Follow-up after Involuntary Mental Healthcare: Who Cares? (original) (raw)
Background Over the years, the number of emergency compulsory admissions has increased. This trend can be depicted as various combinations of factors that contribute to regional differences in the use of emergency compulsory admissions. Method Data on emergency compulsory admissions in Rotterdam make it possible to follow developments within the region over a period of almost eighty years. Results Upward and downward swings in Rotterdam, related to changes in general and local factors, make five periods stand out: 'custodial psychiatry' in the interbellum period, 'social psychiatry' in the years of postwar reconstruction, 'antipsychiatry' in the 1960s and 1970s, 'modern psychiatry' in the 1980s and 1990s, and 'public mental healthcare' at the turn of the millennium. Conclusion The overall, long term trend in the number of compulsory admissions resulted from a variety of general developments. Short term changes in the number of emergency compulsory admissions are determined by other influences, for example the quality of public mental health, which highlight points of action. Continuity of mental healthcare was one of the local factors and can be directed by local public mental healthcare policies. Background | Chapter
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