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1.
Eur Psychiatry ; 63(1): e82, 2020 08 24.
Article in English | MEDLINE | ID: mdl-32829740

ABSTRACT

BACKGROUND: Compulsory admission procedures of patients with mental disorders vary between countries in Europe. The Ethics Committee of the European Psychiatric Association (EPA) launched a survey on involuntary admission procedures of patients with mental disorders in 40 countries to gather information from all National Psychiatric Associations that are members of the EPA to develop recommendations for improving involuntary admission processes and promote voluntary care. METHODS: The survey focused on legislation of involuntary admissions and key actors involved in the admission procedure as well as most common reasons for involuntary admissions. RESULTS: We analyzed the survey categorical data in themes, which highlight that both medical and legal actors are involved in involuntary admission procedures. CONCLUSIONS: We conclude that legal reasons for compulsory admission should be reworded in order to remove stigmatization of the patient, that raising awareness about involuntary admission procedures and patient rights with both patients and family advocacy groups is paramount, that communication about procedures should be widely available in lay-language for the general population, and that training sessions and guidance should be available for legal and medical practitioners. Finally, people working in the field need to be constantly aware about the ethical challenges surrounding compulsory admissions.


Subject(s)
Coercion , Commitment of Mentally Ill/ethics , Commitment of Mentally Ill/legislation & jurisprudence , Hospitalization , Mental Disorders , Europe , Humans , Surveys and Questionnaires
2.
J Endocrinol Invest ; 32(4): 325-9, 2009 Apr.
Article in English | MEDLINE | ID: mdl-19636200

ABSTRACT

OBJECTIVE: We aimed to investigate the differences in emotional and behavioral problems and to explore the association between the level of psychiatric problems and the metabolic control in Type 1 diabetes. METHODS: The children with Type 1 diabetes (no.=42) and the "healthy" control group (no.=42), their parents and endocrinology specialist completed the forms prepared for the study. The parents completed the Child Behavioral Checklist (CBCL/4- 18). RESULTS: The groups had significant differences in CBCL activities (p<0.001), social competence (p<0.001), total competences (p<0.001), withdrawal (p=0.036), anxiety/depression (p=0.033), social problems (p=0.009), and aggressive behavior (p=0.04) scores. We did not find significant differences in CBCL scores between the groups with good, moderate and bad metabolic control (p>0.05). DISCUSSION: The parents of children with Type 1 diabetes reported emotional and behavioral problems significantly more. We did not find any significant association between the level of metabolic control and the emotional and behavioral problems.


Subject(s)
Child Behavior Disorders/psychology , Diabetes Mellitus, Type 1/psychology , Emotions , Adolescent , Adult , Aggression , Blood Glucose/metabolism , Child , Depression , Female , Glycated Hemoglobin/metabolism , Humans , Male , Mental Competency , Parents/psychology , Social Behavior , Social Problems
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