<p>The Penrose effect states that a&#xa0;reduction in the number of beds in psychiatric clinics is accompanied by an increase in the number of prison inmates. Internationally, this effect has been confirmed by the majority of publications. In Switzerland, a&#xa0;negative correlation between the number of prisoners and the number of beds in psychiatric clinics could be observed in certain years, especially in recent times, which supports the existence of a&#xa0;Penrose effect. Indirect evidence for the validity of this effect is that, according to specialists, the proportion of mentally ill people in Swiss prisons is high and increasing. At the same time, there is a&#xa0;growing tendency for psychiatric clinics to admit only “safe” prisoners for acute treatment. These developments indicate that more resources should be invested in psychiatric care and that the number of beds and the length of stay in psychiatric clinics should be kept constant or, where necessary, increased. At the same time, public relations interventions must be used to counteract the risk of these findings having a&#xa0;stigmatizing effect on psychiatric patients.</p>

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Die Penrose-Hypothese international und in der Schweiz

  • Thomas Noll,
  • Natalie Wrede,
  • Jérôme Endrass

摘要

The Penrose effect states that a reduction in the number of beds in psychiatric clinics is accompanied by an increase in the number of prison inmates. Internationally, this effect has been confirmed by the majority of publications. In Switzerland, a negative correlation between the number of prisoners and the number of beds in psychiatric clinics could be observed in certain years, especially in recent times, which supports the existence of a Penrose effect. Indirect evidence for the validity of this effect is that, according to specialists, the proportion of mentally ill people in Swiss prisons is high and increasing. At the same time, there is a growing tendency for psychiatric clinics to admit only “safe” prisoners for acute treatment. These developments indicate that more resources should be invested in psychiatric care and that the number of beds and the length of stay in psychiatric clinics should be kept constant or, where necessary, increased. At the same time, public relations interventions must be used to counteract the risk of these findings having a stigmatizing effect on psychiatric patients.