[Contributions to reduce coercion in psychiatric care].
FORTSCHRITTE DER NEUROLOGIE PSYCHIATRIE(2018)
Abstract
Reduction in coercion in psychiatric treatment requires successful interaction between changes in structural preconditions and therapeutic processes, as well as in individual therapeutic skills and attitudes. The article gives an overview of current approaches and possibilities to minimize the use of coercive interventions and to create non-violent and participative therapeutic settings. These opportunities are discussed against the background of structural and staff resources, social and legal aspects, as well as subjective experience of patients and their right to protection and treatment in phases when freedom of will and self-determination are compromised.
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Key words
coercion,postvention,advance directives,open door policy,participation,home treatment
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