Cournos F, McKinnon K, Adams C
Columbia University College of Physicians and Surgeons, New York, New York.
Hosp Community Psychiatry. 1988 Aug;39(8):851-5. doi: 10.1176/ps.39.8.851.
The Rivers v. Katz decision substituted judicial review for administrative review of requests for involuntary medication of patients in New York State mental hospitals. This change, prompted by concern for the rights of involuntarily committed patients, did not delay or diminish the use of involuntary medication in a large state hospital. Advantages of judicial review include a better understanding by clinicians of the legal basis for involuntary medication and greater patient participation in the review procedure. Disadvantages include lack of an independent clinical review and increased costs.
“里弗斯诉卡茨案”的裁决用司法审查取代了对纽约州精神病院患者非自愿用药申请的行政审查。这一变化是出于对非自愿住院患者权利的关注,在一家大型州立医院中,它并未延迟或减少非自愿用药的使用。司法审查的优点包括临床医生能更好地理解非自愿用药的法律依据,以及患者能更多地参与审查程序。缺点包括缺乏独立的临床审查以及成本增加。