Webster L, Dean C, Kessel N
Department of Psychiatry, University Hospital of South Manchester, West Didsbury.
Br Med J (Clin Res Ed). 1987 Dec 12;295(6612):1529-32. doi: 10.1136/bmj.295.6612.1529.
Two principal objectives of the 1983 Mental Health Act were to decrease the use of emergency orders and to give patients on observation orders the right of appeal. Statistics were collected from the 13 hospitals that admit acute psychiatric patients in the Greater Manchester area, and the figures for 1980-1 were compared with those for 1984-5. Changes in use of the different sections were examined in university units, large psychiatric hospitals, and district general hospital units. The use of emergency orders decreased and the use of treatment orders increased; the use of observation orders remained unchanged. Many more patients exercised their right of appeal in 1984-5, but the number discharged by tribunals remained small. The nurses' holding power was used infrequently. The different types of hospital are now more concordant in their use of these orders than before the 1983 act.
1983年《精神健康法》的两个主要目标是减少紧急命令的使用，并赋予接受观察命令的患者上诉权。从大曼彻斯特地区收治急性精神病患者的13家医院收集了统计数据，并将1980 - 1年的数据与1984 - 5年的数据进行了比较。在大学附属医院、大型精神病医院和地区综合医院对不同条款的使用变化进行了研究。紧急命令的使用减少，治疗命令的使用增加；观察命令的使用保持不变。在1984 - 5年，更多患者行使了上诉权，但由法庭批准出院的人数仍然很少。护士的拘留权很少被使用。与1983年该法案实施前相比，不同类型的医院在这些命令的使用上现在更加一致。
