Aluh Deborah Oyine, Lantta Tella, Lourenço Tânia, Birkeland Søren Fryd, Castelpietra Giulio, Dedovic Jovo, Caldas-de-Almeida José Miguel, Rugkåsa Jorun
Lisbon Institute of Global Mental Health, Comprehensive Health Research Centre (CHRC), NOVA Medical School, NOVA University of Lisbon, Portugal; and Department of Clinical Pharmacy and Pharmacy Management, University of Nigeria Nsukka, Nigeria.
Department of Nursing Science, University of Turku, Finland; and Centre for Forensic Behaviour Sciences, Swinburne University of Technology, Australia.
BJPsych Open. 2024 Sep 19;10(5):e154. doi: 10.1192/bjo.2024.744.
Several countries are currently revising or have already revised their mental health laws to align with the global movement to reduce the use of coercive care. No government has yet fully implemented the recommendation of the United Nations Convention on the Rights of Persons with Disabilities (UNCRPD) to eliminate the use of coercion in mental healthcare. Consequently, the international field of mental health law and policy is in a degree of flux.
To describe the rationale, development and protocol for a project that will map and examine how mental health laws, policies and service capacity across European countries relate to the use of coercive measures, including involuntary admissions and treatment, restraints and seclusion. This will help to better understand the current situation and explore future directions of policies regarding coercive care.
The project is being carried out under the purview of the European Cooperation in Science and Technology (COST) action network, entitled FOSTREN (Fostering and Strengthening Approaches to Reducing Coercion in European Mental Health Services). A multidisciplinary group of experts developed a comprehensive survey assessing mental health laws, policies and service frameworks, based on World Health Organization and UNCRPD recommendations. The survey was piloted in three countries, revised and disseminated to 30 FOSTREN country representatives. The survey will provide data for three strands of work on legislation, policies and service-level context. A comprehensive evaluation will be conducted, drawing on findings from all work packages.
The project could inform the development of strategies, interventions and legislation to address gaps and promote compliance with international standards.
目前，有几个国家正在修订或已经修订了其精神卫生法，以顺应减少强制治疗使用的全球趋势。尚无政府全面落实《联合国残疾人权利公约》（UNCRPD）关于消除精神卫生保健中强制手段使用的建议。因此，国际精神卫生法律与政策领域正处于一定程度的变动之中。
描述一个项目的基本原理、发展情况和方案，该项目将绘制并研究欧洲各国的精神卫生法律、政策和服务能力与强制手段使用（包括非自愿住院和治疗、约束和隔离）之间的关系。这将有助于更好地了解当前状况，并探索有关强制治疗政策的未来方向。
该项目在欧洲科技合作组织（COST）行动网络“FOSTREN（促进和加强欧洲精神卫生服务中减少强制手段的方法）”的范围内开展。一个多学科专家小组根据世界卫生组织和《联合国残疾人权利公约》的建议，制定了一项全面的调查，以评估精神卫生法律、政策和服务框架。该调查在三个国家进行了试点，经过修订后分发给了30名FOSTREN国家代表。该调查将为立法、政策和服务层面背景的三个工作方向提供数据。将利用所有工作包的调查结果进行全面评估。
该项目可为制定战略、干预措施和立法提供参考，以填补空白并促进对国际标准的遵守。
