• Corpus ID: 27567656

The EUNOMIA project on coercion in psychiatry: study design and preliminary data.

@article{Kallert2005TheEP,
  title={The EUNOMIA project on coercion in psychiatry: study design and preliminary data.},
  author={Thomas W. Kallert and Matthias Gl{\"o}ckner and Georgi Onchev and Jiř{\'i} Raboch and Anastasia Karastergiou and Zahava Solomon and Lorenza Magliano and Algirdas Dembinskas and Andrzej Kiejna and Pětr Nawka and Francisco Torres‐Gonz{\'a}lez and Stefan Priebe and Lars Kjellin},
  journal={World psychiatry : official journal of the World Psychiatric Association},
  year={2005},
  volume={4 3},
  pages={
          168-72
        }
}
Previous national research has shown significant variation in several aspects of coercive treatment measures in psychiatry. The EUNOMIA project, an international study funded by the European Commission, aims to assess the clinical practice of these measures and their outcomes. Its naturalistic and epidemiological design is being implemented at 13 centres in 12 European countries. This article describes the design of the study and provides preliminary data on the catchment areas, staff… 

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References

SHOWING 1-10 OF 16 REFERENCES

Detention of the mentally ill in Europe – a review

The frequency of compulsory admission varies widely across Europe and mental health legislation in different countries in relation to detention rates and to patients' perception of hospital detention is compared.

Compulsory admission of mentally ill patients in European Union Member States.

Results of this study show the strong necessity for further research in this field, as common international health reporting standards as annually updated involuntary placement rates detailed for regular and emergency cases seem to be essential.

What is life like on acute psychiatric wards?

A need to rethink the purpose and function of acute psychiatric wards is suggested and research is required to investigate which interventions improve the safety, and the perception of safety, of the wards, and what strategies improve the quality of therapeutic relationships between staff and patients.

Compulsory admission of mentally ill patients in European Union Member States

Results of this study show the strong necessity for further research in this field, as common international health reporting standards as annually updated involuntary placement rates detailed for regular and emergency cases seem to be essential.

Toward an Ethical Standard for Coerced Mental Health Treatment: Least Restrictive or Most Therapeutic?

  • D. Olsen
  • Medicine, Psychology
    The Journal of Clinical Ethics
  • 1998
Diverse legal and clinical perspectives can be merged by examining the ethical justifications for the restriction of liberty in coerced treatment combined with the practice of beneficence toward persons whose capacity to make autonomous decisions is impaired.

Evidence-based mental health services research. The contribution of some recent EU-funded projects

Looking at the prerequisites they emphasise needs assessment at the country/regional level, the local level and the individual level, strengthening the evidence base on treatment effectiveness, and the task of looking at various interfaces between the various components of the mental health service.

Development of the International Classification of Mental Health Care (ICMHC)

  • A. de Jong
  • Medicine, Psychology
    Acta psychiatrica Scandinavica. Supplementum
  • 2000
The development of a tool to systematically describe the interventions actually provided by the services was lacking and the International Classification of Mental Health Care is described.

Seclusion and restraint for people with serious mental illnesses.

No controlled studies exist that evaluate the value of seclusion or restraint in those with serious mental illness and continuing use of se inclusion or restraint must therefore be questioned from within well-designed and reported randomised trials that are generalisable to routine practice.

The European Socio‐Demographic Schedule (ESDS): rationale, principles and development

Objective: To design an internationally valid and practical instrument on which data can be recorded for small areas that describes the sociodemographic characteristics known to be associated with

Consumers' perspectives on helpful and hindering factors in mental health treatment.

Consumer perspectives include the context of treatment, the therapy relationship, interventions used and issues addressed, helpful experiences outside the mental health system, and hindering views of mental illness and treatment.