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How to improve clinical practice on involuntary hospital admissions of psychiatric patients: Suggestions from the EUNOMIA study

Published online by Cambridge University Press:  16 April 2020

A. Fiorillo ,
C. De Rosa ,
V. Del Vecchio ,
L. Jurjanz ,
K. Schnall ,
G. Onchev ,
S. Alexiev ,
J. Raboch ,
L. Kalisova  and
A. Mastrogianni
...Show all authors
A. Fiorillo*
Affiliation:
Department of Psychiatry, University of Naples SUN, Largo Madonna delle Grazie, Naples, Italy
C. De Rosa
Affiliation:
Department of Psychiatry, University of Naples SUN, Largo Madonna delle Grazie, Naples, Italy
V. Del Vecchio
Affiliation:
Department of Psychiatry, University of Naples SUN, Largo Madonna delle Grazie, Naples, Italy
L. Jurjanz
Affiliation:
Department of Psychiatry and Psychotherapy, Dresden University of Technology, Dresden, Germany
K. Schnall
Affiliation:
Department of Psychiatry and Psychotherapy, Dresden University of Technology, Dresden, Germany
G. Onchev
Affiliation:
Department of Psychiatry, Medical University of Sofia, Sofia, Bulgaria
S. Alexiev
Affiliation:
Department of Psychiatry, Medical University of Sofia, Sofia, Bulgaria
J. Raboch
Affiliation:
Department of Psychiatry, 1st Faculty of Medicine, Charles University, Prague, Czech Republic
L. Kalisova
Affiliation:
Department of Psychiatry, 1st Faculty of Medicine, Charles University, Prague, Czech Republic
A. Mastrogianni
Affiliation:
Psychiatric Hospital, Thessaloniki, Greece
E. Georgiadou
Affiliation:
Psychiatric Hospital, Thessaloniki, Greece
Z. Solomon
Affiliation:
School of Social Work and Geha Mental Health Center, University of Tel Aviv, Tel Aviv, Israel
A. Dembinskas
Affiliation:
Psychiatric Clinic, Vilnius Mental Health Centre, University of Vilnius, Vilnius, Lithuania
V. Raskauskas
Affiliation:
Psychiatric Clinic, Vilnius Mental Health Centre, University of Vilnius, Vilnius, Lithuania
P. Nawka
Affiliation:
Psychiatric Hospital, Michalovce, Slovak Republic
A. Nawka
Affiliation:
Department of Psychiatry, 1st Faculty of Medicine, Charles University, Prague, Czech Republic
A. Kiejna
Affiliation:
Department of Psychiatry, Medical University, Wroclaw, Poland
T. Hadrys
Affiliation:
Department of Psychiatry, Medical University, Wroclaw, Poland
F. Torres-Gonzales
Affiliation:
Centro de Investigación Biomedica en Red de Salud Mental (CIBERSAM), University of Granada, Spain and Hospital Regional Carlos Haya, Malaga, Spain
F. Mayoral
Affiliation:
Centro de Investigación Biomedica en Red de Salud Mental (CIBERSAM), University of Granada, Spain and Hospital Regional Carlos Haya, Malaga, Spain
A. Björkdahl
Affiliation:
Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden
L. Kjellin
Affiliation:
School of Health and Medical Sciences, Psychiatric Research Centre, Örebro University, Örebro, Sweden
S. Priebe
Affiliation:
Unit for Social and Community Psychiatry, Barts’ and the London School of Medicine and Dentistry, Queen Mary College, University of London, United Kingdom
M. Maj
Affiliation:
Department of Psychiatry, University of Naples SUN, Largo Madonna delle Grazie, Naples, Italy
T. Kallert
Affiliation:
Department of Psychiatry and Psychotherapy, Dresden University of Technology, Dresden, Germany Park Hospital Leipzig, Department of Psychiatry, Psychosomatic Medicine, and Psychotherapy, Leipzig & Soteria Hospital Leipzig, Leipzig & Faculty of Medicine, Dresden University of Technology, Dresden, Germany
*
* Corresponding author Tel.: +390815666531; fax: +390815666523. E-mail address: anfioril@tin.it (A. Fiorillo).
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Abstract

Number and procedures of involuntary hospital admissions vary in Europe according to the different socio-cultural contexts. The European Commission has funded the EUNOMIA study in 12 European countries in order to develop European recommendations for good clinical practice in involuntary hospital admissions. The recommendations have been developed with the direct and active involvement of national leaders and key professionals, who worked out national recommendations, subsequently summarized into a European document, through the use of specific categories. The need for standardizing the involuntary hospital admission has been highlighted by all centers. In the final recommendations, it has been stressed the need to: providing information to patients about the reasons for hospitalization and its presumable duration; protecting patients’ rights during hospitalization; encouraging the involvement of family members; improving the communication between community and hospital teams; organizing meetings, seminars and focus-groups with users; developing training courses for involved professionals on the management of aggressive behaviors, clinical aspects of major mental disorders, the legal and administrative aspects of involuntary hospital admissions, on communication skills. The results showed the huge variation of involuntary hospital admissions in Europe and the importance of developing guidelines on this procedure.

Keywords

Ethics and human rightsPsychiatry in EuropeQuality of care
Type
Original article
Information
European Psychiatry , Volume 26 , Issue 4 , May 2011 , pp. 201 - 207
Copyright
Copyright © Elsevier Masson SAS 2011

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