Department of Adult Psychiatry, University College Dublin, Mater Misericordiae University Hospital, 62/63 Eccles Street, Dublin 7, Ireland.
Int J Law Psychiatry. 2011 Nov-Dec;34(6):414-8. doi: 10.1016/j.ijlp.2011.10.006. Epub 2011 Nov 10.
Changes in mental health legislation (e.g. Mental Health Act 2007 in England and Wales, Mental Health Act 2001 in Ireland) have generally improved adherence to international human rights standards, but also present challenges to primary care providers. When mental health legislation was substantially reformed in Ireland, 62.9% of general practitioners (GPs) felt the new legislation was not user-friendly. Majorities of GPs who felt the legislation affected their practice reported increased workloads (85%) and various other difficulties (53%). GPs who had received training about the legislation were more likely to find it user-friendly (43% versus 30.9%), and informal training (e.g. from colleagues) was just as likely as formal training to be associated with a GP finding it user-friendly. With similar changes to mental health legislation being introduced in England and Wales, it is significant that informal training is just as good as formal training in helping GPs work with new mental health legislation.
精神卫生立法的变化（例如英格兰和威尔士的 2007 年精神卫生法、爱尔兰的 2001 年精神卫生法）普遍提高了对国际人权标准的遵守程度，但也给初级保健提供者带来了挑战。当爱尔兰的精神卫生立法进行重大改革时，62.9%的全科医生（GP）认为新立法不便于使用。认为立法影响其实践的大多数 GP 报告工作量增加（85%）和各种其他困难（53%）。接受过立法培训的 GP 更有可能认为其便于使用（43%比 30.9%），并且非正式培训（例如来自同事）与 GP 认为其便于使用一样，与正式培训一样可能相关。由于英格兰和威尔士正在引入类似的精神卫生立法变化，因此非正式培训在帮助 GP 处理新的精神卫生立法方面与正式培训一样好，这一点非常重要。
