Kallert, Thomas

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BMC Psychiatry
Open AccessOral presentation
The EUNOMIA study design: definitions and implementation in 13 
European centers
Thomas Kallert1,2
Address: 1Department of Psychiatry and Psychotherapy, University Hospital Dresden, Fetscherstrasse 74, D-01307 Dresden, Germany and 
2Parkkrankenhaus Leipzig-Südost, Klinik für Psychiatrie, Morawitzstrasse 2, D-04289 Leipzig, Germany
Background
Previous (mostly national) research has shown significant
variation of different aspects of coercive treatment meas-
ures. Therefore, clinical practice and outcome of these
measures should be assessed at an international level
facilitating cross-national comparisons.
Methods
This was the general research objective of the EC-funded
EUNOMIA-project. Using a standardized battery of instru-
ments (e.g. covering psychopathology, perceived coer-
cion, satisfaction with treatment, quality of life) each
center assessed two groups of general adult psychiatric
patients for a three-month follow-up period (time-points
of assessments: within the first week after hospital admis-
sion, 4 weeks and 3 months after hospital admission):
legally involuntarily admitted patients (aimed at figure of
complete cases in each center: N = 140) and legally volun-
tarily admitted patients who – according to a screening
procedure – felt coerced to admission (aimed at figure in
each center: N = 40). Further, and by use of a standardized
instrument all individual coercive measures applied to the
clientele within the first 4 weeks of the index-treatment
were recorded, in detail: mechanical restraint, seclusion,
forced medication, and detention after voluntary admis-
sion.
Results
The naturalistic and epidemiologically oriented study
design was successfully implemented in 13 catchment
areas in 12 European countries; data collection – having
lasted at least 24 months – ended in June 2006, and data
correction was finalized in November 2006. The project's
final database comprises individual datasets of 2,586
legally involuntarily admitted patients, and of 830 legally
voluntarily admitted patients who felt coerced to admis-
sion.
Conclusion
Results are embedded in standardized information on the
organization of mental health care inthe participating
catchment areas which was collected by use of the instru-
ments developed by the European Psychiatric Care Assess-
ment Team.
from WPA Thematic Conference. Coercive Treatment in Psychiatry: A Comprehensive Review
Dresden, Germany. 6–8 June 2007
Published: 19 December 2007
BMC Psychiatry 2007, 7(Suppl 1):S96 doi:10.1186/1471-244X-7-S1-S96
<supplement> <title> <p>World Psychiatric Association (WPA) Thematic Conference. Coercive Treatment in Psychiatry: A Comprehensive Review</p> </title> <editor>Thomas W Kallert, John Monahan, Juan E Mezzich</editor> <note>Meeting abstracts – A single PDF containing all abstracts in this Supplement is available <a href="http://www.biomedcentral.com/content/pdf/1471-244X-7-S1-full.pdf">here</a>.</note> <url>http://www.biomedcentral.com/content/pdf/1471-224X-7-S1-info.pdf</url> </supplement>
This abstract is available from: http://www.biomedcentral.com/1471-244X/7/S1/S96
© 2007 Kallert; licensee BioMed Central Ltd. 


The EUNOMIA study design: definitions and implementation in 13 European centers

Thomas Kallert

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The EUNOMIA study design: definitions and implementation in 13 European centers

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