학술논문

Patientenverfügungen und psychische Erkrankung – eine Praxisempfehlung der Kommission Ethik und Recht der DGPPN
Document Type
Review Paper
Source
Der Nervenarzt. 95(9):861-867
Subject
Zwangsbehandlung
Unterbringung
Odysseus-Verfügung
Patientenautonomie
Einwilligungsfähigkeit
Compulsory treatment
Confinement
Ulysses contract
Patient’s autonomy
Capacity to consent
Language
German
ISSN
0028-2804
1433-0407
Abstract
Background: Since the creation of legal requirements for advance directives by the legislator in 2009, special aspects of their application in the treatment of people with mental illnesses have been discussed.Goal of the paper: Important questions on dealing with advance directives in everyday life will be answered in a practice-oriented manner.Results: Among other things, this document answers the question of the conditions under which a patient can refuse or consent to hospitalization and treatment in advance, and in particular how to deal with advance directives whose implementation would also affect the rights of third parties. The German Association for Psychiatry, Psychotherapy and Psychosomatics (DGPPN) has addressed these and other questions in the present document and added practical advice on how to formulate advance directives for people with mental illnesses and how to deal with psychiatric advance directives.Discussion: The DGPPN has developed an advance directive for the area of mental health and published it on its website together with detailed explanations. With the help of this advance directive, people can decide on their treatment in phases of incapacity to consent in the context of a mental crisis or illness.