Rolfe Tim, Sheehan Bernadette, Davidson Rowan
Office of the Chief Psychiatrist, Department of Health, East Perth, Western Australia, Australia.
Int J Ment Health Nurs. 2008 Feb;17(1):36-43. doi: 10.1111/j.1447-0349.2007.00509.x.
The human and legal rights under the Western Australian Mental Health Act (1996) of involuntary patients on community treatment orders (CTOs) include being provided with information by clinicians about the treatment expectations of the order, the procedure for review of status by the Mental Health Review Board, access to the Council of Official Visitors, and the opportunity for a second opinion about their psychiatric condition. To date, there has been no specific research in this area. This paper presents the findings of a study conducted in Western Australia where consumers on CTOs were asked to provide feedback as to whether they were informed of these legal rights. A questionnaire was distributed which asked eight questions related to being informed of these rights. The results indicated that from the consumer's perspective, the process of providing them with information about their rights was only partially met. Most consumers were informed about first appointments, their right to a review by the Mental Health Review Board, and provided with the appropriate legal form. However, in relation to what it means to be on a CTO, access to the Council of Official Visitors and the right to a second opinion, information was not being provided to the majority of consumers. The findings suggest that mental health clinicians need to make significant improvements in providing information to consumers. This level of consumer engagement could have beneficial results for the development of therapeutic relationships which in turn may lead to improved compliance with the CTO and better health outcomes for the consumer.
根据西澳大利亚州《精神健康法》（1996年），接受社区治疗令（CTO）的非自愿患者所享有的人身和合法权利包括临床医生向其提供有关治疗令的治疗预期、精神健康审查委员会的状态审查程序、与官方访客委员会接触的机会以及就其精神状况获得第二种意见的机会等信息。迄今为止，该领域尚无具体研究。本文介绍了在西澳大利亚州开展的一项研究结果，该研究询问了接受CTO的患者对于他们是否被告知这些合法权利的反馈。分发了一份问卷，其中包含与被告知这些权利相关的八个问题。结果表明，从患者的角度来看，向他们提供权利信息的过程仅部分得到满足。大多数患者被告知首次预约、他们接受精神健康审查委员会审查的权利，并获得了适当的法律表格。然而，关于处于CTO状态意味着什么、与官方访客委员会接触的机会以及获得第二种意见的权利，大多数患者并未得到相关信息。研究结果表明，精神健康临床医生在向患者提供信息方面需要做出重大改进。这种患者参与程度可能会对治疗关系的发展产生有益结果，进而可能导致患者对CTO的依从性提高以及更好的健康状况。
