Duffy Richard M, Narayan Choudhary L, Goyal Nishant, Kelly Brendan D
Department of Psychiatry, Trinity College Dublin, Trinity Centre for Health Sciences, Tallaght Hospital, Tallaght, Dublin D24 NR0A, Ireland.
Neuro Centre AN Magadh Medical College, Gaya, Bihar, India.
Indian J Psychiatry. 2018 Jul-Sep;60(3):351-354. doi: 10.4103/psychiatry.IndianJPsychiatry_45_18.
The mental healthcare act 2017 represents a complete overhaul of Indian mental health legislation.
The aim of this study was to establish the opinions of Indian psychiatrists regarding the new act.
Mental health professionals in Bihar and Jharkhand were interviewed.
A focus group design was utilized.
Key questions explored the positive and negative aspects of the act and the management of the transitional phase. All focus groups were recorded and transcribed.
Data were coded and analyzed using an inductive approach.
Many positive aspects of the new legislation were identified especially relating to rights, autonomy, and the decriminalization of suicide. However, psychiatrists have significant concerns that the new legislation may negatively impact patients and increase stigma. Psychiatrists held varying views on the proposed licensing and inspection of general hospital psychiatric units.
Careful evaluation of the new legislation is needed as the concerns raised warrant ongoing monitoring.
2017年《精神卫生保健法》代表了印度精神卫生立法的全面改革。
本研究的目的是确定印度精神科医生对新法案的看法。
对比哈尔邦和贾坎德邦的精神卫生专业人员进行了访谈。
采用焦点小组设计。
关键问题探讨了该法案的积极和消极方面以及过渡阶段的管理。所有焦点小组都进行了录音和转录。
采用归纳法对数据进行编码和分析。
新立法的许多积极方面得到了确认，特别是在权利、自主权和自杀非罪化方面。然而，精神科医生严重担心新立法可能对患者产生负面影响并增加污名化。精神科医生对提议的综合医院精神科病房的许可和检查持有不同观点。
需要对新立法进行仔细评估，因为所提出的担忧值得持续监测。
