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Psychiatrische und psychotherapeutische Behandlung als Ersatzmaßnahme nach Art. 237 StPO in der Schweiz
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文摘
The Swiss code of criminal procedure provides the option of psychiatric and/or psychotherapeutic treatment orders as a prerequisite for releasing a person from investigative custody (“alternative measures”). In contrast to the legal regulations for inpatient and outpatient treatment court orders in criminal law (equivalent to the German forensic commitment), the Swiss code of criminal procedure does not provide mandatory requirements for psychiatric and psychotherapeutic treatment as an alternative. Expert opinions are not obligatory. Due to the special situation of involuntary treatment prior to passing a final verdict, several psychotherapeutic, ethical and legal problems can emerge. These include aspects of the diagnosis and indications, the potentially prejudicial effect of such a treatment order, weighing the risk-benefit ratio of the treatment resulting from this and the question of who is responsible for bearing the treatment costs. An evaluation of nine treatment orders over a period of 2 years in the forensic outpatient department for adults at the Basel Psychiatric University Hospital showed that after issuing such an order and beginning treatment, the mean duration until the court proceedings was nearly 1 year (338 days), an expert opinion was not a standard procedure and the court did not confirm the treatment order to be continued in every case. From the authors’ perspective such treatment orders are a useful alternative in specific cases but should always be referred for a psychiatric expert opinion.

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