The impact of the new law on the protection of persons with mental disorders on the frequency of involuntary hospitalizations in the Neuropsychiatric hospital "Dr. Ivan Barbot" Popovača

Uvod: Zaštita osoba s duševnim smetnjama u Republici Hrvatskoj regulirana je Zakonom o zaštiti osoba s duševnim smetnjama (ZZODS). U radu je opisano kada je zakonski dopušteno primijeniti prisilnu hospitalizaciju i na koje se načine ona primjenjuje u praksi. Cilj: Ovo istraţivanje ima za cilj analizirati utjecaj novog ZZODS-a na učestalost prisilne hospitalizacije u NPB „Dr. Ivan Barbot“ Popovača. Metode: Istraţivanje je provedeno u NPB „Dr. Ivan Barbot“ te obuhvaća dva razdoblja: Prvo istraţivano razdoblje u periodu primjene starog ZZODS-a od 01. siječnja 2013. do 31. prosinca 2014. godine i Drugo istraţivano razdoblje u periodu primjene novog ZZODS-a od 01. siječnja 2015. do 31. prosinca 2016. godine. Uzorak čini 206 bolesnika prisilno zadrţanih po članku 28. ZZODS-a sa dobivenim rješenjem nadleţnog Ţupanijskog suda. Podaci o bolesnicima su prikupljeni iz Protokola prisilnih hospitalizacija, Povijesti bolesti i Integriranog bolničkog informacijskog sustava. Rezultati: Prema rezultatima istraţivanja većina prisilno hospitaliziranih pacijenata su osobe muškog spola, prosječne dobi oko 45 godina, završene srednje škole, nezaposleni, neoţenjeni, pozitivnog psihijatrijskog heriditeta sa dijagnozom iz skupine F20-F29 - Shizofrenija, te prisilno hospitaliziranih u pratnji policije. Zaključak: Analizom dobivenih rezultata utvrđeno je kako ne postoji statistički značajna razlika u učestalosti prisilnih hospitalizacija prema starom i novom ZZODS-u u dva istaţivana razdoblja.Introduction: Health protection of persons with mental disorders in Republic of Croatia is regulated with Act of protection people with mental disorders (APPMD). In this graduate thesis is described when and how is legaly approved to apply involuntary commitment. Objective: Main goal is to analize influence of new APPMD on freaquency of involuntary hospitalizations in Neuropsychiatric hospital „Ivan Barboot“ Popovača. Methods: Researche is conducted in Neuropsychiatric hospital „Ivan Barboot“ Popovača and contains two studied periods: first one in time from 01. January 2013. to 31. December 2014. (old APPMD), and the second one in time from 01. January 2015. to 31. December 2016. (new APPMD). The sample contains 206 patients involuntary conducted under Article 28 of the APPMD with a decision of the competent County Court. Patient data were collected from the Involuntary hospitalization protocol, Medical history, and Integrated hospital information system. Results: According to the results of the research, most of the involuntarily hospitalized patients are males, average age around 45, high school graduates, unemployed, unmarried, positive psychiatric heredity diagnosed from group F20-F29 - Schizophrenia, and involuntarily hospitalized accompanied by police. Conclusion: Analazying obtained results showed that there is no statistically significant difference in the frequency of involuntary hospitalizations according to the old and new APPMD in the two studied periods