Use of Compulsory Treatment by Early-Career Psychiatrists : An International Survey

OBJECTIVE: The United Nations Convention on the Rights of Persons with Disabilities (UN CRPD) has been broadly incorporated into national frameworks for compulsory psychiatric treatment. Recently, instructions issued by the UN CRPD Committee discouraged any involuntary treatment and detention of people with mental disabilities, which has sparked clinical, legal, and ethical debates. Early-career psychiatrists (ECPs) are often at the front line of decisions to involuntarily detain psychiatric patients; here, the authors surveyed ECPs to gain insight into their experiences with compulsory psychiatric treatment in clinical practice.

METHODS: An anonymous, voluntary, online survey among ECPs from 43 countries was conducted between July and August 2019.

RESULTS: In total, 142 ECPs completed and were eligible to participate in the survey. Most of the survey respondents reported being involved in the practice of compulsory psychiatric care. More than half reported difficulties in providing compulsory psychiatric care, mostly because of the bureaucracy of legal procedures (e.g., legal correspondence with the court) and ethical issues around detention. Most respondents (96%) generally agreed with their country's legal mechanism for compulsory treatment; 43% indicated that it should remain unchanged, and 53% indicated that it should be revised.

CONCLUSIONS: These findings call for a broader discussion in society and among psychiatrists regarding the practice of compulsory treatment while giving due consideration to the legal, therapeutic, and ethical issues involved. The views of ECPs will be helpful in future revisions of the ethical and operational frameworks of compulsory psychiatric care.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:72

Enthalten in:

Psychiatric services (Washington, D.C.) - 72(2021), 11 vom: 01. Nov., Seite 1276-1281

Sprache:

Englisch

Beteiligte Personen:

Chumakov, Egor [VerfasserIn]
Petrova, Nataliia [VerfasserIn]
Vadivel, Ramya [VerfasserIn]
Pinto da Costa, Mariana [VerfasserIn]
Bhugra, Dinesh [VerfasserIn]
Ventriglio, Antonio [VerfasserIn]

Links:

Volltext

Themen:

Compulsory psychiatric care
Compulsory treatment
Detention
Early-career psychiatrists
Ethics
Journal Article
Law and psychiatry

Anmerkungen:

Date Completed 09.11.2021

Date Revised 09.11.2021

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1176/appi.ps.202000303

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM325796750