Senasinghe Bhanuka
The Ringles, Kent, UK.
Med Leg J. 2018 Mar;86(1):19-22. doi: 10.1177/0025817217739736. Epub 2017 Nov 2.
In England and Wales, detained psychiatric inpatients are treated under section 63 of the Mental Health Act 1983. This paper critically analyses the relevant law and considers the arbitrary distinctions between consent for treatments for mental illnesses and physical conditions, which may disempower patients with mental illness. Section 63 states that (for detained psychiatric patients) consent for medical treatment for patients' mental disorder is not required. The treating clinician responsible for a patient decides what this medical treatment entails. This article focuses on three main legal cases: B v Croydon Health Authority, Tameside and Glossop v CH and Nottinghamshire Healthcare NHS Trust v RC and considers whether s 63 disempowers patients with mental illnesses.
在英格兰和威尔士,被拘留的精神科住院患者根据1983年《精神健康法》第63条接受治疗。本文对相关法律进行了批判性分析,并探讨了精神疾病治疗同意与身体疾病治疗同意之间的任意区分,这可能会削弱精神病患者的权力。第63条规定,(对于被拘留的精神科患者)无需获得患者对精神障碍治疗的同意。负责患者治疗的临床医生决定这种治疗包括哪些内容。本文重点关注三个主要法律案例:B诉克罗伊登卫生局案、泰姆赛德和格洛索普诉CH案以及诺丁汉郡医疗保健国民保健服务信托基金诉RC案,并探讨第63条是否会削弱精神病患者的权力。