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Changing aspects of psychiatric inpatient treatment

Published online by Cambridge University Press:  16 April 2020

Hans Rittmannsberger ,
Norman Sartorius ,
Mihaela Brad ,
Victoria Burtea ,
Nora Capraru ,
Pavel Cernak ,
Mojca Dernovçek ,
Ionescu Dobrin ,
Rosa Frater  and
Jozef Hasto
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Hans Rittmannsberger*
Affiliation:
OÖ Landes-Nervenklinik Wagner-Jauregg, Linz, Austria
Norman Sartorius
Affiliation:
Geneva, Switzerland
Mihaela Brad
Affiliation:
Spital Municipal Arad, Sectie Clinica de Psihiatrie, Arad, Romania
Victoria Burtea
Affiliation:
Psychiatric Hospital Nr. 1-2, Brasov, Brasov, Romania
Nora Capraru
Affiliation:
“Prof. Dr. Alexandru Obregia” Psychiatric Hospital, Bucharest, Romania
Pavel Cernak
Affiliation:
Psychiatricka nemocnica Philippa Pinela, Pezinok, Slovakia
Mojca Dernovçek
Affiliation:
University Psychiatric Hospital, Ljubljana, Slovenia
Ionescu Dobrin
Affiliation:
Spitalul de Psihiatrie “Voila Campina”, Campina, Romania
Rosa Frater
Affiliation:
National Institut of Psychiatry and Neurology, Budapest, Hungary
Jozef Hasto
Affiliation:
Department of Psychiatry, General Hospital, Trencín, Slovakia
Mieta Hategan
Affiliation:
Hospital of Psychiatry Gataia, Gataia, Romania
Manfred Haushofer
Affiliation:
Sozialmedizinisches Zentrum Ost, Psychiatrische Abteilung, Vienna, Austria
J. Kafka
Affiliation:
Department of Psychiatry UPJS, Kosice, Slovakia
Siegfried Kasper
Affiliation:
Universität Wien, Klinische Abteilung für allgemeine Psychiatrie, Vienna, Austria
Rodica Macrea
Affiliation:
Psychiatric Clinic, Cluj-Napoca, Romania
Ludvik Nabelek
Affiliation:
Department of Psychiatry, F.D. Roosevelt Hospital, Banská Bystrica, Slovakia
Peter Nawka
Affiliation:
Psychiatricka nemocnica Michalovce, Michalovce, Slovakia
Vladimir Novotny
Affiliation:
Psychiatric University Clinic, Bratislava, Austria
Thomas Platz
Affiliation:
Landeskrankenhaus Klagenfurt, Zentrum für seelische Gesundheit, Klagenfurt, Austria
Adela Pojar
Affiliation:
“Gheorge Marinescu” Clinical Hospital, Bucharest, Romania
Christoph Silberbauer
Affiliation:
Landeskrankenhaus Gmundnerberg, Psychiatrische Abteilung, Gmunden, Austria
Sandor Fekete
Affiliation:
University of Pécs, Department of Psychiatry, Pécs, Hungary
Johannes Wancata
Affiliation:
Universität Wien, Klinische Abteilung für Sozialpsychiatrie, Vienna, Austria
Elmar Windhager
Affiliation:
Psychiatrische Klinik Wels, Wels, Austria
Hans-Georg Zapotoczky
Affiliation:
Universitätsklinik für Psychiatrie, Graz, Austria
Robert Zöchling
Affiliation:
Landesnervenklinik Mauer, Mauer/Amstetten, Austria
*
*Corresponding author. Email address: hans.rittmannsberger@gespag.at
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Abstract

This paper presents data obtained in a one-day census investigation in five European countries (Austria, Hungary, Romania, Slovakia, Slovenia). The census forms were filled in for 4191 psychiatric inpatients. Concerning legal status, 11.2% were hospitalised against their will (committed) and 21.4% were treated in a ward with locked doors. There was only a small correlation between commitment and treatment in a locked ward. More frequent than treatment of committed patients in locked wards was treatment of committed patients in open wards (Austria, Hungary) and treatment of voluntary patients in closed wards (Slovakia, Slovenia). Concerning employment, 27.7% of patients aged 18–60 held a job before admission. The vast majority of patients (84.8%) had a length of stay of less than 3 months. A comparison of these data with the results of a study performed in 1996 and using the same method shows a decrease of rates of long-stay patients. In 1996 the rates of employment were significantly higher in Romania (39.3%) and Slovakia (42.5%) compared to Austria (30.7%). These differences disappeared in 1999 due to decreasing rates of employment in Romania and Slovakia. The numbers of mental health personnel varies between types of institution (university or non-university) and countries, being highest in Austria and lowest in Romania. A considerable increase in the numbers of staff was found in Slovakia.

Keywords

Psychiatric inpatientsEmploymentLength of stayCare giversCommitmentLocked ward
Type
Original article
Information
European Psychiatry , Volume 19 , Issue 8 , December 2004 , pp. 483 - 488
Copyright
Copyright © European Psychiatric Association 2004

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References

Adler, NMueller, GO.Psychiatry under tyranny: a report on the political abuse of Romanian psychiatry during the Ceaus¸escu years. Curr Psychol 1993;12:3–17.CrossRefGoogle Scholar
Aggermaes, H.Psychiatric legislation in Europe. Survey for the UEMS Section of Psychiatry. London: The Royal College of Psychiatrists; 1994.Google Scholar
Cording, CGaebel, WSpengler, A.Die neue psychiatrische Basisdo-kumentation. Eine Empfehlung der DGPPN zur Qualitätssicherung im (teil-)stationärem Bereich. Spektrum der Psychiatrie und Nerven-heilkunde 1995;24:3–41.Google Scholar
Cording, CGaspar, M.DGPPN-Empfehlung zur psychiatrischen Basisdokumentation (BADO). Nervenarzt 1997;68:930–1.Google Scholar
Haug, HJRoessler, W.Deinstitutionalization of psychiatric patients in Central Europe. Eur Arch Psychiatry Clin Neurosci 1999;249:115–22.CrossRefGoogle ScholarPubMed
Hofmann, G.Psychiatric/psychosocial care in various countries of Central, Central-East and Eastern Europe. Psychiatria Danubina 1997;9:3–25.Google Scholar
Hofmann, GBaudis, PDarovec, J, et al. Research study on follow-up changes of psychiatric/psychosocial care in different European countries, with specific reference to middle and middle-east Europe. Report of the task force nominated by the Danubian Psychiatric Association; 2004 [In press].Google Scholar
Katschnig, HLadinser, EScherer, MSonneck, GWancata, J.Österre-ichischer Psychiatriebericht 2001, Teil 1. Bundesministerium für soziale Sicherheit und Generationen, Wien 2001.Google Scholar
König, P.Die Unterbringungsgesetzgebung in Europa (Psychiatric commitment laws in Europe and Austria—an overview). Neuropsychiatrie 2000;14:183–90.Google Scholar
Krautgartner, MScherer, MKatschnig, H.Psychiatrische Krankenhaustage: Wer konsumiert die meisten? (Days in psychiatric hospitals: who consumes most of them? A five years record linkage study of “heavy users” in an Austrian Province). Psychiatr Prax 2002;29:355–63.Google Scholar
Pisztora, F.The consideration and execution of the principles of no restraint and open door strategies in Hungarian psychiatry. Orvostort Közl 1994;40:29–53.Google ScholarPubMed
Rogers, A.Report reveals extent of abuse in Romania’s psychiatric hospitals. Lancet 1998;351:656.CrossRefGoogle ScholarPubMed
Rössler, WSalize, HJBiechele, URiecher-Rössler, A.Stand und Entwicklung der psychiatrischen Versorgung (Psychiatric care in Europe—an update). Nervenarzt 1994;65:427–37.Google Scholar
Schanda, HOrtwein-Swoboda, GKnecht, GGruber, K.The situation of forensic psychiatry in Austria. Setback or progress? Int J Law Psychiatry 2000;23:481–92.CrossRefGoogle ScholarPubMed
Schanda, H.Die Versorgung psychisch Kranker zur Jahrtausend-wende—ein Weg in die 2-Klassen-Psychiatrie? (Mental health care at the turn of the millennium—on the way towards a two-class psychiatry). Fortschr Neurol Psychiatr 2001;69:195–202.CrossRefGoogle Scholar
Svab, VTomori, M.Mental health services in Slovenia. Int J Soc Psychiatry 2002;48:177–88.CrossRefGoogle ScholarPubMed
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