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Psychiatr Prax. 2004 Nov;31 Suppl 1:S18-20.

[Recording and reducing coercive measures in psychiatric hospitals].

[Article in German]

Author information

1
Zentrum für Psychiatrie Weissenau, Abt. Psychiatrie I der Universität Ulm. tilman.steinert@zfp-weissenau.de

Abstract

OBJECTIVE:

A project of quality management funded by the German Ministry of Health is presented which aims at recording and reducing of coercive measures (seclusion, restraint, forced medication).

METHOD:

Since 1997, a study group for prevention of violence and coercion consisting of physicians, nurses and other psychiatric professionals from 18 psychiatric hospitals is working in Baden-Wuerttemberg and Bayern. A common documentation of coercive measures has been introduced, variables of interest such as percentage of patients exposed to coercive measures in each principal diagnostic group of the ICD-10 have been defined for purposes of benchmarking. Aims of the project are 1) a complete documentation of all coercive measures in 12 psychiatric hospitals in a 12-month period and a benchmarking, taking into account structural characteristics of the hospitals and the respective catchment area, 2) providing a manual for a one-day de-escalation training for all professional groups working with psychiatric patients.

PRELIMINARY RESULTS:

A pilot study demonstrated that about 9 % of all admitted patients have been exposed to coercive measures in a subset of the participating hospitals. The variance between the hospitals was rather high.

PMID:
15570489
DOI:
10.1055/s-2004-828420
[Indexed for MEDLINE]
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