限制病人和社区拘留:根据《2025年精神卫生法》监督出院对人权的影响

IF 1.3 4区 医学 Q1 LAW
Ailbhe O'Loughlin , Iain McKinnon
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引用次数: 0

摘要

本文批判性地分析了《2025年精神卫生法》中的条款,这些条款如果获得通过,将修订1983年《精神卫生法》,赋予法庭和司法部长在剥夺其在社区自由的条件下将受限制的病人从医院出院的权力。这些规定对跨越精神卫生系统和刑事司法系统鸿沟的患者的人权构成威胁。此外,这些规定及其之前的案例暴露了非机构化政策的局限性,也暴露了官方将有学习障碍和自闭症谱系障碍的人从精神病院迁出并支持他们在社区生活的雄心。这些看似进步的举措受到了继续控制那些被认为对他人构成威胁的人的政治推动力的制约。该条明确指出,社区拘留的形式并不比医院拘留的形式低,根据联合王国根据《欧洲人权公约》第5条所承担的义务,这需要严格的保障措施。本文提出了一种替代解决方案。与其创造一种可能导致在社区非法拘留的新的复杂权力,不如为受到限制的病人提供适合的面向社区的医院住宿,这些病人应受到与医院环境相同的保障。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Restricted patients and detention in the community: The human rights implications of supervised discharge under the Mental Health Bill 2025
This article critically analyses provisions in the Mental Health Bill 2025 that, if passed, will amend the Mental Health Act (MHA) 1983 to create a power for tribunals and the Justice Secretary to discharge restricted patients from hospital subject to conditions that deprive them of their liberty in the community. These provisions pose a threat to the human rights of patients who straddle the divide between the mental health and criminal justice systems. Furthermore, the provisions and the cases that preceded them expose the limits of policies of de-institutionalisation and official ambitions to move people with learning disabilities and autism spectrum disorder out of psychiatric hospitals and to support them to live in the community. Such seemingly progressive moves are tempered by a political drive to continue to control those who are thought to pose risks to others. As this article makes clear, detention in the community is not a lesser form of detention than detention in hospital, and it requires stringent safeguards in light of the UK's obligations under Article 5 of the European Convention on Human Rights. This article advances an alternative solution. Instead of creating a new, and complex, power that could lead to unlawful detentions in the community, suitable community-facing hospital accommodation for restricted patients subject to the same safeguards as hospital settings should be made available.
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来源期刊
CiteScore
4.70
自引率
8.70%
发文量
54
审稿时长
41 days
期刊介绍: The International Journal of Law and Psychiatry is intended to provide a multi-disciplinary forum for the exchange of ideas and information among professionals concerned with the interface of law and psychiatry. There is a growing awareness of the need for exploring the fundamental goals of both the legal and psychiatric systems and the social implications of their interaction. The journal seeks to enhance understanding and cooperation in the field through the varied approaches represented, not only by law and psychiatry, but also by the social sciences and related disciplines.
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