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1.
Int J Law Psychiatry ; 41: 31-3, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-25896809

RESUMO

In recent decades there have been significant legislative changes in Spain. Society develops faster than laws, however, and new challenges have emerged. In 2004, the Spanish Association of Relatives of the Mentally Ill (FEAFES) proposed amending the existing legislation to allow for the implementation of involuntary outpatient treatment (IOT) for patients with severe mental illness. Currently, and after having made several attempts at change, there is no specific legislation governing the application of this measure. Although IOT may be implemented in local programmes, we consider legal regulation to be needed in this matter.


Assuntos
Assistência Ambulatorial/legislação & jurisprudência , Transtornos Mentais/terapia , Pacientes Ambulatoriais , Internação Compulsória de Doente Mental/legislação & jurisprudência , Feminino , Humanos , Masculino , Espanha
2.
Int J Law Psychiatry ; 37(3): 267-71, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-24268824

RESUMO

INTRODUCTION: Involuntary outpatient treatment (IOT) aims to ensure adherence to therapy in patients with serious mental disease who are unaware of their illness and for whom treatment discontinuation carries a high risk of relapse. OBJECTIVES: To evaluate the effectiveness of IOT in preventing relapse among patients with serious mental disease. METHOD: A retrospective observational study was carried out on all of the patients (n=140) receiving IOT in the city of Valencia, Spain. Hospital service uses (emergency care, admissions and mean stay times) during the 12 months before and after the introduction of IOT were compared. RESULTS: Patients with schizophrenia, delusional disorder or schizoaffective disorder showed a significant reduction in the number of admissions and days spent in the psychiatry ward during the year of IOT. The reduction in the number of visits to the emergency department was only significant for the patients with schizophrenia. DISCUSSION: We conclude that involuntary outpatient treatment may be effective for patients with serious mental disease who are unaware of their illness and for whom treatment discontinuation carries a high risk of relapse.


Assuntos
Assistência Ambulatorial , Internação Compulsória de Doente Mental , Transtornos Mentais , Adulto , Idoso , Feminino , Seguimentos , Humanos , Masculino , Transtornos Mentais/classificação , Transtornos Mentais/terapia , Pessoa de Meia-Idade , Estudos Retrospectivos , Índice de Gravidade de Doença , Espanha , Adulto Jovem
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