Jain Abhishek, Appelbaum Paul S
Department of Psychiatry, Columbia University, and New York State Psychiatric Institute, 1051 Riverside Dr., New York, NY, 10032, USA.
Isr J Health Policy Res. 2018 Jan 2;7(1):2. doi: 10.1186/s13584-017-0201-0.
As in much of the world, mental health law in Israel has evolved over the past half-century toward greater protection of patients' liberty and an increased emphasis on due process. Part of that process in Israel involved taking decisions about prolonged involuntary hospitalization out of the hands of treating psychiatrists and turning them over to independent review panels. Argo and colleagues examined outcomes of discharge decisions made by these panels compared with treating psychiatrists. In this brief commentary, we describe related trends in mental health law in other countries, especially the U.S., consider countervailing perspectives on the role of review panels, and suggest how the Argo et al. study might be followed up with additional research.
与世界上许多地方一样,以色列的精神卫生法在过去半个世纪里不断演变,朝着更多地保护患者自由以及更加强调正当程序的方向发展。以色列这一进程的一部分涉及将延长非自愿住院治疗的决定权从主治精神科医生手中拿走,转交给独立审查小组。阿尔戈及其同事比较了这些审查小组与主治精神科医生做出的出院决定的结果。在这篇简短的评论中,我们描述了其他国家,尤其是美国精神卫生法的相关趋势,思考了关于审查小组作用的相反观点,并提出如何通过进一步研究对阿尔戈等人的研究进行跟进。