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[Compulsory admission in Germany--epidemiological data 1992-2003]
1Niedersächsisches Landeskrankenhaus Wunstorf, Südstrasse 25, 31515 Wunstorf. andreas.spengler@nlkhwunstorf.niedersachen.de
Psychiatrische Praxis
|March 31, 2007
Summary
Compulsory admission and civil commitment in Germany show a stabilizing trend on a high level, not a strong rise. This reflects increased legal focus and evolving clinical practices in mental healthcare.
Area of Science:
- Psychiatry
- Law
- Public Health
Context:
- Analysis of compulsory admission and civil commitment in Germany.
- Examination of legal, administrative, and methodological factors influencing long-term trends.
Purpose:
- To provide an overview of compulsory admission and civil commitment in Germany.
- To interpret long-term trends in mental health law and practice.
Summary:
- Statistical investigation of court proceedings and psychiatric hospital admission data from 1992 to 2003 across all German federal states.
- Total civil commitment rates rose from 24 to 55 per 100,000 inhabitants; public commitment rates increased from 64 to 75.
- Court decision rates for physical restraint increased significantly from 12 to 90, while overall commitments rose by 38%.
Impact:
- Findings suggest a stabilization of compulsory admissions in Germany, rather than a sharp increase.
- The trend indicates a growing legal orientation and shifts in clinical practice, including shorter treatment durations and increased use of hostels.
- Highlights the need for nuanced interpretation of mental health admission data, considering legal and clinical practice changes.
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