Wexler D B
Hosp Community Psychiatry. 1985 Sep;36(9):981-3. doi: 10.1176/ps.36.9.981.
The author argues that the APA model law is seriously flawed because it lacks sufficient mechanisms for questioning the judgment of psychiatrists throughout the commitment process and for ensuring the best disposition of patients. By failing to provide for independent screening of commitment petitions, to mandate multiple psychiatric evaluations of respondents, to provide indigent respondents a free psychiatric examination to help them prepare for the commitment hearing, and to address the shortcomings of legal advocacy, the model law sets the stage for improper or unwarranted commitments. In addition, the law circumvents the rights of patients admitted on emergency status to refuse treatment throughout the entire evaluation period, which can last up to 14 days.
作者认为,美国精神病学会(APA)的示范法存在严重缺陷,因为它在整个强制入院程序中缺乏质疑精神科医生判断的充分机制,也缺乏确保患者得到最佳安置的机制。该示范法未规定对强制入院申请进行独立审查,未强制要求对被申请人进行多次精神病评估,未为贫困的被申请人提供免费的精神病检查以帮助他们准备强制入院听证会,也未解决法律辩护方面的不足,从而为不适当或无正当理由的强制入院埋下了隐患。此外,该法律规避了紧急入院患者在长达14天的整个评估期内拒绝治疗的权利。