Poythress N G
Taylor Hardin Secure Medical Facility, Tuscaloosa, AL 35404.
Am J Psychiatry. 1990 Aug;147(8):994-7. doi: 10.1176/ajp.147.8.994.
Mental health professionals often must decide whether to release a psychiatric patient who has been committed for treatment on the basis of being mentally ill and dangerous. This decision involves liability risks if the patient becomes violent after release. The author draws together several recommendations made in the literature regarding the careful development and implementation of hospital release procedures, including 1) special consultation at the policy development stage, 2) preemptive judgments regarding the adequacy of hospital policies in relation to the professional standard of care, and 3) the use of videotaped exit interviews with patients at the time of their release.
心理健康专业人员常常必须决定是否释放一名因患有精神疾病且具有危险性而被强制收治的精神病患者。如果患者在获释后变得暴力，这一决定会涉及责任风险。作者汇总了文献中提出的几项关于谨慎制定和实施医院出院程序的建议，包括：1）在政策制定阶段进行特别咨询；2）针对医院政策与专业护理标准的契合度进行预先判断；3）在患者出院时对其进行录像出院面谈。
