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将某人安置在医疗机构以进行精神病学检查:国际标准与国家现实情况

PLACEMENT OF A PERSON IN A MEDICAL INSTITUTION IN ORDER TO CONDUCT A PSYCHIATRIC EXAMINATION: INTERNATIONAL STANDARDS AND NATIONAL REALITIES.

作者信息

Tyshchenko Olga I, Titko Ivan A

机构信息

YAROSLAV MUDRYI NATIONAL LAW UNIVERSITY, KHARKIV, UKRAINE.

POLTAVA LAW INSTITUTE OF YAROSLAV MUDRYI NATIONAL LAW UNIVERSITY, POLTAVA, UKRAINE.

出版信息

Wiad Lek. 2020;73(9 cz. 2):2020-2025.

Abstract

OBJECTIVE

The aim: The aim of this work is to identify the compliance level of modern practice of placement of a person in a medical institution in order to conduct the FPE to international standards and legal positions of the ECHR in terms of ensuring the right to liberty and security of person; formulation of scientifically substantiated proposals on the synchronization directions of national practices with the specified international standards.

PATIENTS AND METHODS

Materials and methods: During the preparation of the article the following was processed: scientific research on ensuring the rights of persons suffering from mental disorders in criminal proceedings; provisions of international agreements on the provision of psychiatric care; legal positions of the ECHR on the observance of persons' rights suffering from mental disorders (15 judgments on this topic); criminal procedural legislation of individual states; results of generalization of national law enforcement practice; the results of a survey conducted by the authors of 18 psychiatrists who practice in the field of forensic psychiatric examinations (psychiatrists working in state psychiatric clinics in Odesa, Poltava, Kharkiv were interviewed). In the process of research a set of general scientific and special methods of cognition was used (comparative-legal method, system-structural method, generalization method, method of analysis and synthesis, method of sociological research, method of expert assessments, etc.).

RESULTS

Results: According to the research results: a) legal positions of the ECHR on the observance of the rights of persons suffering from mental disorders are identified and generalized; b) the compliance level of modern practice of placing a person in a medical institution in order to conduct the FPE with international standards and legal positions of the ECHR in terms of ensuring the right to liberty and security of person (§ 1 of Article 5 of the Convention); c) the degree of extrapolation of these positions to the activities of psychiatrists is analyzed; d) the optimal ways of solving the existing problems in the aspect of ensuring the rights of a person when placing them in a medical institution for an inpatient FPE are proposed.

CONCLUSION

Conclusions: The current national practice of placing a person in a medical institution for an inpatient FPE does not fully comply with the legal positions of the ECHR in terms of ensuring the right to liberty and security of person (in particular, there are deviations from the positions of the ECHR on: determining the documentary basis for the appointment of an inpatient FPE; interaction of police and medical workers in the field of psychiatry during the detention of a person with a mental disorder).

摘要

目的

这项工作的目的是确定将人员安置在医疗机构以进行法医精神病检查的现代做法符合国际标准和欧洲人权法院关于确保人身自由和安全权的法律立场的程度;就国家做法与上述国际标准的同步方向提出科学合理的建议。

患者与方法

材料与方法:在撰写本文过程中,对以下内容进行了处理:关于在刑事诉讼中保障精神障碍患者权利的科学研究;关于提供精神科护理的国际协定条款;欧洲人权法院关于保障精神障碍患者权利的法律立场(15项关于此主题的判决);各国的刑事诉讼立法;国家执法实践的概括结果;作者对18名从事法医精神病检查领域工作的精神科医生(采访了在敖德萨、波尔塔瓦、哈尔科夫州立精神病诊所工作的精神科医生)进行的调查结果。在研究过程中,使用了一系列一般科学和特殊的认知方法(比较法、系统结构法、概括法、分析与综合法、社会学研究法、专家评估法等)。

结果

根据研究结果:a)确定并概括了欧洲人权法院关于保障精神障碍患者权利的法律立场;b)将人员安置在医疗机构以进行法医精神病检查的现代做法在确保人身自由和安全权(《公约》第5条第1款)方面符合国际标准和欧洲人权法院法律立场的程度;c)分析了这些立场在精神科医生活动中的外推程度;d)提出了在将人员安置在医疗机构进行住院法医精神病检查时保障其权利方面解决现有问题的最佳方法。

结论

目前将人员安置在医疗机构进行住院法医精神病检查的国家做法在确保人身自由和安全权方面未完全符合欧洲人权法院的法律立场(特别是在以下方面偏离了欧洲人权法院的立场:确定住院法医精神病检查任命的文件依据;在拘留精神障碍患者期间警察与精神科医务人员在精神病学领域的互动)。

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