Effelsberg W
Offentl Gesundheitswes. 1989 Dec;51(12):760-3.
Police authorities, Public Health offices and Law Courts cooperate in solving the problem of psychiatric patients who have to be referred to a psychiatric hospital according to state mental health acts. Such referral, however, is only permissible as a last resort, i.e. if all other alternatives fail. The present study first presents this legal situation and points out that the alternatives are not always fully explored with the necessary energy. The importance of these alternatives is explained from a psychiatrist's point of view. A practical approach is suggested with the main burden resting with the relevant police authorities who (in West Germany) are responsible for arranging proper sociopsychiatric care of such persons. The problem is then discussed in accordance with a medico-anthropological system model demonstrating the typical characteristics of social, medical and legal attitudes and those of the pertaining "subcultures" to such problems.
警方、公共卫生部门和法院合作解决根据国家精神卫生法必须转诊至精神病院的精神病患者问题。然而，这种转诊仅在万不得已时才允许进行，即所有其他替代方案均告失败的情况下。本研究首先介绍了这种法律情况，并指出这些替代方案并未始终以必要的精力得到充分探索。从精神科医生的角度解释了这些替代方案的重要性。建议采取一种切实可行的方法，主要责任在于相关警方（在西德），他们负责安排对此类人员进行适当的社会心理护理。然后根据医学人类学系统模型对该问题进行讨论，该模型展示了社会、医学和法律态度以及相关“亚文化”对此类问题的典型特征。
