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尼日利亚精神卫生法:对精神卫生服务的挑战与影响

Nigeria mental health law: Challenges and implications for mental health services.

作者信息

Ozota Gerald O, Sabastine Ruth N, Uduji Franklin C, Okonkwo Vanessa C

机构信息

Department of Pharmacy, Federal Neuropsychiatric Hospital, Yaba, Lagos, Nigeria.

Department of Pharmacy, Faculty of Pharmaceutical Sciences, University of Nigeria Nsukka, Nsukka, Nigeria.

出版信息

S Afr J Psychiatr. 2024 Apr 19;30:2134. doi: 10.4102/sajpsychiatry.v30i0.2134. eCollection 2024.

Abstract

BACKGROUND

The Nigerian mental health law titled the of 1958 has been under scrutiny for violating the human rights of people with mental illness. The call to reform the obsolete has garnered attention from the government, as the law has been unamended for over 60 years.

AIM

This study presents the challenges and implications of the new mental health law to the mental health services of Nigeria.

METHODS

ScienceDirect, PubMed, and Google Scholar were used to find pertinent material. The implications and difficulties facing the new mental health law examined from the literature were discussed. Recommendations were made following an exploratory search for literature on mental health legislation in Nigeria.

RESULTS

The new Law in Section 5(6) saw the introduction of mental health services in primary and secondary healthcare. It also addresses critical issues such as non-discrimination, fundamental human rights, standards of treatment, access to information, confidentiality and autonomy, and the employment rights of persons with mental health and substance abuse-related disorders. The Law failed to include mental health services in the country's health insurance system.

CONCLUSION

There is a need for legislation to meet people's mental health needs and encourage them to seek treatments, such as regulations that protect against discrimination and harsh treatment of people with mental illness.

CONTRIBUTION

Nigerian mental health services would benefit from the new mental health law if the key issues raised in this review are addressed.

摘要

背景

尼日利亚1958年颁布的《精神卫生法》因侵犯精神疾病患者的人权而受到审查。由于该法律已60多年未修订,改革这部过时法律的呼声引起了政府的关注。

目的

本研究阐述了新精神卫生法给尼日利亚精神卫生服务带来的挑战和影响。

方法

利用科学Direct、PubMed和谷歌学术搜索相关资料。讨论了从文献中审视新精神卫生法所面临的影响和困难。在对尼日利亚精神卫生立法文献进行探索性检索后提出了建议。

结果

新法律第5(6)条规定在初级和二级医疗保健中引入精神卫生服务。它还涉及一些关键问题,如非歧视、基本人权、治疗标准、信息获取、保密和自主权,以及患有精神健康和药物滥用相关疾病者的就业权利。该法律未将精神卫生服务纳入该国的医疗保险体系。

结论

需要立法以满足人们的精神卫生需求并鼓励他们寻求治疗,例如制定防止歧视和虐待精神疾病患者的规定。

贡献

如果本综述中提出的关键问题得到解决,尼日利亚的精神卫生服务将受益于新精神卫生法。

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