奥地利法医系统治疗精神分裂症患者的现状。

IF 3.4 3区 医学 Q2 CLINICAL NEUROLOGY
Alexander Dvorak, Patrick Swoboda, Thomas Stompe
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引用次数: 0

摘要

治疗精神分裂症患者在奥地利:治疗精神分裂症患者在医疗保健系统一般是自愿的。这既适用于私人诊所、医院门诊诊所或社会精神病门诊诊所的专家提供的门诊治疗,也适用于医院的住院治疗。但是,有一种特殊情况,病人的意志自由受到法律的限制。这种情况是当这种障碍对自己或他人造成严重危险时出现的。在地区法院、患者辩护人、一名可能的成人代表和一名外部专家的参与下,可以在一段时间内限制患者的行动自由,以便进行治疗。在这种情况下,接受精神药物治疗仍然是病人的决定,除非法院明确授权。因此,对大多数精神分裂症患者来说,在考虑到相称性的情况下进行治疗是可能的,这意味着只有在有严重身体伤害的急性风险的情况下才适用胁迫。然而,这并不意味着患者在所有情况下都能够连接到护理网络。有些病人失败了,因为接触阈值仍然太高。为了减少这种情况,在许多情况下,外展护理已纳入现有服务。这些多专业小组往往设法与病人建立联系,从而产生接受治疗的意愿,以抵消长期后果,包括完全的社会孤立和解体。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The current situation of treatment for patients suffering from schizophrenia in the Austrian forensic system.

Treatment of patients suffering from schizophrenia in Austria: Treatment of patients with schizophrenia in the healthcare system is generally voluntary. This applies both to outpatient care provided by specialists in private practice, hospital outpatient clinics, or social psychiatric outpatient clinics and to inpatient care in hospitals. However, there is an exceptional situation in which the patient's freedom of will is restricted by law. This is the case when acute danger to self or others caused by the disorder is present. With the involvement of the district court, the patient advocate, a possible adult representative, and an external expert, the patient's freedom of movement can be restricted for a certain period of time to enable treatment. The acceptance of psychopharmacological therapy remains the patient's decision in this situation, with the exception of explicit authorization by the court. Treatment under the consideration of proportionality, meaning that coercion is only applied in the case of an acute risk of severe bodily harm, is therefore possible for the majority of patients with schizophrenia. However, this does not mean that patients are able to connect to the care network in all cases. Some patients fail because the contact threshold is still too high. In order to reduce this, outreach care has been integrated into the existing services in many cases. These multi-professional teams often manage to establish contact with the patients and thus create a willingness to undergo treatment in order to counteract the long-term consequences, including complete social isolation and disintegration.

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来源期刊
CNS Spectrums
CNS Spectrums 医学-精神病学
CiteScore
6.20
自引率
6.10%
发文量
239
审稿时长
>12 weeks
期刊介绍: CNS Spectrums covers all aspects of the clinical neurosciences, neurotherapeutics, and neuropsychopharmacology, particularly those pertinent to the clinician and clinical investigator. The journal features focused, in-depth reviews, perspectives, and original research articles. New therapeutics of all types in psychiatry, mental health, and neurology are emphasized, especially first in man studies, proof of concept studies, and translational basic neuroscience studies. Subject coverage spans the full spectrum of neuropsychiatry, focusing on those crossing traditional boundaries between neurology and psychiatry.
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