{"id":17097,"date":"2025-07-14T13:49:35","date_gmt":"2025-07-14T11:49:35","guid":{"rendered":"https:\/\/sygeplejevidenskab.dk\/?p=17097"},"modified":"2025-07-14T19:39:19","modified_gmt":"2025-07-14T17:39:19","slug":"nye-former-for-tvang-i-dansk-psykiatri-fremskridt-eller-tilbageskrift","status":"publish","type":"post","link":"https:\/\/sygeplejevidenskab.dk\/index.php\/2025\/07\/14\/nye-former-for-tvang-i-dansk-psykiatri-fremskridt-eller-tilbageskrift\/","title":{"rendered":"Nye former for tvang i dansk psykiatri: Fremskridt eller tilbageskrift?"},"content":{"rendered":"

\"\"<\/p>\n

Pedersen ML. New restrictive practices in mental health practice in Denmark. In: The Lancet Psychiatry. 2025 [Online ahead of print]. <\/span>https:\/\/www.thelancet.com\/journals\/lanpsy\/article\/PIIS2215-0366(25)00195-6\/abstract<\/a><\/p>\n

Af Martin Locht Pedersen. Sygeplejerske, Cand.cur., Ph.d.-studerende, Retspsykiatrisk Forskningsenhed Middelfart, Institut for Regional Sundhedsforskning, Syddansk Universitet & Psykiatrisk Afdeling Middelfart, Psykiatrien i Region Syddanmark. martin.locht.pedersen@rsyd.dk<\/a><\/span><\/p>\n

Download som pdf<\/a><\/p>\n

Introduktion
\n<\/span><\/strong>I maj 2025 pr\u00e6senterede Folketinget en samlet 10-\u00e5rsplan for psykiatrien. Samtidig med markante investeringer i forebyggelse og udbygning af tilbud, blev der foresl\u00e5et nye tvangsformer, som forventes implementeret i 2026-2027. Disse \u00e6ndringer st\u00e5r i kontrast til internationale anbefalinger fra institutioner som WHO, FN og Europar\u00e5det, som opfordrer til at nedbringe eller afskaffe psykiatrisk tvang. Den danske psykiatriplan rejser derfor sp\u00f8rgsm\u00e5l om, hvilke konsekvenser indf\u00f8relsen af nye \u2013 og muligvis \u201cmindre indgribende\u201d \u2013 tvangsformer kan f\u00e5 for pleje og behandling.<\/span><\/p>\n

Metode
\n<\/span><\/strong>Artiklen bygger p\u00e5 en analyse af de foresl\u00e5ede lov\u00e6ndringer vedr\u00f8rende psykiatrisk tvang, som pr\u00e6senteret i psykiatriplanen. Analysen skaber overblik over de nye tvangsformer og sammenligner dem vedr\u00f8rende g\u00e6ldende lovgivning, den psykiatriske kontekst, de tilh\u00f8rende sikkerhedsforanstaltninger samt rationalet bag \u00e6ndringerne.<\/span><\/p>\n

Resultater
\n<\/span><\/strong>Der identificeres syv nye tvangsformer, som enten tidligere har v\u00e6ret ulovlige, eller hvor anvendelsesomr\u00e5-det udvides:<\/span><\/p>\n

1) Arealbegr\u00e6nsning
\n<\/span>2) Akut beroligende tvangsmedicin p\u00e5 farlighedsindikation
\n<\/span>3) Afl\u00e5sning af retspsykiatriske patientstuer
\n<\/span>4) Oppeg\u00e5ende tvangsfiksering uden for Sikringen
\n<\/span>5) Transportremme ved forflytning
\n<\/span>6) Tvangsmedicinering uden ops\u00e6ttende virkning
\n<\/span>7) Tvungen opf\u00f8lgning efter udskrivelse.<\/span><\/p>\n

Konklusion
\n<\/span><\/strong>Psykiatriplanen markerer et skifte i dansk psykiatri, der kan underminere bestr\u00e6belserne p\u00e5 at reducere brugen af tvang. Omvendt kan de nye tiltage \u2013 hvis de anvendes ansvarligt \u2013 potentielt bidrage til at begr\u00e6nse brugen af \u201dmere indgribende\u201d tvangsformer som langvarig b\u00e6ltefiksering<\/span><\/p>\n

Implikationer for praksis
\n<\/span><\/strong>Faglig ansvarlighed, t\u00e6t monitorering og et vedvarende fokus p\u00e5 alternativer til tvang, herunder deeskalering og efteruddannelse af personalet, er afg\u00f8rende for psykiatriplanens succes. Implementeringen m\u00e5 ikke f\u00f8rer til en lavere tr\u00e6skel for brugen af tvang, men b\u00f8r underst\u00f8tte en psykiatri pr\u00e6get af tillid, relationer og respekt for rettigheder.<\/span><\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

Pedersen ML. New restrictive practices in mental health practice in Denmark. In: The Lancet Psychiatry. 2025 [Online ahead of print]. 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