[新冠疫情期间非自愿住院治疗的实践变化——首席精神科医生的经验与观点]
[Changes in the Practice of Involuntary Hospitalization During the COVID-19 Pandemic - Experiences and Opinions of Chief Psychiatrists].
作者信息
Gather Jakov, Efkemann Simone Agnes, Henking Tanja, Scholten Matthé, Köhne Martin, Chrysanthou Christos, Hoffmann Knut, Juckel Georg
机构信息
Klinik für Psychiatrie, Psychotherapie und Präventivmedizin, LWL-Universitätsklinikum, Ruhr-Universität Bochum.
Institut für Medizinische Ethik und Geschichte der Medizin, Ruhr-Universität Bochum.
出版信息
Psychiatr Prax. 2022 May;49(4):180-187. doi: 10.1055/a-1406-7265. Epub 2021 Apr 26.
OBJECTIVE
To collect experiences and opinions of chief psychiatrists in relation to changes in the practice of involuntary hospitalization during the COVID-19 pandemic.
METHODS
Online survey among members of the Association of Chief Physicians for Psychiatry and Psychotherapy in North Rhine-Westphalia (LLPP) and analysis of protocols of LLPP board meetings.
RESULTS
Changes in the practice of involuntary hospitalization have been perceived in contexts with and without direct reference to COVID-19. These changes have affected, among other things, judicial hearings as well as decisions about the use of coercive measures.
CONCLUSION
Procedural standards for involuntary hospitalization must be maintained and coercive measures may only be used if they meet the applicable ethical and legal requirements. It must be ensured that people with mental disorders are not treated unequally both when taking and withdrawing restrictive measures to contain the pandemic.
目的
收集首席精神科医生关于新冠疫情期间非自愿住院治疗实践变化的经验和意见。
方法
对北莱茵-威斯特法伦州精神科和心理治疗首席医师协会（LLPP）成员进行在线调查，并分析LLPP董事会会议记录。
结果
在直接提及和未直接提及新冠疫情的情况下，均察觉到非自愿住院治疗实践发生了变化。这些变化尤其影响了司法听证以及关于强制措施使用的决定。
结论
必须维持非自愿住院治疗的程序标准，且只有在符合适用的伦理和法律要求时才可使用强制措施。必须确保在采取和撤销限制措施以控制疫情时，精神障碍患者不会受到不平等对待。
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