Direct physical constraint - realization of Mental Health Protection Act assumptions considering aggresive patients in chosen health institutions of Westpomeranian province

Izabela Kupś, Justyna Pełka-Wysiecka, Jerzy Samochowiec
Psychiatria 2007;4(3):87-96.

open access

Vol 4, No 3 (2007)
Prace oryginalne - nadesłane
Published online: 2007-06-11

Abstract


Introduction. In the past centuries mentally ill patients with aggressive behavior were treated in different ways. In actual legislation dealing with such patient is determined by the Mental Health Protection Act.
Material and methods. All medical stuff of 10 health care institution was involved in following study. Wards where the study took place were co-educational. Data from 204 respondents were analyzed. The majority of them (over 90%) were nurses, 6.9% doctors and 2.9% social care takers. Time of employment up to 10 years reported 41.7% of respondents, 27.5% were working more than 20 years in health care institutions. Statistical analyses were done with the use of SPSS. Study was conducted with the use of questionnaire, containing questions about the use of direct physical constraint. Answers were analyzed in respect of correct acting of respondents according to regulations of Mental Health Protection Act. Data about the level of knowledge about specific law regulations among respondents and the incidence of using direct physical constraint by them were also obtained.
Results. After the analysis we concluded, that aggression among patients occurs in all studied institutions, the level of knowledge of Mental Health Protection Act regulations depends on institution profile, respondents reported the use of direct physical constraint, the incidence of direct physical constraint use seems to depend on the length of employment time, full realization of Mental Health Protection Act regulations in the field of direct physical constraint use was reported by psychiatry profiled institution stuff only.
Conclusions. Following should be done:
- the necessity of law supervision over the use of direct physical constraint is essential,
- education of non-psychiatric stuff in dealing with aggressive mentally ill patients,
- placing the information about the right procedures in that matter in standards of institution,
- employing the satisfying number of experienced medical stuff.

Keywords

aggression; direct physical constraint; Mental Health Protection Act

About this article
Title

Direct physical constraint - realization of Mental Health Protection Act assumptions considering aggresive patients in chosen health institutions of Westpomeranian province

Journal

Psychiatria (Psychiatry)

Issue

Vol 4, No 3 (2007)

Pages

87-96

Published online

2007-06-11

Bibliographic record

Psychiatria 2007;4(3):87-96.

Keywords

aggression
direct physical constraint
Mental Health Protection Act

Authors

Izabela Kupś
Justyna Pełka-Wysiecka
Jerzy Samochowiec

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