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  • Title: [Involuntary admissions in accordance to the Mental Health Act (PsychKG) - what are the strongest predictors?].
    Author: Juckel G, Haußleiter I.
    Journal: Psychiatr Prax; 2015 Apr; 42(3):133-9. PubMed ID: 24723039.
    Abstract:
    OBJECTIVE: Involuntary psychiatric admissions under the Mental Health Act increased significantly nationwide. Little is known, however, about the influencing factors of this phenomenon. METHODS: The aim of this regional cross-sectional study in North Rhine-Westphalia was to compare voluntary and involuntary psychiatric admissions (under the PsychKG NRW) regarding personal, institutional, social-psychiatric and demographic characteristics. A retrospective analysis of hospital admission registers over a period of 6 years with over 200 000 cases was conducted. RESULTS: Elderly patients with dementia were most frequently involuntarily admitted. The existence of a locked ward in hospitals did not per se increase involuntary admissions, whereas the scope and quality of local social-psychiatric services had a major impact. CONCLUSION: Social-psychiatric services and home-treatment must be strengthened to achieve lower involuntary admission rates and to further improve the quality of mental health care all over Germany.
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