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Zalecenia dotyczące interwencji Policji - działania wobec osób z zaburzeniami psychicznymi

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Berent J., Gałecki P., Kubiak R., Smędra A.

Kontrola Państwowa

2022

vol. 67

issue 2 (403)

22-42

Police interventions in the case of persons with mental disorders are inseparably associated with unpredictability, however appropriate measures and cooperation with medical staff may reduce the risk of unfavourable events, which, however, calls for modification of typical reactions. In order to understand these issues thoroughly, it is necessary to present them as: excited delirium, agitated delirium, acute behavioural disturbance/disorder, violent strangling, neck grip, training on providing assistance and obligation to provide assistance, as well as to declare somebody dead. In the article, all these issues have been discussed as well as the proper manner for the police to proceed in the case of intervention with the participation of persons with mental disorders. Because the detailed rules on how to proceed have been frequently published by the authors, they are not repeated in this article – it is only indicated where these can be accessed. Still, the authors refer to the opinion of the Physicians for Human Rights that in March 2022 published a stance questioning the notion of excited delirium – the article presents the origins and evolution of the notion, as well as the reasons for questioning it today. The authors claim that declaring somebody dead due to excited delirium is a diagnosis with exclusion, i.e. made if other reasons have been excluded – the basic disease, injury or poisoning have not been stated that would clearly expla in the reason of death. Excited delirium does not give any pathognomonic symptoms during autopsy (which would allow for confirming such a diagnosis).

W interwencje Policji wobec osób z zaburzeniami psychicznymi wpisana jest nieprzewidywalność, ale właściwe działanie i współpraca z personelem medycznym może zminimalizować ryzyko niepomyślnego zakończenia, co jednak wymaga zmodyfikowania typowych zasad reagowania. Pełne zrozumienie tytułowych zagadnień wymaga przedstawienia także kilku dodatkowych kwestii, takich jak: excited delirium, uduszenia gwałtowne, obchwyt szyi, szkolenia i obowiązek udzielenia pomocy oraz stwierdzanie zgonu. Artykuł przybliża je i wskazuje prawidłowy sposób postępowania Policji w razie interwencji wobec osób z zaburzeniami psychicznymi.

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1 Kontrola Państwowa

1 Berent J.

1 Gałecki P.

1 Kubiak R.

1 Smędra A.

1 2022

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Zalecenia dotyczące interwencji Policji - działania wobec osób z zaburzeniami psychicznymi