Das Erleben der Aufnahme in eine psychiatrische Klinik

Drießen, Martin; Wertz, Joan M.; Steinert, Tilman; Borbé, Raoul; Vieten, Bernward; Diefenbacher, Albert; Urban, S.; Kt, Kronmüller; Löhr, Michael; Richter, Dirk; Hohagen, Fritz

doi:10.1007/s00115-012-3485-x

Cited by 6 publications

(7 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In psychotic patients who were admitted for the first time, 80% described treatment as traumatic and 38% were diagnosed with posttraumatic stress disorder associated with admission [16]. A German study found that admission to an open ward was associated with a more positive experience than admission to a locked ward [17]. Furthermore, opening and locking doors may increase the workload for nurses and reduce time for engagement in therapeutic activities with patients [13,14,18].…”

Section: Introductionmentioning

confidence: 99%

Effect of Door-Locking Policy on Inpatient Treatment of Substance Use and Dual Disorders

et al. 2017

View full text Add to dashboard Cite

Objective: Substance use treatment is often performed inside locked wards. We investigate the effects of adopting a policy of open-door treatment for a substance use treatment and dual diagnosis ward. Methods: This is a prospective open-label study investigating 3-month study periods before opening (P1), immediately after (P2), and 1 year after the first period (P3). Data on committed patients, coercion (seclusion, forced medication, absconding events with subsequent police search), violence, and substance use was collected daily. We applied generalised estimating equation models. Results: The mean daily number of patients with ongoing commitment changed from 2.64 (P1) to 2.12 (P2) to 0.96 (P3), corresponding to a reduction of relative risk (RR) for having an ongoing commitment by 20% in P2 (RR 0.80; 95% CI 0.66-0.98) and 67% in P3 (RR 0.33; 95% CI 0.25-0.42). The mean daily number of coercive events was 0.29, 0.13, and 0.05, corresponding to a risk for undergoing coercive measures reduced by 56% (RR 0.44; 95% CI 0.22-0.90) and 85% (RR 0.15; 95% CI 0.05-0.45). Substance use, violence or ward atmosphere did not differ significantly. Conclusions: Our results support findings from general psychiatric wards of reduced coercion after adopting a primarily open-door policy. However, coercive events were rare during all periods. The widespread practice of restricting the freedom of inpatients with substance use disorders by locking ward doors is highly questionable.

show abstract

Section: Introductionmentioning

confidence: 99%

Effect of Door-Locking Policy on Inpatient Treatment of Substance Use and Dual Disorders

et al. 2017

View full text Add to dashboard Cite

show abstract

“…The study used the FEA-P questionnaire (translated into Polish and then verified by back translation) consisting of 33 questions grouped in seven dimensions rated by patients (Table 2). The content of the items of this tool was diligently verified by its German authors, therefore it presents key aspects of the studied phenomenon [9]. The translation of the subscale names focused on the best possible wording and clinical meaning of the subscales in the setting of Polish psychiatric care.…”

Section: Toolsmentioning

confidence: 99%

“…Martin Driessen i wsp. [9] podjęli próbę operacjonalizacji opinii pacjentów w momencie hospitalizacji poprzez FEA-P, tj. Kwestionariusz subiektywnego przeżywania sytuacji przyjęcia do szpitala psychiatrycznego (niem.…”

Section: Toolsunclassified

“…2). Skład poszczególnych itemów tego narzędzia był rzetelnie weryfikowany przez jego niemieckich autorów, dzięki czemu prezentuje aspekty kluczowe dla badanego zjawiska [9]. W tłumaczeniu nazw poszczególnych skal kierowano się ogólnym najlepszym brzmieniem i znaczeniem klinicznym skali w polskich wa-socio-demographic and clinical factors was carried out, as well as an analysis of associations between individual dimensions of FEA-P and these factors.…”

Section: Narzędziaunclassified

“…Martin Driessen et al [9] attempted to operationalise the opinions of patients at the time of admission by means of the FEA-P, i.e. Questionnaire of Subjective Experience on Admission to a Psychiatric Ward (Fragebogens zur Erfassung der subjektiven Wahrnehmung und Bewertung der Aufnahme in eine psychiatrische Klinik).…”

Section: Introductionunclassified

See 2 more Smart Citations

Subjective evaluation of admission and first days of hospitalization at a psychiatric ward from the perspective of patients

Błądziński¹,

Hat²,

Daren³

et al. 2020

ppn

View full text Add to dashboard Cite

Purpose: An assessment of the subjective experience of admission and first days of hospitalization at a psychiatric hospital and an analysis of its associations with socio-demographic and clinical factors. Methods: Analyses comprised data on 297 subjects. Diagnoses comprised the whole spectrum of F0-F9 according to ICD-10, the most numerous being F2 (39%), F1 (17%), F3 (16%) and F0 (11%). 30% of the subjects were hospitalised for the first time and 18% were admitted without consent. They were asked to evaluate the situation of being admitted and the first days of their hospitalization 4 to 10 days after the admission. The FEA-P questionnaire was used, with seven dimensions: attitude towards staff, explanation of treatment plan, housing conditions, critical remarks to staff, perception of other patients, perception of ward rules and ward atmosphere.

show abstract

Compulsory treatment in psychiatry

Vollmann

2013

Nervenarzt

View full text Add to dashboard Cite

show abstract

Das Erleben der Aufnahme in eine psychiatrische Klinik

Abstract: Principally the QAE-P seems to be a suitable instrument of quality management. A number of factors were identified that show associations with the subjective evaluation of admission as reported by the patients. Some of these variables are within the control of the clinical management.

Cited by 6 publications

References 12 publications

Effect of Door-Locking Policy on Inpatient Treatment of Substance Use and Dual Disorders

Effect of Door-Locking Policy on Inpatient Treatment of Substance Use and Dual Disorders

Subjective evaluation of admission and first days of hospitalization at a psychiatric ward from the perspective of patients

Compulsory treatment in psychiatry

Contact Info

Product

Resources

About