Humphreys M
University of Birmingham.
Med Sci Law. 1998 Jul;38(3):237-41. doi: 10.1177/002580249803800310.
There has been increasing concern recently over an apparent lack of knowledge of mental health law among psychiatrists and other medical practitioners involved in its use. This has been particularly highlighted by the introduction of new and complex legislation intended to facilitate care in the community. As a result of findings from previous studies of other groups of medical practitioners in Scotland, a national survey of consultant psychiatrists working there was undertaken to determine their level of understanding of the statutory provision for the care of the mentally disordered. A purpose-designed instrument was used at interview with 72 consultants chosen at random from all psychiatric specialties. Their knowledge of even the most basic definitions and fundamental areas was limited, with only just over half being able to give the correct title of one relevant piece of legislation and only one in 10 being able to define mental disorder in terms of the Act. Otherwise knowledge was generally patchy. Greater emphasis should be placed upon training in mental health law for consultant psychiatrists in general, as the findings are unlikely to reflect purely localized patterns. Attitudes to the use of compulsory measures also need to be addressed.
最近，人们越来越担心参与心理健康法实施的精神科医生和其他医学从业者明显缺乏对该法律的了解。旨在促进社区护理的新的复杂立法的出台尤其凸显了这一问题。根据此前对苏格兰其他医学从业者群体的研究结果，对在当地工作的顾问精神科医生进行了一项全国性调查，以确定他们对精神障碍患者护理法定条款的理解程度。在对从所有精神科专业中随机挑选出的72名顾问进行访谈时，使用了专门设计的工具。他们对即使是最基本的定义和基本领域的了解也很有限，只有略多于一半的人能够说出一项相关立法的正确名称，每10人中只有1人能够根据该法案对精神障碍进行定义。否则，知识普遍不完整。总体而言，应更加重视对顾问精神科医生进行心理健康法培训，因为这些结果不太可能仅反映局部模式。对强制手段使用的态度也需要加以探讨。
