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社区治疗令的居住条件。

Residence Conditions on Community Treatment Orders.

作者信息

Dawson John, O'Reilly Richard

机构信息

Professor, Faculty of Law, University of Otago, Dunedin, New Zealand.

Psychiatrist and Professor, Department of Psychiatry, The University of Western Ontario, London, Ontario.

出版信息

Can J Psychiatry. 2015 Nov;60(11):523-7. doi: 10.1177/070674371506001108.

DOI:10.1177/070674371506001108
PMID:26720510
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4679133/
Abstract

OBJECTIVE

To identify the clinical reasons and legal authority for including a residential placement condition in a community treatment order (CTO).

METHOD

We describe the clinical reasons for imposing a residence condition and discuss how this is authorized by the laws of the Canadian provinces (using Ontario as the main example).

RESULTS

A residence condition can facilitate numerous benefits, including: regular access to a person by a clinical team; continuing therapeutic relations; supervision of medication; provision of general medical care; and reduction in substance use, risks of victimization, and other unintended harm. A resident condition can be lawfully imposed when it clearly fits the purposes of the CTO legislation and stops short of authorizing detention in a community facility.

CONCLUSIONS

In certain circumstances, a residence condition is clinically justified and a lawful aspect of a CTO.

摘要

目的

确定在社区治疗令(CTO)中纳入居住安置条件的临床原因和法律依据。

方法

我们描述了施加居住条件的临床原因,并讨论了加拿大各省法律如何对此予以授权(主要以安大略省为例)。

结果

居住条件可带来诸多益处,包括:临床团队能够定期探访某人;维持治疗关系;监督药物治疗;提供常规医疗护理;以及减少药物使用、受害风险和其他意外伤害。当居住条件明显符合CTO立法目的且未达到授权在社区设施中拘留的程度时,可合法施加该条件。

结论

在某些情况下,居住条件在临床上是合理的,并且是CTO的合法组成部分。

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Residence Conditions on Community Treatment Orders.社区治疗令的居住条件。
Can J Psychiatry. 2015 Nov;60(11):523-7. doi: 10.1177/070674371506001108.
2
Community treatment orders and Nova Scotia--the least restrictive alternative?社区治疗令与新斯科舍省——限制最少的选择?
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Clinically significant differences among Canadian mental health acts.加拿大心理健康法案之间的临床显著差异。
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An updated meta-analysis of randomized controlled evidence for the effectiveness of community treatment orders.社区治疗令有效性的随机对照证据的更新荟萃分析。
Can J Psychiatry. 2014 Oct;59(10):561-4. doi: 10.1177/070674371405901010.
2
CTOs: what is the state of the evidence?慢性完全闭塞病变:证据现状如何?
Soc Psychiatry Psychiatr Epidemiol. 2014 Dec;49(12):1861-71. doi: 10.1007/s00127-014-0839-7. Epub 2014 Feb 22.
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Reducing all-cause mortality among patients with psychiatric disorders: a population-based study.降低精神障碍患者的全因死亡率:一项基于人群的研究。
CMAJ. 2013 Jan 8;185(1):E50-6. doi: 10.1503/cmaj.121077. Epub 2012 Nov 12.
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Assessing the outcome of compulsory treatment orders on management of psychiatric patients at 2 McGill University-associated hospitals.评估 2 所麦吉尔大学附属医院强制性治疗令对精神科患者管理的效果。
Can J Psychiatry. 2012 Jun;57(6):359-65. doi: 10.1177/070674371205700605.
5
A systematic review of mortality in schizophrenia: is the differential mortality gap worsening over time?精神分裂症死亡率的系统评价:不同死亡率差距是否随时间推移而恶化?
Arch Gen Psychiatry. 2007 Oct;64(10):1123-31. doi: 10.1001/archpsyc.64.10.1123.
6
Inequitable access for mentally ill patients to some medically necessary procedures.精神病患者在获得某些医疗必需程序方面存在不公平现象。
CMAJ. 2007 Mar 13;176(6):779-84. doi: 10.1503/cmaj.060482.
7
Effect of conditional release from hospitalization on mortality risk.住院条件性出院对死亡风险的影响。
Psychiatr Serv. 2006 Nov;57(11):1607-13. doi: 10.1176/ps.2006.57.11.1607.
8
Housing attributes and serious mental illness: implications for research and practice.住房属性与严重精神疾病:对研究和实践的启示
Psychiatr Serv. 2001 Oct;52(10):1309-17. doi: 10.1176/appi.ps.52.10.1309.
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Housing environments and community adjustment of severely mentally ill persons.重症精神病患者的居住环境与社区适应
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