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Experiencias del ingreso y el tratamiento psiquiátrico de los pacientes ingresados voluntaria y no voluntariamente:una comparación antes y después del cambio de legislación en Suecia

Published online by Cambridge University Press:  12 May 2020

Tuula Wallsten
Affiliation:
Centro para la Investigación Clínica, Universidad de Upsala, Hospital Central, Vasterås, Suecia
Lars Kjellin
Affiliation:
Centro para la Investigación Psiquiátrica, Örebro, Suecia
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Resumen

Objetivo.-

La Ley de Asistencia Mental Obligatoria (LPT) sueca de 1992 pone énfasis en la participación de los pacientes y los familiares en el tratamiento de los pacientes. El propósito de este estudio era comparar las experiencias de los pacientes bajo la LPT con las experiencias de los pacientes conforme a la ley anterior.

Metodo.-

Se entrevistó a muestras de 44 pacientes internados y 40 ingresados voluntariamente en 1991 y 49 pacientes internados y 49 ingresados voluntariamente en 1997/1998 en la admisión y en el alta, o después de tres semanas de asistencia.

Resultados.-

Hubo proporciones similares de pacientes internados e ingresados voluntariamente, respectivamente, en 1991 y 1997/1998 que comunicaron participación en la planificación del tratamiento y participación de los familiares, y que informaron de privación de libertad, pero más pacientes internados en 1997/1998 comunicaron medidas coercitivas.

Conclusion.-

Las experiencias de los pacientes difirieron poco entre las ocasiones de estudio. Los própositos fundamentales de la legislación no se han cumplido.

Type
Artículo original
Copyright
Copyright © European Psychiatric Association 2005

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Footnotes

Wallsten T, Kjellin L. Involuntarily and voluntarily admitted patient's experiences of psychiatric admission and treatment-a comparison before and after changed legislation in Sweden. Eur Psychiatry 2004;19:464-468.

References

Bibliografía

[1] American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4th ed. Washington (DC): APA; 1994.Google Scholar
[2] American Psychiatric Assosiation. Diagnostic and statistical manual of mental disorders. 3rd ed revised. Washington (DC): APA; 1987.Google Scholar
[3]Bagby, RMAtkinson, L. The effects of legislative reform on civil commitment admission rates, A critical analysis. Beh Sci Law 1988; 6: 4561.CrossRefGoogle Scholar
[4]Beck, JCGolowka, EA. A study of Enforced Treatement in Relation to Stone's “Thank you”. Theory, Beh Sci Law 1998; 86: 559-66.Google Scholar
[5]Candefjord, ILLampinen, KÄngfors, G. Patienters upplevelse av akut psyhatrisk vard. (Patient's experiences of short-term inpatient psychiatric care). Soc Med Tidskr 1994; 71: 447-53 [in Swedish].Google Scholar
[6]Eriksson, KWestrin, CG. Coercive measures in psychiatric care. Reports and reactions of patients and other people involved. Acta Psychiatr Scand 1995; 92: 225-30.Google ScholarPubMed
[7]Høyer, G. Compulsorily admitted patient's ability to make use of their legal rights. Int J Law Psychiatry 1986; 6: 585-8.Google Scholar
[8]Høyer, GKjellin, LEngberg, MKaltiala-Heino, RNilstun, TSigurjónsdóttir, M, et al. Paternalism and autonomy. A presentation of a Nordic study on the use of coercion in the mental health care System. Int J Law Psychiatry 2002; 25: 93108.Google ScholarPubMed
[9]Kjellin, LNilstun, T. Medical and social paternalism. Regulation of and attitudes towards compulsory psychiatric care. Acta Psychiatr Scand 1993; 88: 415-9.Google ScholarPubMed
[10]Kjellin, LWestrin, CG. Involuntary admission and coercive measures in psychiatric care. Int J Law Psychiatry 1998; 21: 3142.CrossRefGoogle ScholarPubMed
[11]Kjellin, L. Coercion in Psychiatric Care. Formal and informal-justification and ethic al conflicts. Dissertation Uppsala: Acta Universitatitis Upsaliensis; 1996.Google Scholar
[12]Kjellin, L. Compulsory psychiatric care in Sweden 1979-1993. Prevalence of comitted patients, discharge rates and area variation. Soc Psychiatry Psychiatr Epidemiol 1997; 32: 90-6.CrossRefGoogle ScholarPubMed
[13] LPT. Lagen om psykiatrisk vård (The Compulsory Psychiatric Care Act). Stockholm: Allmanna råd från Socialstyrelsen; 1991:10 [in Swedish].Google Scholar
[14] LRV. Lagen om rattspsykiatrisk vård (The Forensic Psychiatric Care Act). Stockholm: Allmanna råd från Socialstyrelsen; 1991:10 [in Swedish],Google Scholar
[15] LSPV. Lag om ändring i lagen (1966:293) om beredande av sluten psykiatrisk vård i vissa fall. (The Compulosory Mental Care (Certain cases) Act). Svensk författningssamling 1982; 782: 10[in Swedish].Google Scholar
[16]Monahan, JHoge, SKLidz, CRoth, LBennett, NGardner, W, et al. Coercion and commitment. Understanding Involuntary Mental Hospital Admission. Int J Law Psychiatry 1995; 18: 249-63.CrossRefGoogle ScholarPubMed
[17]Overall, JEGorham, DR. The Brief Psychiatrie Rating Scale. Psychol Rep 1962; 10: 799812.CrossRefGoogle Scholar
[18]Poulsen, HD. The prevalence of extralegal deprivation of liberty in a psychiatric hospital population. Int J Law Psychiatry 2002; 25: 2936.CrossRefGoogle Scholar
[19]Rogers, A. Coercion and “voluntary” admission. Beh Sci Law 1993; 11: 259-67.CrossRefGoogle Scholar
[20]Silferhielm, HKamis-Gould, E. The Swedish Mental Health System. Int J Law Psychiatry 2000; 34: 293307.CrossRefGoogle Scholar
[21] Socialstyrelsen. Effekter av ändongar i de psykiatriska tvångsvårdslagarna. (Effects of changes of the compulsory psychiatrie care aets.) Stockholm: Socialstyrelsen; 2001 [in Swedish],Google Scholar
[22] Socialstyrelsen. Valfard och valfrihet? (Welfare and freedom of choice?). Final report from the evaluation of the 1995 Mental Health Care reform. Stockholm: Socialstyrelsen; 1999 [in Swedish. Summary in English],Google Scholar
[23]Westrin, CG. Strategies implimented but goals not attained. Scand J Soc Med 1991; 19: 53-6.CrossRefGoogle Scholar