Current appeal system for those detained in England and Wales under the Mental Health Act needs reform

Current appeal system for those detained in England and Wales under the Mental Health Act needs reform
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目前根据《精神健康法》在英格兰和威尔士被拘留者的上诉制度需要改革

DOI:
10.1136/medethics-2018-104947
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发表时间:
2018
影响因子:
4.1
通讯作者:
Aileen O'Brien
Aileen O'Brien
中科院分区:
人文科学1区
文献类型:
--
作者:
Paul Gosney;P. Lomax;C. Hooper;Aileen O'Brien

文献摘要

被引文献

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管理患有精神疾病的人的非自愿拘留的方法可以分为临床医生处于决策前沿的方法和严重依赖司法机构的方法。英格兰和威尔士的制度采用临床方法,医生拥有广泛的权力来非自愿地拘留和治疗患者。该制度的一项保护是个人有权对剥夺其自由或违背其意愿的待遇的决定提出质疑。这种保护由一级法庭提供;然而,上诉成功的数量却很少。本文概述了英格兰和威尔士的上诉制度。接下来讨论了为什么很少有患者成功对拘留提出上诉,并得出当前制度存在缺陷的结论。提出了一些关于如何改革该制度的建议。
The approach to managing the involuntary detention of people suffering from psychiatric conditions can be divided into those with clinicians at the forefront of decision-making and those who rely heavily on the judiciary. The system in England and Wales takes a clinical approach where doctors have widespread powers to detain and treat patients involuntarily. A protection in this system is the right of the individual to challenge a decision to deprive them of their liberty or treat them against their will. This protection is provided by the First-tier Tribunal; however, the number of successful appeals is low. In this paper, the system of appeal in England and Wales is outlined. This is followed by a discussion of why so few patients successfully appeal their detention with the conclusion that the current system is flawed. A number of recommendations about how the system might be reformed are offered.