Bloom Joseph D, Britton Juliet, Berry Wil
Dr. Bloom is Clinical Professor of Psychiatry, University of Arizona College of Medicine, Phoenix, AZ. Ms. Britton is Director, Oregon Psychiatric Security Review Board, Portland, OR; Dr. Berry is Staff Psychiatrist, Deschutes County Behavioral Health, Bend, OR.
J Am Acad Psychiatry Law. 2017 Mar;45(1):52-61.
In 1973 the Oregon Legislature passed a major revision of its civil commitment law adopting changes that mirrored those taking place across the United States. The new sections offered significant protections of the rights of individuals who are alleged to have mental illness, a limitation on the length of commitment, the adoption of both dangerousness and gravely disabled type commitment criteria and the adoption of "beyond a reasonable doubt" as the standard of proof for commitment hearings. From 1973 to the present time, the Oregon Court of Appeals adjudicated a large number of appeals emanating from civil commitment courts. This article is based on a review of 98 written Oregon Court of Appeals commitment decisions from the years 1998 through 2015 and is accompanied by a review of legislative intent in 1973. It appears that the court of appeals has significantly altered the 1973 legislative changes by moving the dangerousness criteria to imminence and the gravely disabled criteria to a focus on survival. Empirically, civil commitment has dramatically decreased in Oregon over a 40-year period and the case law, as developed by Oregon Court of Appeals, has had a significant contributing role in this reduction.
1973年,俄勒冈州立法机构通过了对其民事收容法的重大修订,所采用的变革反映了美国各地正在发生的变化。新条款为那些被指控患有精神疾病的个人的权利提供了重要保护,限制了收容期限,采用了危险性和严重残疾类别的收容标准,并采用了“排除合理怀疑”作为收容听证会的举证标准。从1973年至今,俄勒冈州上诉法院对大量来自民事收容法庭的上诉进行了裁决。本文基于对1998年至2015年期间俄勒冈州上诉法院98份书面收容裁决的审查,并结合了对1973年立法意图的审查。上诉法院似乎通过将危险性标准转向紧迫性以及将严重残疾标准转向关注生存,对1973年的立法变革进行了重大改变。从经验上看,在40年的时间里,俄勒冈州的民事收容大幅减少,而俄勒冈州上诉法院所形成的判例法在这种减少中起到了重要的推动作用。