December 10, 2024, from 10:00 a.m. to 6:15 p.m.
December 10, 2024, from 10:00 a.m. to 6:15 p.m.
VENUE
Beckmanns Hof (Shanghai Room)
Ruhr University Bochum
Universitätsstraße 150
44801 Bochum
We will send you directions after you register. Online participation is available.
COSTS AND REGISTRATION
Participation is free of charge for both in-person and online attendees. Please register for the event by October 15, 2024, using the following link:
https://ww3.unipark.de/uc/SALUS/f964/
ORGANIZER: BMBF SALUS Research Group
- Department of Psychiatry, Psychotherapy, and Preventive Medicine
LWL University Hospital of Ruhr University Bochum - Institute for Medical Ethics and the History of Medicine
Ruhr University Bochum
Website: www.bochum-salus-project.de
If you have any questions or would like further information, please contact Fee Roth by email at: fee.roth@rub.de
Registration is available for one or both days. CME credits for both days will be requested from the Westfalen-Lippe State Medical Association.
Coercion in Psychiatry: Balancing Self-Determination, Health and Safety
SPEAKERS
PATIANI BATCHATI
Association of Binational Families and
Partnerships, iaf e.V. Leipzig
Dr. TANIA GERGEL
Head of Research at Bipolar UK and
Adjunct
Senior Research Fellow, Department of Psychiatry,
University College London and Cardiff University
Dr. Sophie Hirsch, M.D. Department of Psychiatry and Psychotherapy I, University of Ulm; Health Services Research Weissenau & ZfP Südwürttemberg; Biberach Division of Psychiatry and Psychotherapy Prof. Georg Juckel, M.D.
Department of Psychiatry, Psychotherapy, and
Preventive Medicine, LWL University Hospital,
Ruhr University Bochum
ELKE KNAPPMANN
North Rhine-Westphalia Regional Association of
Relatives of People with Mental Illness, Inc.
MATTHIAS KOLLER
Presiding Judge at the Göttingen Regional Court
(retired), Chair of the Visiting Commission for
Forensic Psychiatric Institutions
SIMON KURZHALS
Senior Physician at Kliniken Essen Mitte, Department of
Psychiatry, Psychotherapy, Psychosomatics, and
Addiction Medicine, and host of the “Klinisch Relevant” podcast
EIKE LEIDGENS
Medical Refugee Aid Bochum, Inc.
ANNETTE LOER
Guardianship Judge, Hanover Local Court.
Vice Chair of the
Guardianship Court Conference MARGRET OSTERFELD
Member of the Scientific Advisory Board of
SALUS
Prof. Dr. med. habil. Dipl.-Psych. STEFAN PRIEBE, FRCPsych
Honorary Professor, Centre for Mental Health
Research, City, University of London & Senior
Professor of Public Mental Health, University
of Hamburg
NENEH ROSALÍA QUADFLIEG
Ph.D. candidate at the Department of Psychiatry,
Psychotherapy, and Preventive Medicine, LWL University Hospital,
Ruhr University Bochum
Katrin Radenbach, M.D., Ph.D.
Department of Geriatric Psychiatry, Ökumenisches
Hainich Klinikum, Mühlhausen
Prof. Dr. NICOLE SPRAFKE
Professor of Psychology and Social Skills Training,
University of Applied Sciences for Police and
Public Administration of North Rhine-Westphalia, Gelsenkirchen
NADJA STEHLIN
Patient advocate and First Vice Chair
of the German Society for
Bipolar Disorders (DGBS), Peine
KATRIN STEINBERG
Certified Social Worker (University of Applied Sciences) / Certified
Social Educator (University of Applied Sciences) / Psychiatric Coordination &
Executive Director of the Working Group for
Planning and Coordination of Psychosocial
Facilities, Public Health Department of the City of Essen
Prof. Dr. med. TILMAN STEINERT
Department of Psychiatry and Psychotherapy I at
the University of Ulm
ALVA TRÄBERT
LSVD+ – Association for Queer Diversity, Cologne &
National Working Group of
Psychosocial Centers for Refugees and
Victims of Torture, Berlin
Prof. Dr. med. Dr. phil. JOCHEN VOLLMANN
Institute for Medical Ethics and the History
of Medicine, Ruhr University Bochum
HEIDEMARIE WALDSTÄDT
Formerly KLuW e. V., Dortmund
Dr. med. MARTIN ZINKLER
Klinik für Psychiatrie und Psychotherapie,
Klinikum Bremen-Ost, Gesundheit Nord gGmbH
(Ehemalige) Mitglieder der BMBF-Forschungsgruppe SALUS
Esther Braun, Jona Carlet, Simone Efkemann,
Mirjam Faissner, Jakov Gather,
Christin Hempeler, Sarah Potthoff, Fee Roth,
Matthé Scholten, Anna Werning
Members of the Advisory Board for Family Members and Affected Individuals of the BMBF SALUS Research Group
Iris Haferkemper, Imke Heuer, Ursula Lux,
Sylvia Spiegel, Christina Stefaniak,
Madeleine Thesing
DECEMBER 10, 2024
10:00 – 10:15 a.m.
Opening Remarks
Jakov Gather
10:15 – 10:45 a.m.
Presentation: Coercive Measures and the Psychodynamics of Professionals
Georg Juckel
10:45 a.m. – 12:15 p.m.
SESSION 1: “Voluntary in Quotation Marks” – Psychological Pressure and Informal Coercion in Psychiatry
Mental health professionals and family members use various strategies to encourage people with mental illnesses to
consent to recommended psychiatric treatment. How do those involved experience these strategies, and how do they evaluate them? In this session, findings from studies conducted on this topic with patients, family members, and professionals will be presented and discussed with representatives from each group. – Matthé Scholten: Introduction and presentation of the concepts of “psychological pressure” and “informal coercion”
– Sarah Potthoff: Psychological pressure in psychiatric settings: Findings from two empirical studies with people with experience of mental illness and coercion and psychiatric professionals – Christin Hempeler: Treatment pressure in social and domestic settings – findings from an interview study with relatives of people with experience of mental health care
– Comments from representatives of the participating groups: Elke Knappmann, Simon Kurzhals, and Margret Osterfeld
12:15 – 1:30 p.m. LUNCH BREAK
1:30 – 3:00 p.m.
SESSION 2: Coercion for a Person’s Own Good?
In psychiatry, under certain circumstances, situations arise in which individuals who pose a danger to themselves are treated against their
currently expressed will. This session explores the question of whether such treatments can be justified for the benefit of the individual. It examines, from both an ethical-philosophical perspective and the perspective of those affected, what exactly is meant by the (health-related) well-being of individuals with severe mental illnesses. – Esther Braun: Coercion for a Person’s Well-Being? The Concept of Weak Paternalism
– Jona Carlet: A Hybrid Concept of Health-Related Well-Being
– Annette Loer: Self-Determination Instead of Well-Being in the New Guardianship Law?
– Ursula Lux: Health-related well-being and recovery
3:15 – 4:45 p.m.
SESSION 3: The Regulatory Role of Psychiatry – The Use of Coercion to Protect Third Parties?
As part of what is known as the “regulatory function,” psychiatry is tasked with preventing harm to third parties, which may involve the use of coercion against people with mental illnesses under certain conditions.
This regulatory function is the subject of heated debate among psychiatric professionals, with calls growing to transfer the responsibility for averting danger to others solely to the police and the judiciary and to refrain from the use of coercion within psychiatry. Discussion forum with the audience and the following panelists: Imke Heuer, Sophie Hirsch, Matthias Koller, Sylvia Spiegel, Nicole Sprafke, Katrin Steinberg, and Martin Zinkler
4:45 – 5:15 p.m.
BREAK
5:15 – 6:15 p.m.
Online Lecture: Psychiatry Without Coercion?
Stefan Priebe
December 11, 2024
9:00 – 10:30 a.m.
SESSION 4: Coercion and Structural Factors
Empirical research suggests that structural discrimination can also affect access to and the quality of mental
health care. The INTERSECT project, conducted in cooperation with the SALUS research group,
was the first in the German-speaking world to use a participatory design to examine discriminatory practices in mental health care from the perspectives of users, staff, and psychosocial counselors, and to develop measures for reducing discrimination in practice.
– Mirjam Faissner: Introduction to the topic
– Patiani Batchati and Neneh Rosalía Quadflieg: Insights into the research findings from INTERSECT
– Mirjam Faissner: Structural racism and coercive measures in cases of danger to others
– Alva Träbert: Discrimination against queer people in psychiatry
– Eike Leidgens: Psychiatry and the care of refugees
10:45 a.m. – 12:15 p.m.
SESSION 5: Preventing Coercion – Advance Directives and Treatment Agreements
In advance directives and treatment agreements, people with mental illnesses can specify their treatment preferences for future crisis situations. To improve the implementation of advance care planning in the field of psychiatry,
the SALUS research group has developed systematic reviews, empirical studies, and a template for a
psychiatric advance directive. – Jochen Vollmann: Introduction to the Concept of Advance Healthcare Planning
– Jakov Gather: Stakeholder Attitudes Toward Living Wills and Treatment Agreements in Psychiatry
– Matthé Scholten: Presentation of the SALUS Template for a Psychiatric Living Will – Comments from Stakeholders:
Katrin Radenbach, Nadja Stehlin, Heidemarie Waldstädt
12:15 – 1:30 p.m.
LUNCH BREAK
1:30 – 3:00 p.m.
SESSION 6: Participatory Research – Insights into the Work of the SALUS Advisory Board for Patients and Their Families
Since late 2021, the SALUS research group has included an advisory board of patients and family members, which provides substantive advice and actively contributes to individual research projects in a variety of ways. This session will examine the advisory board’s various working methods
and reflect on the collaborative process. – Mirjam Faissner, Jakov Gather, Christina Stefaniak, and Anna Werning: Introduction to the topic and the development of the SALUS Advisory Board
– Simone Efkemann, Iris Haferkemper, Imke Heuer, Ursula Lux, Sarah Potthof, Matthé Scholten, Sylvia Spiegel, Madeleine Thesig:
Opportunities and challenges of advisory board work: Brief statements from SALUS Advisory Board members and SALUS researchers
3:15 – 4:15 p.m.
Presentation (with simultaneous translation into German): Self-binding directives – evaluating recent advances, remaining challenges, and the need to incorporate lived experience
Tania Gergel
4:15 – 4:30 p.m.
Closing Remarks and Outlook
Jakov Gather