Variables Associated with the Use of Coercive Measures on Psychiatric Patients in Spanish Penitentiary Centers

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Title: Variables Associated with the Use of Coercive Measures on Psychiatric Patients in Spanish Penitentiary Centers
Authors: Girela, E. | López, A. | Ortega, L. | De-Juan, J. | Ruiz, F. | Bosch, J.I. | Barrios Flores, Luis Fernando | Luna, J.D. | Torres-González, F.
Research Group/s: Derecho Ambiental
Center, Department or Service: Universidad de Alicante. Departamento de Estudios Jurídicos del Estado
Keywords: Coercive medical measures | Mentally ill | Psychiatric patients | Penitentiary centers | Spain
Knowledge Area: Derecho Administrativo
Issue Date: 20-Jan-2014
Publisher: Hindawi Publishing Corporation
Citation: BioMed Research International. Volume 2014 (2014), Article ID 928740, 7 pages. doi:10.1155/2014/928740
Abstract: We have studied the use of coercive medical measures (forced medication, isolation, and mechanical restraint) in mentally ill inmates within two secure psychiatric hospitals (SPH) and three regular prisons (RP) in Spain. Variables related to adopted coercive measures were analyzed, such as type of measure, causes of indication, opinion of patient inmate, opinion of medical staff, and more frequent morbidity. A total of 209 patients (108 from SPH and 101 from RP) were studied. Isolation (41.35%) was the most frequent coercive measure, followed by mechanical restraint (33.17%) and forced medication (25.48%). The type of center has some influence; specifically in RP there is less risk of isolation and restraint than in SPH. Not having had any previous imprisonment reduces isolation and restraint risk while increases the risk of forced medication, as well as previous admissions to psychiatric inpatient units does. Finally, the fact of having lived with a partner before imprisonment reduces the risk of forced medication and communication with the family decreases the risk of isolation. Patients subjected to a coercive measure exhibited a pronounced psychopathology and most of them had been subjected to such measures on previous occasions. The mere fact of external assessment of compliance with human rights slows down the incidence of coercive measures.
Sponsor: This study was financed through a Grant from the Spanish Fondo de Investigaciones Sanitarias (Health Research Fund) PI070862.
ISSN: 10.1155/2014/928740 | 2314-6133 (Print) | 2314-6141 (Online)
Language: eng
Type: info:eu-repo/semantics/article
Rights: Copyright © 2014 E. Girela et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Peer Review: si
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Appears in Collections:INV - Derecho Ambiental - Artículos de Revistas

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