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Changing aspects of psychiatric inpatient treatment

Published online by Cambridge University Press:  16 April 2020

Hans Rittmannsberger ,
Norman Sartorius ,
Mihaela Brad ,
Victoria Burtea ,
Nora Capraru ,
Pavel Cernak ,
Mojca Dernovçek ,
Ionescu Dobrin ,
Rosa Frater  and
Jozef Hasto
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Hans Rittmannsberger*
Affiliation:
OÖ Landes-Nervenklinik Wagner-Jauregg, Linz, Austria
Norman Sartorius
Affiliation:
Geneva, Switzerland
Mihaela Brad
Affiliation:
Spital Municipal Arad, Sectie Clinica de Psihiatrie, Arad, Romania
Victoria Burtea
Affiliation:
Psychiatric Hospital Nr. 1-2, Brasov, Brasov, Romania
Nora Capraru
Affiliation:
“Prof. Dr. Alexandru Obregia” Psychiatric Hospital, Bucharest, Romania
Pavel Cernak
Affiliation:
Psychiatricka nemocnica Philippa Pinela, Pezinok, Slovakia
Mojca Dernovçek
Affiliation:
University Psychiatric Hospital, Ljubljana, Slovenia
Ionescu Dobrin
Affiliation:
Spitalul de Psihiatrie “Voila Campina”, Campina, Romania
Rosa Frater
Affiliation:
National Institut of Psychiatry and Neurology, Budapest, Hungary
Jozef Hasto
Affiliation:
Department of Psychiatry, General Hospital, Trencín, Slovakia
Mieta Hategan
Affiliation:
Hospital of Psychiatry Gataia, Gataia, Romania
Manfred Haushofer
Affiliation:
Sozialmedizinisches Zentrum Ost, Psychiatrische Abteilung, Vienna, Austria
J. Kafka
Affiliation:
Department of Psychiatry UPJS, Kosice, Slovakia
Siegfried Kasper
Affiliation:
Universität Wien, Klinische Abteilung für allgemeine Psychiatrie, Vienna, Austria
Rodica Macrea
Affiliation:
Psychiatric Clinic, Cluj-Napoca, Romania
Ludvik Nabelek
Affiliation:
Department of Psychiatry, F.D. Roosevelt Hospital, Banská Bystrica, Slovakia
Peter Nawka
Affiliation:
Psychiatricka nemocnica Michalovce, Michalovce, Slovakia
Vladimir Novotny
Affiliation:
Psychiatric University Clinic, Bratislava, Austria
Thomas Platz
Affiliation:
Landeskrankenhaus Klagenfurt, Zentrum für seelische Gesundheit, Klagenfurt, Austria
Adela Pojar
Affiliation:
“Gheorge Marinescu” Clinical Hospital, Bucharest, Romania
Christoph Silberbauer
Affiliation:
Landeskrankenhaus Gmundnerberg, Psychiatrische Abteilung, Gmunden, Austria
Sandor Fekete
Affiliation:
University of Pécs, Department of Psychiatry, Pécs, Hungary
Johannes Wancata
Affiliation:
Universität Wien, Klinische Abteilung für Sozialpsychiatrie, Vienna, Austria
Elmar Windhager
Affiliation:
Psychiatrische Klinik Wels, Wels, Austria
Hans-Georg Zapotoczky
Affiliation:
Universitätsklinik für Psychiatrie, Graz, Austria
Robert Zöchling
Affiliation:
Landesnervenklinik Mauer, Mauer/Amstetten, Austria
*
*Corresponding author. Email address: hans.rittmannsberger@gespag.at
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Abstract

This paper presents data obtained in a one-day census investigation in five European countries (Austria, Hungary, Romania, Slovakia, Slovenia). The census forms were filled in for 4191 psychiatric inpatients. Concerning legal status, 11.2% were hospitalised against their will (committed) and 21.4% were treated in a ward with locked doors. There was only a small correlation between commitment and treatment in a locked ward. More frequent than treatment of committed patients in locked wards was treatment of committed patients in open wards (Austria, Hungary) and treatment of voluntary patients in closed wards (Slovakia, Slovenia). Concerning employment, 27.7% of patients aged 18–60 held a job before admission. The vast majority of patients (84.8%) had a length of stay of less than 3 months. A comparison of these data with the results of a study performed in 1996 and using the same method shows a decrease of rates of long-stay patients. In 1996 the rates of employment were significantly higher in Romania (39.3%) and Slovakia (42.5%) compared to Austria (30.7%). These differences disappeared in 1999 due to decreasing rates of employment in Romania and Slovakia. The numbers of mental health personnel varies between types of institution (university or non-university) and countries, being highest in Austria and lowest in Romania. A considerable increase in the numbers of staff was found in Slovakia.

Keywords

Psychiatric inpatientsEmploymentLength of stayCare giversCommitmentLocked ward
Type
Original article
Information
European Psychiatry , Volume 19 , Issue 8 , December 2004 , pp. 483 - 488
Copyright
Copyright © European Psychiatric Association 2004

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