Outcome of patients hospitalized by public authorities in a public mental health sector

Cornic, Françoise; Beghelli, Fabien; Vacheron, Marie-Noëlle
January 2007
BMC Psychiatry;2007 Supplement 1, Vol. 7, Special section p1
Academic Journal
Background In France, the laws of 27 June 1990 modified by the law of 4 March 2002 define the scope and procedures of involuntary hospitalizations. Regarding hospitalization by the public authorities the laws state that there must be a threat to the safety of individuals or a serious threat to public order. This procedure is applied since 1838, yet its practice and usefulness have never been assessed. This study seeks to assess current medical practice for applying this procedure and the outcome of the subjects hospitalized under this procedure. Methods A retrospective analysis of clinical data during and after the hospitalization was conducted on 145 subjects hospitalized by the public authorities between 1996 and 2006 in a public mental health sector, in Saint Anna Hospital, Paris, France. Results 90% of the hospitalization by the public authorities were motivated by an acting out or a high risk of acting out. A majority of patients shared classical characteristics of difficult patients in psychiatric care: men (74%), socially isolated, with a long psychiatric history (77.8%), drug addicts (50%). 25.5% of the patients had a history of violence and 15% of them a forensic history. Schizophrenia was the most frequent diagnosis (73%) according to DSM-IVR criteria. The average hospitalization duration was 2.4 months (2 days to 60 months). After discharge from full-time hospitalization, enforcement of care was maintained using trial discharge for 51% of the patients. 9.8% of the patients were lost to follow-up. During follow-up, 31.4% were re-hospitalized, only 8% of them were initially managed in a forensic emergency ward. Conclusion Current medical practice respects hospitalization under the legal frame defined for public authorities. This legal procedure is an efficient tool for psychiatrists. Trial discharge facilitates continuity in psychiatric care and prevents efficiently acting out in difficult patients.


Related Articles

  • Community treatment orders: profile of a Canadian experience. O'Brien, Ann-Marie A.; Farrell, Susan J. // Canadian Journal of Psychiatry;Jan2005, Vol. 50 Issue 1, p27 

    Objective: This study reports the first published Canadian profile of a sample of psychiatric patients from the Royal Ottawa Hospital in Ottawa, Ontario, who were issued community treatment orders (CTOs).Method: We undertook a population study of sociodemographic and...

  • Discharge delays down to chance? McMillan, Katharine // Mental Health Practice;Nov2013, Vol. 17 Issue 3, p10 

    A letter to the editor is presented in response to Matthew Impey and Erik Milner's article comparing discharge delay in inpatient care between 2001 and 2011 published in the September 2013 issue.

  • Awareness raised about legal duty to children of detained parents.  // Mental Health Practice;Apr2013, Vol. 16 Issue 7, p4 

    The article reports that the Mental Welfare Commission (MWC) of Scotland suggests raising awareness regarding the legal duty towards children of detained parents to consider the impact of compulsory admission to hospital of parents on their children.

  • Developing a model of recovery in mental health. Noiseux, Sylvie; Tribble, Denise St-Cyr; Leclerc, Claude; Ricard, Nicole; Corin, Ellen; Morissette, Raymond; Lambert, Roseline // BMC Health Services Research;2009, Vol. 9, Special section p1 

    Background: The recovery process is characterized by the interaction of a set of individual, environmental and organizational conditions common to different people suffering with a mental health problem. The fact that most of the studies have been working with schizophrenic patients we cannot...

  • Delayed discharge from mental health inpatient care in the UK. Impey, Matthew; Milner, Erik // Mental Health Practice;Jun2013, Vol. 16 Issue 9, p31 

    Background Delayed discharge from hospital creates additional pressure on staff and finances. While legal sanctions are in place for acute trusts, the concept of a delayed transfer is generally poorly defined in mental health. Aims To evaluate whether levels of, and reasons for, delayed...

  • The longer term outcomes of community care: a 12 year follow-up of the Camberwell High Contact Survey. Y. REID; S. JOHNSON; P. E. BEBBINGTON; E. KUIPERS; H. SCOTT; G. THORNICROFT // Psychological Medicine;Feb2001, Vol. 31 Issue 2, p351 

    No abstract available.

  • Nutritional state of elderly women on admission to mental hospital. Hancock, M. R.; Hullin, R. P.; Aylard, P. R.; King, J. R.; Morgan, D. B. // British Journal of Psychiatry;Oct85, Vol. 147, p404 

    Since nutritional deficiencies might worsen the severity of symptoms and prolong the length of illness in non-nutritional disorders, particularly in the elderly, we examined the nutritional status of 216 elderly women newly admitted to a mental hospital. Compared to healthy elderly women, they...

  • Subregional Hippocampal Morphology and Psychiatric Outcome in Adolescents Who Were Born Very Preterm and at Term. Cole, James H.; Filippetti, Maria Laura; Allin, Matthew P. G.; Walshe, Muriel; Nam, Kie Woo; Gutman, Boris A.; Murray, Robin M.; Rifkin, Larry; Thompson, Paul M.; Nosarti, Chiara // PLoS ONE;Jun2015, Vol. 10 Issue 6, p1 

    Background: The hippocampus has been reported to be structurally and functionally altered as a sequel of very preterm birth (<33 weeks gestation), possibly due its vulnerability to hypoxic–ischemic damage in the neonatal period. We examined hippocampal volumes and subregional morphology...

  • The Maine and Vermont three-decade studies of serious mental illness. I. Matched comparison of cross-sectional outcome. Desisto, Michael J.; Harding, Courtenay M.; McCormick, Rodney V.; Ashikaga, Takamaru; Brooks, George W.; DeSisto, M J; Harding, C M; McCormick, R V; Ashikaga, T; Brooks, G W // British Journal of Psychiatry;Sep95, Vol. 167, p331 

    Background: This study compared long-term outcome of serious mental illness in two states using a matched design to assess psychiatric rehabilitation programmes; Vermont subjects participated in a model psychiatric rehabilitation programme, while the Maine group received more...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics