What is an open door policy

Lang, U .; Borgwardt, S .; Walter, M .; Huber, C .: Introduction of an »Open Door Policy« - What does this mean in concrete terms and how does it affect coercive measures? - Single article from R&P 2/2017

The frequency of coercive measures varies between countries, clinics and individual treatment teams. Controlled clinical studies on the respective practice are largely lacking. In a current study of approx. 350,000 examined cases, it was shown that complications such as suicides and escapes did not occur more frequently in completely open psychiatric care clinics than in closed facilities. In addition, some smaller studies have shown that the introduction of an »open door policy« can lead to fewer coercive measures. In this work, possible causes of this observation are discussed, such as overcrowding, concentration of acute patients or crowding, a longer stay in the acute departments or more therapy offers and easier relationship building, staff relocations, a better ward atmosphere, normality and a higher emotional level Addressability of caregivers. An opening up of psychiatric clinics, if it is combined with appropriate conceptual measures, could help to intensify the key relationship work in psychiatry and, according to the data available so far, does not lead to increased risks.