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Compulsory admission of mentally ill patients in European Union Member States

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Abstract.

Background and aims:

A standardised and systematic analysis of commitment laws in the European Union Member States is still missing. This study aimed at gathering, describing and analysing information on the differences or similarities of legal frameworks for involuntary placement and treatment of mentally ill patients across the European Union Member States.

Method:

Information was gathered by means of a detailed questionnaire filled in by experts from all EU Member States. Legal criteria for compulsory admission and details of the assessment and decision process of compulsory admission are outlined.

Results:

Although common patterns among Member States can be identified upon comparison of crucial legislative or procedural details, these patterns are far from being consistent across all analysed items or approaches. With regard to compulsory admission quotas no significant influence of legal commitment criteria and the involvement of judicial authorities could be found, but Member States with an obligatory inclusion of a legal representative during the commitment procedure showed significantly lower compulsory admission quotas.

Conclusions:

Results of this study show the strong necessity for further research in this field. Common international health reporting standards as annually updated involuntary placement rates detailed for regular and emergency cases seem to be essential.

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References

  1. Appelbaum PS (1997) Almost a Revolution: An International Perspective on the Law of Involuntary Commitment. J Am Acad Psychiatry Law 25:135–147

    CAS  PubMed  Google Scholar 

  2. European Committee for the Prevention of Torture and Inhuman or Degrading Treatment or Punishment (1998) 8th General Report on the Cpt’s covering the period 1 January to 31 December 1997. http://www.cpt.coe.int/en/annual/rep-08.htm

  3. European Convention for the Protection of Human Rights and Fundamental Freedom (1950) http://conventions.coe.int/Treaty/EN/cadreprincipal.htm

  4. European Court of Human Right (1981) Winterwerp-Case http://hudoc.echr.coe.int/hudoc

  5. Faulkner LR, McFarland BH, Bloom JD (1989) An Empirical Study of Emergency Commitment. Am J Psychiatry 146:182–186

    Article  CAS  PubMed  Google Scholar 

  6. Gendreau C (1997) The Rights of Psychiatric Patients in the Light of the Principles Announced by the United Nations. Int J Law Psychiatry 20:259–278

    Article  CAS  PubMed  Google Scholar 

  7. Harding TW, Curran WJ (1979) Mental Health Legislation and its Relationship to Program Development. Harvard J Legislation 16:19–58

    Google Scholar 

  8. Harding TW (1989) The Application of The European Convention of Human Rights to the Field of Psychiatry. Int J Law Psychiatry 12:245–262

    Article  CAS  PubMed  Google Scholar 

  9. Harding TW (2000) Human rights law in the field of mental health: a critical review. Acta Psychiatr Scand 101:24–30

    Article  Google Scholar 

  10. Hoge SK, Appelbaum PS, Greer A (1989) An Empirical Comparison of the Stone and Dangerousness Criteria for Civil Commitment. Am J Psychiatry 146:170–175

    Article  CAS  PubMed  Google Scholar 

  11. Hoyer G (2000) On the justification for civil commitment. Acta Psychiatr Scand 399(Suppl):65–71

    Article  CAS  Google Scholar 

  12. Phelan C, Link BG (1998) The growing belief that people with mental illness are violent: The role of the dangerousness criterion for civil commitment. Psychiatry Psychiatr Epidemiol 33:7–12

    Article  Google Scholar 

  13. Riecher-Rössler A, Rössler W (1993) Compulsory admission of psychiatric patients—an international comparison. Acta Psychiatr Scand 87:231–236

    Article  PubMed  Google Scholar 

  14. Rosenman S (1998) Psychiatrists and compulsion: a map of ethics. Aust N Z J Psychiatry 32:785–793

    Article  CAS  PubMed  Google Scholar 

  15. Salize HJ, Dreßing H (2004) Epidemiology of Involuntary Placements of Mentally Ill across the European Union. Br J Psychiatry 184(2):163–168

    Article  PubMed  Google Scholar 

  16. Salize HJ, Dreßing H, Peitz M (2002) Compulsory Admission and Involuntary Treatment of Mentally Ill Patients Legislation and Practice in EU-Member States http://europa.eu.int/comm/health/ph_projects/2000/promotion/fp_promotion_2000_frep_08_en.pdf

  17. Segal SP, Laurie TA, Segal MJ (2001) Factors in the Use of Coercive Retention in Civil Commitment Evaluations in Psychiatric Emergency Services. Psychiatr Serv 52:514–520

    Article  CAS  PubMed  Google Scholar 

  18. Spengler A (1994) Sofortige zwangsweise Unterbringungen in der Bundesrepublik Deutschland, 1991–1992: Erste Ergebnisse. Psychiatrische Praxis 21:118–120

    CAS  PubMed  Google Scholar 

  19. Steadman HJ, Gounis K, Dennis D (2001) Assessing the New York City involuntary outpatient commitment pilot program. Psychiatr Serv 52:330–336

    Article  CAS  PubMed  Google Scholar 

  20. Swartz MS, Swanson JW, Hiday VA (2001) A randomized controlled trial of outpatient commitment in North Carolina. Psychiatr Serv 52:325–329

    Article  CAS  PubMed  Google Scholar 

  21. Zinkler M, Priebe S (2002) Detention of the mentally ill in Europe-a review. Acta Psychiatr Scand 106:3–8

    Article  PubMed  Google Scholar 

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Correspondence to Harald Dressing.

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Dressing, H., Salize, H.J. Compulsory admission of mentally ill patients in European Union Member States. Soc Psychiatry Psychiatr Epidemiol 39, 797–803 (2004). https://doi.org/10.1007/s00127-004-0814-9

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  • DOI: https://doi.org/10.1007/s00127-004-0814-9

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