Department of Psychiatry, Columbia University, New York. Dr. Appelbaum is editor of this column.
Psychiatr Serv. 2020 Apr 1;71(4):409-411. doi: 10.1176/appi.ps.202000084.
People being held in jails and prisons are entitled under the U.S. Constitution to necessary medical care, including mental health care. Whether such a duty includes planning for care after release has been less clear, despite widespread professional recognition of discharge planning as an integral component of correctional mental health treatment. A recent decision of a federal court of appeals considered the constitutional status of discharge planning for people detained in correctional facilities. The court concluded that a failure to offer discharge planning in the face of serious medical needs is an adequate basis for finding a constitutional violation.
被关押在监狱中的人根据美国宪法有权获得必要的医疗保健,包括精神保健。尽管广泛认为出院计划是惩教心理健康治疗的一个组成部分,但在这种情况下,是否有责任规划出院后的护理还不太明确。最近,一家联邦上诉法院对被拘留在惩教设施中的人出院计划的宪法地位进行了审议。法院的结论是,在存在严重医疗需求的情况下,未能提供出院计划是构成违反宪法的充分依据。