| Popis: |
Psychiatric compulsory admission means that a fundamental right, such as individual freedom, is restricted. This has been legally regulated in Spain by the January 7, 2000 Civil Procedure Law 1/2000. Since the 1990's in the capital of Madrid, based on the agreements reached between Court no. 30 and the representatives of the Regional Health Service, the psychopathological assessments of supposed incapacities on which the Court has issued compulsory admission authorizations are carried out by the psychiatrists of the mental health centers instead of by the forensic physicians.This study compares the first 60 cases evaluated in a mental health center during the years 1992-1994 with the last 60 cases of patients evaluated during the years 2000-2002.In the second group, we found a significant increase in mean age and in the number of request for intervening in female patients. In addition to the number of request for civil disabilities and ordinary authorizations for compulsory admission, there were eight cases of court subjection to treatment and two requests for of psychiatric analyses for civil procedure. In the second group the number of home interventions significantly decreased in contrast with the number of interventions developed in medical offices. Although there was the same number of admissions from both groups, 36%, 20% of patients had no indication for treatment or admission in the second group. At 5 months after discharge, we observed a 15% loss of patients from the first group and 20% from the second group.Action protocols must be created in this type of intervention, starting in the corresponding court and going to the teams which would develop the interventions, in order to safeguard the citizen's rights. |
