Principles of compulsory psychiatric inpatient treatment

Abstract

Results Implementation of compulsory medical measures comprises the complex use of different treatment methods. Biological therapy is usually combined with psychotherapy and social rehabilitation procedures. The priority of a certain treatment method depends on the stage of the disorder. In choosing therapeutic strategies the leading approach should be a clinically substantiated and differentiated approach based upon the clear verification of the present mental disturbances and upon assessing the register of psychopathological disorders including the differentiation of negative and positive symptoms, and of endogenous and psychogenic compounds. Thus, significance of the complex psychological and psychiatric examination increases and makes data obtained by clinicians more precise and objective. Taking into account the tendency to reduce the psychopathological symptoms we can divide the process of the compulsory inpatient treatment into 4 stages: 1) adjustment and diagnosis, 2) intensive treatment and rehabilitation measures, 3) stabilization of the attained effects, and 4) preparation to discharge from inpatient hospitalization. The consecutive implementation of tasks put before each stage allows the physician to allocate adequately the biological and psychosocial methods in the process of treatment.