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Experiencias del ingreso y el tratamiento psiquiátrico de los pacientes ingresados voluntaria y no voluntariamente:una comparación antes y después del cambio de legislación en Suecia

Published online by Cambridge University Press:  12 May 2020

Tuula Wallsten  and
Lars Kjellin
Tuula Wallsten
Affiliation:
Centro para la Investigación Clínica, Universidad de Upsala, Hospital Central, Vasterås, Suecia
Lars Kjellin
Affiliation:
Centro para la Investigación Psiquiátrica, Örebro, Suecia
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Resumen

Objetivo.-

La Ley de Asistencia Mental Obligatoria (LPT) sueca de 1992 pone énfasis en la participación de los pacientes y los familiares en el tratamiento de los pacientes. El propósito de este estudio era comparar las experiencias de los pacientes bajo la LPT con las experiencias de los pacientes conforme a la ley anterior.

Metodo.-

Se entrevistó a muestras de 44 pacientes internados y 40 ingresados voluntariamente en 1991 y 49 pacientes internados y 49 ingresados voluntariamente en 1997/1998 en la admisión y en el alta, o después de tres semanas de asistencia.

Resultados.-

Hubo proporciones similares de pacientes internados e ingresados voluntariamente, respectivamente, en 1991 y 1997/1998 que comunicaron participación en la planificación del tratamiento y participación de los familiares, y que informaron de privación de libertad, pero más pacientes internados en 1997/1998 comunicaron medidas coercitivas.

Conclusion.-

Las experiencias de los pacientes difirieron poco entre las ocasiones de estudio. Los própositos fundamentales de la legislación no se han cumplido.

Keywords

Asistencia psiquidtrica obligatoriaIntemamientoLegislaciónExperiencias de los pacientes
Type
Artículo original
Information
European Psychiatry (Ed. Española) , Volume 12 , Issue 3 , April 2005 , pp. 139 - 144
Copyright
Copyright © European Psychiatric Association 2005

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Footnotes

Wallsten T, Kjellin L. Involuntarily and voluntarily admitted patient's experiences of psychiatric admission and treatment-a comparison before and after changed legislation in Sweden. Eur Psychiatry 2004;19:464-468.

References

Bibliografía

[1] American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4th ed. Washington (DC): APA; 1994.Google Scholar
[2] American Psychiatric Assosiation. Diagnostic and statistical manual of mental disorders. 3rd ed revised. Washington (DC): APA; 1987.Google Scholar
[3]Bagby, RMAtkinson, L. The effects of legislative reform on civil commitment admission rates, A critical analysis. Beh Sci Law 1988; 6: 45–61.CrossRefGoogle Scholar
[4]Beck, JCGolowka, EA. A study of Enforced Treatement in Relation to Stone's “Thank you”. Theory, Beh Sci Law 1998; 86: 559-66.Google Scholar
[5]Candefjord, ILLampinen, KÄngfors, G. Patienters upplevelse av akut psyhatrisk vard. (Patient's experiences of short-term inpatient psychiatric care). Soc Med Tidskr 1994; 71: 447-53 [in Swedish].Google Scholar
[6]Eriksson, KWestrin, CG. Coercive measures in psychiatric care. Reports and reactions of patients and other people involved. Acta Psychiatr Scand 1995; 92: 225-30.Google ScholarPubMed
[7]Høyer, G. Compulsorily admitted patient's ability to make use of their legal rights. Int J Law Psychiatry 1986; 6: 585-8.Google Scholar
[8]Høyer, GKjellin, LEngberg, MKaltiala-Heino, RNilstun, TSigurjónsdóttir, M, et al. Paternalism and autonomy. A presentation of a Nordic study on the use of coercion in the mental health care System. Int J Law Psychiatry 2002; 25: 93–108.Google ScholarPubMed
[9]Kjellin, LNilstun, T. Medical and social paternalism. Regulation of and attitudes towards compulsory psychiatric care. Acta Psychiatr Scand 1993; 88: 415-9.Google ScholarPubMed
[10]Kjellin, LWestrin, CG. Involuntary admission and coercive measures in psychiatric care. Int J Law Psychiatry 1998; 21: 31–42.CrossRefGoogle ScholarPubMed
[11]Kjellin, L. Coercion in Psychiatric Care. Formal and informal-justification and ethic al conflicts. Dissertation Uppsala: Acta Universitatitis Upsaliensis; 1996.Google Scholar
[12]Kjellin, L. Compulsory psychiatric care in Sweden 1979-1993. Prevalence of comitted patients, discharge rates and area variation. Soc Psychiatry Psychiatr Epidemiol 1997; 32: 90-6.CrossRefGoogle ScholarPubMed
[13] LPT. Lagen om psykiatrisk vård (The Compulsory Psychiatric Care Act). Stockholm: Allmanna råd från Socialstyrelsen; 1991:10 [in Swedish].Google Scholar
[14] LRV. Lagen om rattspsykiatrisk vård (The Forensic Psychiatric Care Act). Stockholm: Allmanna råd från Socialstyrelsen; 1991:10 [in Swedish],Google Scholar
[15] LSPV. Lag om ändring i lagen (1966:293) om beredande av sluten psykiatrisk vård i vissa fall. (The Compulosory Mental Care (Certain cases) Act). Svensk författningssamling 1982; 782: 10[in Swedish].Google Scholar
[16]Monahan, JHoge, SKLidz, CRoth, LBennett, NGardner, W, et al. Coercion and commitment. Understanding Involuntary Mental Hospital Admission. Int J Law Psychiatry 1995; 18: 249-63.CrossRefGoogle ScholarPubMed
[17]Overall, JEGorham, DR. The Brief Psychiatrie Rating Scale. Psychol Rep 1962; 10: 799–812.CrossRefGoogle Scholar
[18]Poulsen, HD. The prevalence of extralegal deprivation of liberty in a psychiatric hospital population. Int J Law Psychiatry 2002; 25: 29–36.CrossRefGoogle Scholar
[19]Rogers, A. Coercion and “voluntary” admission. Beh Sci Law 1993; 11: 259-67.CrossRefGoogle Scholar
[20]Silferhielm, HKamis-Gould, E. The Swedish Mental Health System. Int J Law Psychiatry 2000; 34: 293–307.CrossRefGoogle Scholar
[21] Socialstyrelsen. Effekter av ändongar i de psykiatriska tvångsvårdslagarna. (Effects of changes of the compulsory psychiatrie care aets.) Stockholm: Socialstyrelsen; 2001 [in Swedish],Google Scholar
[22] Socialstyrelsen. Valfard och valfrihet? (Welfare and freedom of choice?). Final report from the evaluation of the 1995 Mental Health Care reform. Stockholm: Socialstyrelsen; 1999 [in Swedish. Summary in English],Google Scholar
[23]Westrin, CG. Strategies implimented but goals not attained. Scand J Soc Med 1991; 19: 53-6.CrossRefGoogle Scholar