Compulsory admissions of patients with mental disorders: State of the art on ethical and legislative aspects in 40 European countries

D. Wasserman; G. Apter; C. Baeken; S. Bailey; J. Balazs; C. Bec; P. Bienkowski; J. Bobes; M. F Bravo Ortiz; H. Brunn; Ö. Bôke; N. Camilleri; B. Carpiniello; J. Chihai; E. Chkonia; P. Courtet; D. Cozman; M. David; G. Dom; A. Esanu; P. Falkai; W. Flannery; K. Gasparyan; G. Gerlinger; P. Gorwood; O. Gudmundsson; C. Hanon; A. Heinz; M. J Heitor dos Santos; A. Hedlund; F. Ismayilov; N. Ismayilov; E. T Isometsä; L. Izakova; A. Kleinberg; T. Kurimay; S. Klæbo Reitan; D. Lecic-Tosevski; A. Lehmets; N. Lindberg; K. A Lundblad; G. Lynch; C. Maddock; U.F. Malt; L. Martin; I. Martynikhin; N. O Maruta; F. Matthys; R. Mazaliauskiene; G. Mihajlovic; A. Mihaljevic Peles; V. Miklavic; P. Mohr; M. Munarriz Ferrandis; M. Musalek; N. Neznanov; G. Ostorharics-Horvath; I. Pajević; A. Popova; P. Pregelj; E. Prinsen; C. Rados; A. Roig; M Rojnic Rojnic Kuzman; J. Samochowiec; N. Sartorius; Y. Savenko; O. Skugarevsky; E. Slodecki; A. Soghoyan; D. S Stone; R. Taylor-East; E. Terauds; C. Tsopelas; C. Tudose; S. Tyano; P. Vallon; R. J van Der Gaag; P. Varandas; L. Vavrusova; P. Voloshyn; J. Wancata; J. Wise; Z. Zemishlany; F. Öncü; S. Vahip

doi:10.1192/j.eurpsy.2020.79

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Compulsory admissions of patients with mental disorders: State of the art on ethical and legislative aspects in 40 European countries

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Compulsory admissions of patients with mental disorders: State of the art on ethical and legislative aspects in 40 European countries

D. Wasserman, G. Apter, C. Baeken, S. Bailey, J. Balazs, C. Bec, P. Bienkowski, J. Bobes, M. F Bravo Ortiz, H. Brunn, …

European Psychiatry, Vol.63(1)

24/08/2020

DOI: https://doi.org/10.1192/j.eurpsy.2020.79

PMCID: PMC7576531

PMID: 32829740

Abstract

Awareness

European Psychiatric Association (EPA)

National Psychiatric Associations (NPAs)

communication

compulsory admission

education

ethics and human rights

involuntary admission

legal model

medical model

psychiatry in Europe

stigma

Coercion

Commitment of Mentally Ill

Europe

Hospitalization

Humans

Mental Disorders

Surveys and Questionnaires

Abstract Background. Compulsory admission procedures of patients with mental disorders vary between countries in Europe. The Ethics Committee of the European Psychiatric Association (EPA) launched a survey on involuntary admission procedures of patients with mental disorders in 40 countries to gather information from all National Psychiatric Associations that are members of the EPA to develop recommendations for improving involuntary admission processes and promote voluntary care. Methods. The survey focused on legislation of involuntary admissions and key actors involved in the admission procedure as well as most common reasons for involuntary admissions. Results. We analyzed the survey categorical data in themes, which highlight that both medical and legal actors are involved in involuntary admission procedures. Conclusions. We conclude that legal reasons for compulsory admission should be reworded in order to remove stigmatization of the patient, that raising awareness about involuntary admission procedures and patient rights with both patients and family advocacy groups is paramount, that communication about procedures should be widely available in lay-language for the general population, and that training sessions and guidance should be available for legal and medical practitioners. Finally, people working in the field need to be constantly aware about the ethical challenges surrounding compulsory admissions.

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Title: Compulsory admissions of patients with mental disorders: State of the art on ethical and legislative aspects in 40 European countries
Creators - without role: D. Wasserman - Karolinska Institutet
G. Apter - Université de Rouen Normandie
C. Baeken - Ghent University
S. Bailey - University of Central Lancashire
J. Balazs - Eötvös Loránd University
C. Bec - Karolinska Institutet
P. Bienkowski - Medical University of Warsaw
J. Bobes - Universidad de Oviedo
M. F Bravo Ortiz - Hospital Universitario La Paz
H. Brunn - Danish Diabetes Association
Ö. Bôke - Ondokuz Mayıs University
N. Camilleri - University of Malta
B. Carpiniello - University of Cagliari
J. Chihai - Nicolae Testemițanu State University of Medicine and Pharmacy
E. Chkonia - Tbilisi State Medical University
P. Courtet - Université de Montpellier
D. Cozman - Romanian Society of Nephrology
M. David
G. Dom - University of Antwerp
A. Esanu
P. Falkai - Deutsche Gesellschaft für Psychoanalyse, Psychotherapie, Psychosomatik und Tiefenpsychologie
W. Flannery - Mater Misericordiae University Hospital
K. Gasparyan - Yerevan State Medical University
G. Gerlinger - Deutsche Gesellschaft für Psychoanalyse, Psychotherapie, Psychosomatik und Tiefenpsychologie
P. Gorwood - Institut de Psychiatrie et Neurosciences de Paris
O. Gudmundsson - National University Hospital of Iceland
C. Hanon - Hôpital Corentin-Celton
A. Heinz - Charité - Universitätsmedizin Berlin
M. J Heitor dos Santos - University of Lisbon
A. Hedlund - Stockholm Health Care Services
F. Ismayilov - National Nuclear Research Center
N. Ismayilov - Azerbaijan Medical University
E. T Isometsä - University of Helsinki
L. Izakova - Comenius University Bratislava
A. Kleinberg - Tallinn Health Care College
T. Kurimay - Semmelweis University
S. Klæbo Reitan - Norwegian University of Science and Technology
D. Lecic-Tosevski - Association for Regional Development and Mental Health
A. Lehmets - East Tallinn Central Hospital
N. Lindberg - Helsinki University Hospital
K. A Lundblad - Swedish Medical Association
G. Lynch - Royal College of Psychiatrists
C. Maddock - Royal College of Psychiatrists
U.F. Malt - Norwegian Medical Association
L. Martin - Midland Regional Hospital Mullingar
I. Martynikhin - First Pavlov State Medical University of St. Petersburg
N. O Maruta - Institute of Neurology, Psychiatry and Narcology
F. Matthys - Universitair Ziekenhuis Brussel
R. Mazaliauskiene - Lithuanian University of Health Sciences
G. Mihajlovic - University of Kragujevac
A. Mihaljevic Peles - University Hospital Centre Zagreb
V. Miklavic - Ljubljana University Medical Centre
P. Mohr - Charles University
M. Munarriz Ferrandis
M. Musalek - Sigmund Freud University Vienna
N. Neznanov
G. Ostorharics-Horvath - Hungarian Astronomical Association
I. Pajević - University Clinical Center Tuzla
A. Popova
P. Pregelj - University of Ljubljana
E. Prinsen
C. Rados
A. Roig
M Rojnic Rojnic Kuzman - University Hospital Centre Zagreb
J. Samochowiec - Institute of Criminology of the Polish Forensic Association
N. Sartorius - The Geneva Association
Y. Savenko - Independent University of Moscow
O. Skugarevsky - Belarusian State Academy of Arts
E. Slodecki - Royal College of Psychiatrists
A. Soghoyan - Psychiatric Medical Center
D. S Stone - Karolinska Institutet
R. Taylor-East - University of Malta
E. Terauds - Riga Stradiņš University
C. Tsopelas - General Hospital of Attica
C. Tudose - Romanian Society of Nephrology
S. Tyano
P. Vallon
R. J van Der Gaag
P. Varandas - Instituto do Coração
L. Vavrusova
P. Voloshyn - Kharkiv Medical Academy of Postgraduate Education
J. Wancata - Medical University of Vienna
J. Wise - Central and North West London NHS Foundation Trust
Z. Zemishlany - Israel Medical Association
F. Öncü - Bakırköy Psychiatric Hospital
S. Vahip - Ege University
Publication Details: European Psychiatry, Vol.63(1)
Identifiers: 9936983009311
Academic Unit: Institut de Génomique Fonctionnelle - IGF
Language: English
Resource Type: Journal article
Local Fields: hal-03355759