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在爱尔兰实施《2001年精神健康法》:爱尔兰全科医生的观点

Implementing the Mental Health Act 2001 in Ireland: views of Irish general practitioners.

作者信息

Jabbar F, Aziz M, Kelly B D

机构信息

Department of Adult Psychiatry, University College Dublin, Mater Misericordiae University Hospital, Dublin 7, Ireland.

出版信息

Ir J Psychol Med. 2013 Dec;30(4):255-259. doi: 10.1017/ipm.2013.57.

DOI:10.1017/ipm.2013.57
PMID:30189481
Abstract

OBJECTIVES

The Mental Health Act 2001 introduced important reforms of Irish mental health law and services. This paper aims to provide an evidence-based exploration of general practitioners' views on the implementation of the Mental Health Act 2001.

METHODS

We posted questionnaires to 1200 general practitioners in Ireland seeking their views on their experiences with the Mental Health Act 2001.

RESULTS

Eight hundred and twenty general practitioners (68.3%) responded. Among those who provided comments, a majority (75.2%) provided negative comments. The most commonly occurring themes related to difficulties with transport of patients to inpatient facilities, form filling, time requirements and administrative matters. Other negative comments related to general practitioner recommendations for involuntary admission, training, mental health tribunals, applications for involuntary admission and the position of children. Minorities provided neutral (18.0%) or positive comments (6.8%), chiefly related to user-friendliness, transparency and improved communication.

CONCLUSIONS

General practitioners highlight a need for greater training and clear guidelines in relation to the Mental Health Act 2001. Their forthright responses demonstrate deep engagement with the new legislation and eagerness to see the Mental Health Act 2001 realise its full potential to improve the involuntary admission process and protect human rights, in the best interests of patients.

摘要

目的

2001年《精神卫生法》对爱尔兰精神卫生法律和服务进行了重大改革。本文旨在对全科医生对2001年《精神卫生法》实施情况的看法进行基于证据的探讨。

方法

我们向爱尔兰的1200名全科医生发放问卷,征求他们对2001年《精神卫生法》相关经历的看法。

结果

820名全科医生(68.3%)回复了问卷。在提供意见的人中,大多数(75.2%)给出了负面意见。最常见的主题涉及将患者送往住院设施的困难、表格填写、时间要求和行政事务。其他负面意见涉及全科医生对非自愿住院的建议、培训、精神卫生法庭、非自愿住院申请以及儿童的情况。少数人给出了中立意见(18.0%)或正面意见(6.8%),主要涉及用户友好性、透明度和沟通改善。

结论

全科医生强调需要就2001年《精神卫生法》进行更多培训并制定明确的指导方针。他们坦率的回应表明他们深入参与了新立法,并渴望看到2001年《精神卫生法》充分发挥潜力,以改善非自愿住院程序并保护人权,实现患者的最大利益。

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