admitted patients with severe mental disorders

Ritsner

Farkash

Rauchberger

et al. 2018

Psychiatry Research

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Regional psychiatric boards in Israel: Expectations and realities

Cited by 5 publications

References 6 publications

Revolving-door Patients in Public Psychiatric Hospital in Israel: Cross Sectional Study

Revolving-door Patients in Public Psychiatric Hospital in Israel: Cross Sectional Study

Changes in psychiatric nurse attitudes towards legal representation of inpatients at District Psychiatric Board hearings in Israel: a pilot study

Assessment of health needs, satisfaction with care, and quality of life in compulsorily admitted patients with severe mental disorders

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