@Article{Kiejna2017,
journal="Advances in Psychiatry and Neurology/Postępy Psychiatrii i Neurologii",
issn="1230-2813",
volume="26",
number="3",
year="2017",
title="Admission without consent and use of means of physical coercion on the example of psychiatric hospital in Wrocław",
abstract=" Purpose:   In Poland, the  issue of  hospitalising patients against their will and using means of  direct physical coercion are regulated by the  provisions of  Law on Mental Health Protection (LoMHP); however, but no regular studies have been conducted to facilitate monitoring of  the  incidence of  using coercive measures in the  entire country. The  aim of  the  study is to assess the  incidence of  using direct coercion measures on the  patients admitted to in-patient wards of  psychiatric hospitals and using such measures in Psychiatric Hospital in Wrocław, in the  period from 2011 to 2015.   Methods : The  monitoring questionnaires of  LoMHP, data on admissions and basic data characterising compulsory treatment were used. In order to assess the  quality of  psychiatric treatment and psychosocial rehabilitation, the  International Classification of  Mental Health Care questionnaire was used.    Results:   The  average of  involuntary admissions in the  period between 2011 and 2015 amounted to 28.92%. The  rates of  admissions against the  will of  the  patient based on articles 23, 24 and 29 of  LoMHP, and the  rate of  patients held in hospital based on article 28 of  LoMHP were stable in the  studied period. The  vast majority of  involuntary admissions was based on article 23. The  ratio of  involuntary hospitalisation for 100 thousand residents was on average 65.14. Involuntary admissions usually referred to people with diagnosed F20 (schizophrenia) and F31 (bipolar disorders). Direct coercive measures were used on average on 19.64% hospitalised patients.   Conclusions : PThe use of  coercion is a  common phenomenon in psychiatric institutions in Poland. The  ratio of  involuntary hospitalisation for 100 thousand residents was within the  average values of  this ratio in other countries.",
author="Kiejna, Andrzej
and Jakubczyk, Marta Hanna
and Chładzińska-Kiejna, Sylwia
and Baranowski, Piotr
and Gondek, Tomasz Maciej",
pages="127--139",
doi="10.5114/ppn.2017.70544",
url="http://dx.doi.org/10.5114/ppn.2017.70544"
}