[How human rights can guide german psychiatry]

Area of Science:

• Psychiatry
• Public Health
• Human Rights Law

Background:

• The UN's "Final Remarks" on the first German State Report highlight concerns regarding current psychiatric care.
• Existing health reporting data and evidence-based care models substantiate these concerns and recommendations.
• The Special Rapporteur's 2017 report provides further vision for German psychiatric care.

Purpose of the Study:

• To analyze the UN's recommendations for German psychiatric care in light of current data.
• To outline a paradigm shift towards a human rights-based and socially inclusive model of psychiatry.
• To emphasize the avoidance of coercion through trauma-informed treatment and enhanced outpatient structures.

Main Methods:

• Analysis of UN "Final Remarks" and the 2017 Special Rapporteur's report.
• Integration of up-to-date health reporting data.
• Review of evidence-based care models, including open dialogue and recovery approaches.

Main Results:

• UN recommendations are substantiated by current health data and evidence-based models.
• A paradigm shift is proposed, focusing on trauma-informed care and complex outpatient structures.
• Recognition of human rights violations due to structural deficiencies in current psychiatric care.

Conclusions:

• The path forward for German psychiatry involves respecting human rights and promoting social inclusion.
• Trauma-informed treatment and the development of outpatient structures are key to avoiding coercion.
• Awareness of avoidable human rights violations necessitates a commitment to structural change in psychiatry.