Hoffman B F, Srinivasan J
Day Hospital Unit, Mount Sinai Hospital, Toronto, Ontario.
Can J Psychiatry. 1992 Apr;37(3):179-82. doi: 10.1177/070674379203700306.
Sixty patients admitted to an acute treatment ward in a provincial psychiatric hospital were assessed for their competence to consent to psychiatric treatment. A semi-structured interview was used to determine whether they met none, some or all of the four necessary criteria for competence outlined in the Mental Health Act of Ontario. Only 21 of the 60 patients (37%) met all four criteria necessary for a patient to be considered competent to make their own decisions regarding psychiatric treatment. The study outlines the major difficulties in the assessment of competence to consent to psychiatric treatment. Our findings suggest that 74% of patients found incompetent using the current definition in the MHA (Ontario) would fail almost any reasonable test. The implications of these findings are discussed.
对一家省级精神病医院急性治疗病房收治的60名患者进行了评估，以确定他们是否有能力同意接受精神科治疗。采用半结构化访谈来确定他们是否符合安大略省《精神健康法》中规定的四项能力必要标准中的无、部分或全部标准。60名患者中只有21名（37%）符合患者被认为有能力就精神科治疗自行做决定所需的全部四项标准。该研究概述了评估同意接受精神科治疗能力方面的主要困难。我们的研究结果表明，根据《安大略省精神健康法》目前的定义被判定无能力的患者中，74%几乎通不过任何合理测试。讨论了这些研究结果的影响。
