[The situation in the German forensic commitment-Results of a survey by the DGPPN].

Abstract

In German forensic psychiatry detention under Sections63 and64 of the German Penal Code have been repeatedly reformed over the past years; however, despite the most recent amendments to the law on detention, clinics and state authorities warn of insufficient capacities and worrying conditions. Media reports paint adefiant picture. At the same time, there is alack of valid data that would allow an objective description of the situation in forensic psychiatry. Against this background the management of institutions in Germany has been surveyed. The survey was conducted as an online survey and sent to all 78forensic hospitals in Germany. The survey covered topics such as structural data of the facilities, the occupancy and staffing situation, incidents, support from supervisory authorities and funding agencies, and patient characteristics. The results are presented descriptively. Of the 78facilities contacted, 45(approximately 60%) participated at least partially in the survey. Many of the clinics (68.5%) complained of significant overcrowding. Aclear lack of staff and rooms was reported, at the same time it was stated that patients do not receive adequate treatment. Approximately 1 in 5 patients have alength of stay for more than 10 years and one third of the clinics reported an increasing number of physical assaults by patients. This overview shows that the forensic psychiatric hospitals are in very different but generally strained situations. Asignificant number of clinics are under great pressure. Financial, structural, spatial and personnel resources were described as insufficient to properly and professionally fulfill the legal mandate. The treatment standards presented by the DGPPN in 2017 are not met in many clinics.