Department of Adult Psychiatry, University College Dublin, Mater Misericordiae University Hospital, 62/63 Eccles Street, Dublin 7, Ireland.
Ir J Med Sci. 2010 Jun;179(2):291-4. doi: 10.1007/s11845-009-0320-x. Epub 2009 Mar 31.
Ireland's Mental Health Act 2001 resulted in substantial changes to mental health services and the process of involuntary admission.
To determine the views of Irish psychiatrists regarding the new legislation, 1 year after full implementation.
We sent questionnaires to all 735 members of the Royal College of Psychiatrists in Ireland.
The response rate was 43.7%. As much as 84% of respondents reported satisfaction with training; 69.1% reported increased workloads; 26.8% reported decreased time with service-users; 40.7% reported changes in relationships with service-users (e.g. increased empathy, but more legalistic, conflicted relationships). Almost one in three (27.4%) stated that it was not feasible to implement the Mental Health Act. Negative comments highlighted the adversarial nature of mental health tribunals, effects on therapeutic relationships and issues related to children.
The implementation of the Mental Health Act 2001 has resulted in increased workloads, more conflicted relationships with service-users and adversarial mental health tribunals.
2001 年，爱尔兰的《精神健康法案》对精神健康服务和非自愿入院程序进行了重大改革。
在新立法全面实施一年后，确定爱尔兰精神病医生对新立法的看法。
我们向爱尔兰皇家精神病学院的 735 名成员发送了调查问卷。
回复率为 43.7%。多达 84%的受访者对培训表示满意；69.1%的受访者报告工作量增加；26.8%的受访者报告与服务使用者的时间减少；40.7%的受访者报告与服务使用者的关系发生变化（例如，同理心增加，但更具法律性，更有冲突）。近三分之一（27.4%）的人表示，实施《精神健康法案》是不可行的。负面评论强调了精神健康法庭的对抗性质、对治疗关系的影响以及与儿童有关的问题。
2001 年《精神健康法案》的实施导致工作量增加、与服务使用者的关系更加冲突以及对抗性的精神健康法庭。
