Involuntary outpatient treatment for mental health problems in Switzerland: a literature review.

Détails

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Etat: Public
Version: de l'auteur
ID Serval
serval:BIB_E2B32915E8C5
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Involuntary outpatient treatment for mental health problems in Switzerland: a literature review.
Périodique
International Journal of Social Psychiatry
Auteur(s)
Morandi S., Burns T.
ISSN
1741-2854 (Electronic)
ISSN-L
0020-7640
Statut éditorial
Publié
Date de publication
2014
Peer-reviewed
Oui
Volume
60
Numéro
7
Pages
695-702
Langue
anglais
Notes
Publication types: Journal ArticlePublication Status: ppublish
Résumé
BACKGROUND: In 2008, the Swiss Civil Code was amended. From 1 January 2013, each Swiss canton may propose specific provisions for involuntary outpatient treatment (community treatment orders (CTOs)) for individuals with mental disorders.
AIM: This review catalogues the legal provisions of the various Swiss cantons for CTOs and outlines the differences between them. It sets this in the context of variations in clinical provisions between the cantons.
METHODS: Databases were searched to obtain relevant publications about CTOs in Switzerland. The Swiss Medical Association, Swiss Federal Statistical Office, Swiss Health Observatory and all the 26 Cantonal medical officers were contacted to complete the information. Conférence des cantons en matière de protection des mineurs et des adultes (COPMA), the authority which monitors guardianship legislation, and Pro Mente Sana, a patients' right association, were also approached.
RESULTS: Three articles about CTOs in Switzerland were identified. Psychiatric provisions vary considerably between cantons and only a few could provide complete or even partial figures for rates of compulsion in previous years. Prior to 2013, only 6 of the 20 cantons, for which information was returned, had any provision for CTOs. Now, every canton has some form of legal basis but the level of detail is often limited. In eight cantons, the powers of the measure are not specified (for example, use of medication). In 12 cantons, the maximum duration of the CTO is not specified. German speaking cantons and rural cantons are more likely to specify the details of CTOs.
CONCLUSION: Highly variable Swiss provision for CTOs is being introduced despite the absence of convincing international evidence for their effectiveness or good quality data on current coercive practice. Careful monitoring and assessment of these new cantonal provisions are essential.
Pubmed
Web of science
Création de la notice
16/06/2014 15:17
Dernière modification de la notice
20/08/2019 16:06
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