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Germany without Coercive Treatment in Psychiatry—A 15 Month Real World Experience

Author

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  • Martin Zinkler

    (Kliniken Lankreis Heidenheim gGmbH, Academic Teaching Hospital of Ulm University, Department of Psychiatry, Psychotherapy and Psychosomatic Medicine, Schlosshaustr. 100, 89522 Heidenheim, Germany)

Abstract

Coercive treatment with antipsychotic drugs was commonly used in German psychiatric institutions until it became a topic of substantial medical, legal and ethical controversy. In 2011 and 2012, several landmark decisions by Germany’s Constitutional Court and Federal Supreme Court challenged this practice in all but life-threatening emergencies. In March 2013, the new legal provisions governing coercive treatment took effect allowing coercive medication under stricter criteria. While mainstream psychiatry in Germany resumed the use of coercive medication, although less frequently than before 2012, there are examples where clinicians put an even greater emphasis on consensual treatment and did not return to coercive treatment. Data from a case study in a local mental health service suggest that the use of coercive medication could be made obsolete.

Suggested Citation

  • Martin Zinkler, 2016. "Germany without Coercive Treatment in Psychiatry—A 15 Month Real World Experience," Laws, MDPI, vol. 5(1), pages 1-6, March.
    • Handle: RePEc:gam:jlawss:v:5:y:2016:i:1:p:15-:d:66007
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    Citations

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    Cited by:

    1. Martin Zinkler & Sebastian von Peter, 2019. "End Coercion in Mental Health Services—Toward a System Based on Support Only," Laws, MDPI, vol. 8(3), pages 1-10, August.
    2. Sebastian von Peter & Martin Zinkler, 2021. "Coping with Criticism and Embracing Change—Further Reflexions on the Debate on a Mental Health Care System without Coercion," Laws, MDPI, vol. 10(2), pages 1-13, March.

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