Grubbe Felix, Wagner Elias, Pogarell Oliver, Dudeck Manuela, Hasan Alkomiet
Klinik für Psychiatrie, Psychotherapie und Psychosomatik, Medizinische Fakultät, Universität Augsburg, Bezirkskrankenhaus Augsburg.
Klinik und Poliklinik für Psychiatrie und Psychotherapie, Klinikum der Universität München, LMU München.
Fortschr Neurol Psychiatr. 2024 Apr;92(4):128-134. doi: 10.1055/a-1981-2883. Epub 2023 Jan 31.
Inpatient psychiatric treatment of prisoners is organized differently in Germany, depending on the structural conditions of the federal state and prison. There are very few findings on the different possibilities of treatment and the view of the hospitals on this issue.
Our aim was to gain an up-to-date picture of inpatient treatment of prisoners in general psychiatric departments and hospitals and the challenges these institutions face.
We conducted an anonymous online survey of the frequency, extent, and challenges of inpatient treatment of prisoners. Approximately 460 chief physicians of German general psychiatric departments and hospitals were invited to participate in this survey. In addition to descriptive statistics, we calculated group differences by type of hospital and by subjective responsibility for inpatient care of prisoners.
A total of 74 chief physicians surveyed participated; 51.4% of the surveyed hospitals provided psychiatric inpatient treatment to prisoners in 2020. Group differences between the different types of hospitals were found only for the presence of anticipated anxiety among regular inpatients. Various differences were found between responsible and non-responsible hospitals, especially with regard to organizational aspects.
For the treatment of mentally ill prisoners, various organizational challenges as well as fears of hospital staff and fellow patients were mentioned by the participants. The type of hospital appears to play a subordinate role here, whereas the responsibility of the hospital for the inpatient treatment of mentally ill prisoners might be more decisive for anticipated concerns and barriers.
在德国，囚犯的住院精神科治疗组织方式因联邦州和监狱的结构条件而异。关于不同治疗可能性以及医院对此问题的看法的研究结果非常少。
我们的目的是了解普通精神科科室和医院中囚犯住院治疗的最新情况以及这些机构所面临的挑战。
我们对囚犯住院治疗的频率、程度和挑战进行了一项匿名在线调查。邀请了约460名德国普通精神科科室和医院的主任医师参与此项调查。除描述性统计外，我们还按医院类型和对囚犯住院护理的主观责任计算了组间差异。
共74名参与调查的主任医师参与；51.4%的受调查医院在2020年为囚犯提供了精神科住院治疗。仅在普通住院患者中预期焦虑的存在方面发现了不同类型医院之间的组间差异。在负责和不负责的医院之间发现了各种差异，特别是在组织方面。
参与者提到了在治疗精神病囚犯时面临的各种组织挑战以及医院工作人员和同病房患者的担忧。在这里，医院类型似乎起次要作用，而医院对精神病囚犯住院治疗的责任可能对预期的担忧和障碍更具决定性。
