Scholarlink

<p>The 5th Federal Conference on Prison Psychiatry offered a systematic overview of mental healthcare for people in custody. A survey by the German Association for Psychiatry, Psychotherapy, Psychosomatics and Neurology (DGPPN task force; 77.8% response) revealed significant gaps: only 32.3 of 46.15 full time-equivalent psychiatrist posts are filled nationwide (0.8 psychiatrists per 1,000 prisoners). Within 1 year 5,812 placements in high-security conditions and 159 restraints were recorded and the suicide rate is about five times that of the general population. Overall, 86% of institutions rated care as inadequate. Pragmatic responses highlighted a 200‑h basic training program, psychiatrically intensified care (PIB; Psychiatrisch Intensivierte Behandlung) as a day-clinic-oriented in-prison model and a video clinic approach with broad online coverage and 24/7 availability. Priority reforms: (1) (potentially delegable) specialist psychiatric intake assessments, (2) higher psychiatrist-to-prisoner staffing, (3) nationwide legal harmonization (e.g., substitution treatment, suicide prevention, restrictive measures), (4) structural development via PIB, telemedicine and specialized nursing competencies and (5) quality assurance through independent complaint and monitoring mechanisms. The conference outlines realistic steps toward care oriented to the principle of equivalence and quality assurance.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Bericht zur 5. Bundestagung Gefängnispsychiatrie (07.05.2025–09.05.2025)

  • 期刊论文

  • 发表日期：

    2025年11月11日

查看全文
  • Gregor Groß,
  • Andreas Jakubek,
  • Uwe Meinecke,
  • Marcus Meißner,
  • Elke Schaffrath

摘要

The 5th Federal Conference on Prison Psychiatry offered a systematic overview of mental healthcare for people in custody. A survey by the German Association for Psychiatry, Psychotherapy, Psychosomatics and Neurology (DGPPN task force; 77.8% response) revealed significant gaps: only 32.3 of 46.15 full time-equivalent psychiatrist posts are filled nationwide (0.8 psychiatrists per 1,000 prisoners). Within 1 year 5,812 placements in high-security conditions and 159 restraints were recorded and the suicide rate is about five times that of the general population. Overall, 86% of institutions rated care as inadequate. Pragmatic responses highlighted a 200‑h basic training program, psychiatrically intensified care (PIB; Psychiatrisch Intensivierte Behandlung) as a day-clinic-oriented in-prison model and a video clinic approach with broad online coverage and 24/7 availability. Priority reforms: (1) (potentially delegable) specialist psychiatric intake assessments, (2) higher psychiatrist-to-prisoner staffing, (3) nationwide legal harmonization (e.g., substitution treatment, suicide prevention, restrictive measures), (4) structural development via PIB, telemedicine and specialized nursing competencies and (5) quality assurance through independent complaint and monitoring mechanisms. The conference outlines realistic steps toward care oriented to the principle of equivalence and quality assurance.