[The occurrence of coercive measures towards non-hospitalized elderly].
BACKGROUND
The study is a nation-wide investigation of the occurrence of coercive measures towards non-hospitalised elderly (+65 years) with dementia in Denmark. These measures include the use of alarm and tracking systems, use of physical force and protective devices, detention of the elderly in their own homes, and forced movement to another domicile e.g. nursing home. These types of coercive measures are regulated in the Danish jurisdiction, but not systematically recorded.


METHODS
A questionnaire was sent to all counties in Denmark concerning occurrence of the coercive measurements mentioned above.


RESULTS
All 14 counties reported a very low use of all types of coercion with only a total of 123 incidents reported in all in 2001.


CONCLUSIONS
This modest number gives rise to concern about lack of sufficient care towards elderly with dementia. The autonomy of the demented is important, but must not overrule basic care with the aim of ensuring dignified living conditions and safety from harm. The jurisdiction in this area is complicated and sometimes unclear.
Olsen
Carsten Emil
CE
H:S Hvidovre Hospital, Psykiatrisk Afdeling, København K. olsen_carsten@hotmail.com
Zabinski
Lis
L
Poulsen
Henrik Day
HD
D000368:Aged; D003068:Coercion; D003134:Commitment of Persons with Psychiatric Disorders / Q000331:legislation & jurisprudence; D003195:Computer Communication Networks; D003704:Dementia / Q000451:nursing* / Q000523:psychology; D003718:Denmark / Q000453:epidemiology; D005852:Geriatric Psychiatry / Q000331:legislation & jurisprudence / Q000592:standards; D006299:Health Services for the Aged / Q000331:legislation & jurisprudence / Q000592:standards*; D006699:Home Care Services / Q000331:legislation & jurisprudence / Q000592:standards*; D006801:Humans; D026684:Personal Autonomy; D011482:Protective Devices / Q000706:statistics & numerical data; D012149:Restraint, Physical / Q000331:legislation & jurisprudence / Q000706:statistics & numerical data*; D012449:Safety; D011795:Surveys and Questionnaires