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Ziel der vorliegenden Arbeit ist eine Erhebung des Ist-Zustands sowie des gesch\u00e4tzten Bedarfs an EKT im MRV.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Material und Methoden<\/jats:title>\n                <jats:p>Es wurde ein Fragebogen zur Erhebung der aktuellen Anwendung sowie der Einsch\u00e4tzung des Bedarfs an EKT in dieser Population entwickelt. Dieser wurde elektronisch und bei Bedarf postalisch an die forensischen Kliniken in Deutschland versendet.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>Wir erhielten Antwort von 52\u00a0Kliniken (66\u202f%). 29 der Kliniken gaben an, Patienten mit EKT behandeln zu k\u00f6nnen. Eine Behandlungsindikation wurde klinik\u00fcbergreifend f\u00fcr 3,4\u202f% der untergebrachten Patienten gesehen. In einem Jahr (2018) wurden insgesamt 32\u00a0EKT-Behandlungen an 12\u00a0Kliniken des Ma\u00dfregelvollzugs mit durchschnittlich guter Wirksamkeit (\u00d8\u00a0CGI\u2011I 2,32) durchgef\u00fchrt. H\u00e4ufigste Begr\u00fcndung f\u00fcr die fehlende Anwendung der EKT waren mangelnde strukturelle Voraussetzungen. Jeweils etwa ein Drittel der Kliniken sehen einen mittleren bzw. hohen Bedarf an EKT im MRV.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Diskussion<\/jats:title>\n                <jats:p>Die EKT kommt im MRV in Deutschland aktuell nur sehr begrenzt zum Einsatz. Auff\u00e4llig ist, dass die Anzahl der durchgef\u00fchrten Behandlungen etwa um den Faktor\u00a08 hinter der Indikationsh\u00e4ufigkeit zur\u00fccksteht. Ungeachtet dessen sehen zwei Drittel der Kliniken einen mittleren bis hohen Bedarf, womit eine Unterversorgung mit EKT im MRV zu bestehen scheint.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00115-020-00947-4","type":"journal-article","created":{"date-parts":[[2020,7,8]],"date-time":"2020-07-08T17:03:43Z","timestamp":1594227823000},"page":"9-17","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Stellenwert der Elektrokonvulsionstherapie (EKT) in der forensischen Psychiatrie","Importance of electroconvulsive therapy (ECT) in forensic psychiatry"],"prefix":"10.1007","volume":"92","author":[{"given":"Matthias","family":"Besse","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna-K.","family":"Schomburg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alfred","family":"Simon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dirk","family":"Hesse","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00fcrgen","family":"M\u00fcller","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Zilles-Wegner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2020,7,8]]},"reference":[{"key":"947_CR1","doi-asserted-by":"publisher","first-page":"708","DOI":"10.1177\/0020764016675379","volume":"62","author":"Y Aoki","year":"2016","unstructured":"Aoki\u00a0Y, Yamaguchi\u00a0S, Ando\u00a0S et al (2016) The experience of electroconvulsive therapy and its impact on associated stigma: a meta-analysis. 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