1.2.22 Placement in accordance with the PsychKG

1 Purpose and objective

State laws regulate the hospitalisation of mentally ill people if they pose a threat to public safety and order or are a significant danger to others or themselves. These laws allow state measures to force such patients to undergo therapy if necessary.
Planned measures are:
- Preventive help to avoid hospitalisation and timely medical treatment of a disorder or incipient illness
- Aftercare support following completion of inpatient treatment in the form of individual counselling and support
- Requirements and directives of the health authority
- Forced accommodation

2 Scope of application

The doctors at the HOSPITAL are only involved in a placement to the extent that they suggest a placement, issue a certificate or act as an expert. However, they should be aware of the legal consequences of their involvement.
A patient may only be compulsorily accommodated if the following conditions are met:
- Presence of a mental illness listed in the law (e.g. psychosis, addiction, feeblemindedness)
- This illness must pose a significant risk to others (e.g. uncontrolled aggression, violence, threats) or to the patient themselves (e.g. risk of suicide, serious risk to life or health is required)
- The danger to others or the affected person themselves must not be able to be averted in any other way than by compulsory placement (i.e. only if outpatient treatment, counselling etc. is unsuccessful). The largest group of diagnoses was made up of patients with alcohol or drug intoxication, followed by patients with organic brain psychosyndromes. In the case of psychoses, mania and schizophrenia lead to hospitalisation more frequently than depressive states.

3 Description

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