Chandrasena R, Smith S
Can J Psychiatry. 1986 Oct;31(7):643-8. doi: 10.1177/070674378603100708.
The functioning of the Regional Review Boards of Ontario (RRB) or their equivalents in other provinces has not been previously reviewed. This study reviews socio-demographic and clinical data of 248 patients seen between 1974 and 1983 by the RRB. The RRB heard 132 applications as 116 were withdrawn. The results are compared with 173 matched inpatient controls. Applications by psychiatrists were infrequently withdrawn or revoked. Long delays between the time of application and the hearing, and a trend towards increasing numbers of applications were noted. Schizophrenia and affective disorder were the most prevalent diagnosis with alcohol abuse and organic brain syndrome being less common among applicants. An increase in duration of stay and transfer to chronic care institutions were found among applicants. Results suggest that RRB's are not 'rubber stamping bodies' and should be more readily available and should have increased public accountability. Future changes to the Mental Health Act should be based on scientific data.
安大略省区域审查委员会（RRB）或其他省份同等机构的运作此前尚未得到审查。本研究回顾了RRB在1974年至1983年间诊治的248例患者的社会人口学和临床数据。RRB共受理了132份申请，其中116份被撤回。研究结果与173名匹配的住院对照患者进行了比较。精神科医生提出的申请很少被撤回或撤销。研究注意到申请时间与听证会之间存在长时间延迟，且申请数量呈上升趋势。精神分裂症和情感障碍是最常见的诊断，而酒精滥用和器质性脑综合征在申请者中较少见。申请者的住院时间延长，且转至慢性病护理机构的情况增多。结果表明，RRB并非“橡皮图章机构”，应更易于联系且应增强公共问责制。《精神健康法》未来的修订应以科学数据为基础。
