Head of the Department of Public Mental Health at the National Institute of Mental Health, Czech Republic.
Researcher at the Department of Public Mental Health at the National Institute of Mental Health, Czech Republic.
Health Hum Rights. 2020 Jun;22(1):21-33.
This study sought to evaluate the quality of care in Czech psychiatric hospitals and adherence to the Convention on the Rights of Persons with Disabilities (CRPD). Each psychiatric hospital was evaluated by a team comprising a service user, a psychiatrist, a social worker, a human rights lawyer, and a researcher, all trained in using the World Health Organization's QualityRights Toolkit. We conducted content analysis on internal documents from psychiatric hospitals, observed everyday practices, and conducted 579 interviews across public psychiatric hospitals between 2017 and 2019. We found that none of the CRPD articles as assessed by the QualityRights Toolkit was fully adhered to in Czech psychiatric hospitals. We recommend both facility- and system-level interventions to improve CRPD adherence in the Czech context and in the wider region of Central and Eastern Europe. To achieve this, substantial investments are required.
本研究旨在评估捷克精神病院的护理质量和对《残疾人权利公约》（CRPD）的遵守情况。每个精神病院都由一个由服务使用者、精神科医生、社会工作者、人权律师和研究人员组成的团队进行评估，他们都接受过使用世界卫生组织的 QualityRights 工具包的培训。我们对精神病院的内部文件进行了内容分析，观察了日常实践，并在 2017 年至 2019 年期间对公立精神病院进行了 579 次访谈。我们发现，捷克精神病院中没有一家完全遵守 QualityRights 工具包评估的《残疾人权利公约》的任何条款。我们建议在捷克和中东欧更广泛的地区采取设施和系统层面的干预措施，以提高对《残疾人权利公约》的遵守。为此，需要进行大量投资。
