How to improve clinical practice on forced medication in psychiatric practice: Suggestions from the EUNOMIA European multicentre study
Language English Country Great Britain, England Media print-electronic
Document type Journal Article, Research Support, Non-U.S. Gov't
PubMed
30118917
DOI
10.1016/j.eurpsy.2018.07.002
PII: S0924-9338(18)30137-8
Knihovny.cz E-resources
- Keywords
- Coercive measures, Forced medication, Procedures, Recommendation,
- MeSH
- Antipsychotic Agents therapeutic use MeSH
- Persons with Psychiatric Disorders statistics & numerical data MeSH
- Assessment of Medication Adherence * MeSH
- Humans MeSH
- Multicenter Studies as Topic MeSH
- Coercion MeSH
- Treatment Refusal legislation & jurisprudence MeSH
- Mental Health Services standards statistics & numerical data MeSH
- Commitment of Persons with Psychiatric Disorders legislation & jurisprudence standards MeSH
- Check Tag
- Humans MeSH
- Male MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Research Support, Non-U.S. Gov't MeSH
- Geographicals
- Europe MeSH
- Names of Substances
- Antipsychotic Agents MeSH
BACKGROUND: The decision to adopt forced medication in psychiatric care is particularly relevant from a clinical and ethical viewpoint. The European Commission has funded the EUNOMIA study in order to develop European recommendations for good clinical practice on coercive measures, including forced medication. METHODS: The recommendations on forced medication have been developed in 11 countries with the involvement of national clinical leaders, key-professionals and stakeholders' representatives. The national recommendations have been subsequently summarized into a European shared document. RESULTS: Several cross-national differences exist in the use of forced medication. These differences are mainly due to legal and policy making aspects, rather than to clinical situations. In fact, countries agreed that forced medication can be allowed only if the following criteria are present: 1) a therapeutic intervention is urgently needed; 2) the voluntary intake of medications is consistently rejected; 3) the patient is not aware of his/her condition. Patients' dignity, privacy and safety shall be preserved at all times. CONCLUSION: The results of our study show the need of developing guidelines on the use of forced medication in psychiatric practice, that should be considered as the last resort and only when other therapeutic option have failed.
Bob Shapell School of Social Work Tel Aviv University Tel Aviv Israel
Department of Psychiatry Medical Faculty University of Granada Granada Spain
Department of Psychiatry Medical University Sofia Sofia Bulgaria
Department of Psychiatry University of Campania L Vanvitelli Naples Italy
Institute of Psychology University of Lower Silesia Wroclaw Poland
Psychiatric Clinic Vilnius Mental Health Centre University of Vilnius Vilnius Lithuania
Psychiatric Health Care Facilities of Upper Franconia Bayreuth Germany
Psychiatric Hospital of Thessaloniki Greece
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