Usually on the Gessian CDS on the Instagram channel quite quietly. But at the end of June, the post went through the ceiling: the deputy chairman of Ralph-Norbert Bartilt is in the plenary meeting of the Gessian state parliament and says in the cell: “There are people who are difficult to get psychiatric. They pose a danger to themselves and society. ” According to him, the state must do something, and “that is why we bring the draft law that provides that these people must report to the regulatory authorities.”
He does not explain who he speaks with “these people.” The parliamentary press release includes this project: “In the future, dismissals from psychiatric specialized hospitals will be immediately reported by responsible orders and police authorities.”
In the end, in the end, in the end, in the end, up to a third of the population is considered “mentally ill”. About 1.2 million people annually receive psychiatry in Germany. Data on the health of mentally ill people are one of the most confidential information that is. Therefore, they cannot be easily transferred to the security authorities.
The Gessian CDU took several days before he added differentiation: only the dismissal of people who were instructed because they were in danger of others should be reported, Ralph-Norbert Bartilt explained. The attending doctors must decide when information is needed.
People with mental illness as an object of internal security
Data exchange should be a security measure. Since the attack in Askaffenburg and Magdeburg last year, both committed by supposedly mentally ill people were discussed in Germany about how such incidents should be prevented. In the middle of the election campaign, CDU Secretary General Karsten Linnemann called for a central register for mentally ill criminals. He later knocked on. But also younger incidents, such as a knife attack on the Hamburg railway station, Feed: people with mental illness have become politically for internal security, although – as experts repeatedly emphasizes – only a very small minority become potentially violent.
In the agreement on the coalition, blacks and red federal government agreed to introduce a “general assessment of risk and integrated interdisciplinary risk management”. And when the Minister of Internal Affairs (IMK) and the Conference of the Minister of Health (GMK) met in May, they decided the question of how to prevent such violence. The result is two decisions that announce that something will change.
In particular, this applies to mental laws, in most countries they are reduced as a psycho. These state laws regulate housing and the treatment of people in psychiatry against their will, if they are acute for themselves or for others from their illness.
Dismissal should be reported to the police
Among other things, health ministers agreed to check whether it is possible to exchange data with security agencies. The ministers of the internal affairs offer several points to tighten psychos, including the introduction of outpatient drugs. According to the will of the Ministers of the Interior, mentally ill patients may be required to take medications under supervision after dismissal.
Criticism of the project proceeds from the Federal Association of Psychiatric Experience. “How to filter a huge amount of diagnosis that few (potential) violent criminals are outside me,” says his member of the board Matias Seibt. However, the fact is that psychiatry often gives the treatment of really dangerous people. They are often produced very quickly.
But this is not what is, at least in Hesse, but about the exchange of data. The draft Law of the Black and Red Coalition provides that the psychocus is adapted in such a way that certain dismissals are reported to the security authorities.
“Government fractions miss the opportunity to solve the most important problems: a constant overload of a psychiatrist and the lack of structures in outpatient emergency situations and crisis services,” criticizes Marcus Boklet, a member of the Gesesyan parliament. Thanks to ensuring compliance with the law, there is no more security, but thanks to better care and sustainable support of mentally ill.
But in black red in Hess, there are no such things. CDU’s health policy Bartilt said that TAZ, that no measures were planned that would specially improve the care of the mentally ill. And still much unclear, for example, how long the security authorities can store data on mentally ill. After a public reaction to his post on Instagram, he now wants to cope with this.
Gaps in treatment and responsibility
The system mainly works, says Peter Brger, a psychiatrist and medical director KBO ISAR-CPER-KLINIKUM, a large specialized hospital for a psychiatry near Munich. But individual cases in which something goes wrong is especially visible. Nevertheless, none of the attacks over the past few months would have been currently prevented by the application of the law. There are no gaps in the law, but breaks in treatment and responsibility, says Brieger, especially for people who have a difficult need for help.
The Bavarian Psychok already provides that clinics must inform the police about the dismissal of patients if they were placed from external risk and potentially dangerous if they are released. “To agree here only in absolute individuals,” Brger explains. There is also cooperation to manage threats with the headquarters of Munich police. According to his estimates, about 15,500 records are accepted about 20 cases a year.
Nevertheless, very clear and “high rules” are necessary for data transfer, he emphasizes that the police can study only naked essential items, no medical details. The exchange of information is on both sides: the security authorities are also informed clinics if the patient has already become violent, which is important for treatment planning.
Fixed responsibilities can help
The clinic contains the Center for Prevention, a project that is aimed at people who have psychoses who have psychoses that have housing in forensics that cannot be given the right treatment in the normal range. This position became possible thanks to the reform of the Bavarian psycho -American of 2018. Not a single patient is surrendered here, contact is always maintained – multidiscountal and if necessary. Brger does not think much about outpatients of obligatory measures, as was supposed to be inner minutes: “Continuous relationships help, not coercion.”
Brieger is convinced that permanent contact persons who take on mandatory responsibility for a difficult need for help can make a greater contribution to prevention than legal improvements. This does not necessarily need additional resources, but, above all, the best management of business and the responsibilities of the company in the region.
Federal states study changes in the law
IMK plans will also take care of the lawyer of Bremen Helmut Pollan: he fears that outpatient forced treatment methods will be expanded and normalized. The lawyer belongs to the decision of the Federal Constitutional Court on November 2024, according to which compulsory treatment should also be possible outside the clinic, for example, in nursing homes. The solution creates close characteristics for this. Pollaen emphasizes that these restrictions must be observed – and that lawmakers do not go beyond.
However, in addition to the exchange of data, the politician also relies on these mandatory measures. What exactly changes for mentally ill people depends on the specific implementation, in the end, each federal state has its own psycho. If you ask the responsible health or social ministries, they usually say that GMK and IMK proposals are now being checked.
In Bavaria, a controlled CSU, possible tightening, at the request of internal mines, someone wants to discuss and check, “what regulation measures can be directed in advance or subsequent housing.” IMK measures are also “checked” in black and red Saxons. The exchange of data with the police is already planned here.
According to the press secretary, in Bremen, where the left party provides the healthcare senator, the psycho will not be revised. The exchange between authorities and clinics takes place here at a constant conference, where communication with mentally ill people with special risk potential is discussed. The social psychiatry service can intervene in the case of crises, give outstanding AIDS, and also switch the police in an emergency.
The lawyer is afraid of “data spiral”
The lawyer sees how Pollan does not need to focus psychologically. It rejects the additional data transfer to the police. “This is a spiral that appears further,” he warns, “whenever anything happens, more data should be replaced again.” In addition, police officers often do not study to deal with mentally ill people. Too often the police also shot in psychological crises. In the period from 2019 to 2024, 37 people were killed, often, although the police knew about mental illness before use. “The problem is not in information deficit, but the lack of experience,” Pollan emphasizes.
It requires that the principle of data from the data is applied to especially confidential data on the health of mentally ill people. Moreover, data collection cannot reliably predict whether anyone becomes violent: “This is an old dream of security authorities, that there is such a tool, but this will never happen. Residual risk always remains. ”
