scholarly journals Changing of Chinese psychiatrists’ attitudes toward consent process to treatment and its association with the China’s National Mental Health Law

2018 ◽  
Vol 54 (1) ◽  
pp. 11-21
Author(s):  
Jingjing Huang ◽  
Yang Shao ◽  
Huajian Ma ◽  
Weimin Yang ◽  
Huafang Li
Keyword(s):  
Mental Health ◽  
Informed Consent ◽  
Treatment Plan ◽  
Physical Restraint ◽  
Informed Consent Process ◽  
Self Report ◽  
Consent Process ◽  
Health Law ◽  
Mental Health Law ◽  
National Mental Health

Objective Few studies have addressed informed consent in Chinese psychiatric practice. We wished to explore psychiatrists’ attitudes toward informed consent in Shanghai after promulgation of the first national law for mental health care in China: the National Mental Health Law. Method A total of 398 psychiatrists were recruited from seven psychiatric hospitals in Shanghai. Their anthropometric data were collected. A confidential, self-report questionnaire addressing attitudes toward the informed consent process was completed by all participants. Results Most respondents would like to inform patients/guardians of the diagnosis (95.2%), treatment plan (93.5%), treatment goals and potential adverse effects of prescribed medications (94.7%), and alternative treatment plans (71.9%). In addition, 58.4% of psychiatrists thought that the informed consent process for physical restraint was difficult to follow. According to logistic regression, psychiatrists not trained to use the National Mental Health Law were more likely to have a negative attitude toward the informed consent process compared with those trained (adjusted odds ratio = 0.21; 95% confidence interval: 0.07–0.59; p = 0.003). Conclusions Psychiatrists trained to use the National Mental Health Law had more positive attitudes toward the informed consent process. Lack of such training could affect the attitudes of psychiatrists toward the informed consent process in China.

scholarly journals Changing patterns and influencing factors of involuntary admissions following the implementation of China’s mental health law: A 4-year longitudinal investigation

2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Hua-Jian Ma ◽  
Bin Xie ◽  
Yang Shao ◽  
Jing-Jing Huang ◽  
Ze-Ping Xiao
Keyword(s):  
Mental Health ◽  
Multiple Logistic Regression Analysis ◽  
Health Law ◽  
Mental Health Law ◽  
Medical Factors ◽  
Psychiatric Institutions ◽  
The Status ◽  
Changing Patterns ◽  
National Mental Health ◽  
Health Laws

Abstract Involuntary admission (IA) is limited to particular situations in mental health laws to protect patients from unnecessary coercion. China’s first national mental health law has been in effect since 2013; however, the status of IA has not been sufficiently explored. To explore the changing patterns of IA since the clinical application of the IA criteria specified in the new law, an investigation of IA status was undertaken in 14 periods (each period lasting for one month from 05/2013 to 05/2017) in the tertiary specialized psychiatric hospital in Shanghai. The socio-demographic and clinical characteristics of 3733 patients were collected. The differences among IA rates in different periods were compared, and the characteristics of patients who were and were not involuntarily admitted were analysed. Multiple logistic regression analysis was used to clarify the independent variables of IA. The IA rate dramatically decreased after the implementation of the new law, while the overall trend gradually increased. The implementation of the IA risk criteria is effective, but IA is still common in China. The medical factors influencing IA following the implementation of the new law are similar to those in previous studies at home and abroad. Non-medical factors might be the main causes of the high IA rates in Chinese psychiatric institutions.

Opinions of professionals and family members about the National mental health law regulating involuntary commitment of psychiatric patients: An international comparative study in 10 countries

2017 ◽  
Vol 41 (S1) ◽  
pp. S337-S337
Author(s):  
I. Georgieva ◽  
C. Lauvrud ◽  
R. Almvik ◽  
R. Whittington
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Psychiatric Patients ◽  
Family Members ◽  
Health Problems ◽  
Best Interests ◽  
Involuntary Commitment ◽  
Health Law ◽  
Mental Health Law ◽  
National Mental Health

IntroductionPrevious research illustrated that the laws regulating involuntary placement and treatment of persons with mental health problems are very diverse across countries: procedures for involuntary commitment and stakeholders involved in the initiation and decision making vary across countries; most laws include criteria of danger/risk, which take various forms in EU Member States’ legal frameworks, while the need for treatment in the best interests of the patient is sufficient to detain individuals in other countries, etc.ObjectivesThis study will compare the opinions of professionals and family members about the operation of the National mental health law regulating forcibly admission and treatment of psychiatric patients in ten countries: Ireland, Iceland, UK, Romania, Slovenia, Denmark, Sweden, Germany, Norway and India.AimsTo gain insights into stakeholders’ satisfaction with the operation of their national legislation and to compare the effectiveness and acceptability of different legislative processes across countries. Such scientific findings are needed in order to improve and harmonize legal practices, and to enhance fundamental rights protection of persons with mental health problems, which eventually could result in a lower rate of compulsory admissions.MethodsA short anonymous questionnaire consisting of 9 items was developed, using the online software Survey Monkey. It was distributed to representative samples via e-mail to psychiatrists, general practitioners, acute and community mental health nurses, tribunal members, guards and family members in each collaborating country. The levels of agreement/disagreement were measured on a Likert- scale.Results/ConclusionsThe study's results and conclusions will be presented at the conference.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Mental health law in Germany

2015 ◽  
Vol 12 (01) ◽  
pp. 14-16 ◽  
Author(s):  
Jürgen Zielasek ◽  
Wolfgang Gaebel
Keyword(s):  
Mental Health ◽  
Acute Care ◽  
Forensic Psychiatry ◽  
Civil Code ◽  
Health Law ◽  
Mental Health Law ◽  
State Laws ◽  
German States ◽  
National Mental Health

There is no national mental health law in Germany: the 16 German states are responsible for legislation concerning forced admissions, while the German Civil Code covers non-acute care, in particular for those not able to care for themselves. In forensic psychiatry, both federal and state laws apply. This article describes this situation and provides figures about detentions and other aspects of mental health law in Germany.

Informed consent in probation and parole settings

2015 ◽  
Vol 5 (4) ◽  
pp. 279-286
Author(s):  
Kevin Yeates
Keyword(s):  
Mental Health ◽  
Informed Consent ◽  
Design Methodology ◽  
Informed Consent Process ◽  
Consent Process ◽  
Content Type ◽  
Factors Associated ◽  
Probation And Parole ◽  
Correctional Settings ◽  
Implicit And Explicit

Purpose – The purpose of this paper is to explore the complex factors associated with informed consent in probation and parole settings. Design/methodology/approach – The author conducted a literature review exploring informed consent in correctional settings. To identify articles for review, the author searched electronic peer-reviewed literature databases for articles on: informed consent, corrections, probation, parole, voluntariness, and coercion. Findings – There is evidence in the literature to suggest that the informed consent process is significantly more complicated within correctional settings than in civilian contexts. The use of implicit and explicit coercion and determining an offender’s voluntariness status may be a problematic prospect unique to the setting. This manuscript makes recommendations to ensure informed consent is truly obtained and to safeguard client welfare. Originality/value – There is a paucity of literature on providing mental health services in probation and parole settings. Furthermore, this paper is unique in discussing factors associated with the informed consent process in that context.

Incorporating Evidence-Based Practice Into Informed Consent Practice

2020 ◽  
pp. 104438942092962
Author(s):  
James W. Drisko
Keyword(s):  
Informed Consent ◽  
Professional Practice ◽  
Evidence Based Practice ◽  
Treatment Plan ◽  
Informed Consent Process ◽  
Consent Process ◽  
Evidence Based ◽  
Potential Risks

This conceptual article argues that evidence-based practice (EBP) is best understood as a component of the informed consent process preceding treatment. The legally mandated informed consent/consent to treat process requires that professionals disclose to clients the nature of services along with potential risks, benefits, and alternatives. Informed consent is a long-standing part of professional practice ethics with over a century of legal precedents. The more recent EBP process also requires discussion with the client of the best research-supported treatments, which are explored in combination with the client’s values and preferences and the professional’s expertise, to develop a treatment plan. Yet, EBP has not been clearly linked to informed consent for treatment. EBP can be usefully understood as part of the more comprehensive informed consent ethics process. New practice and ethics competencies are examined.

It Is Best to Have a Policy About Cancelled and Missed Appointments, and to Enforce It Consistently

2019 ◽  
pp. 91-94
Author(s):  
Jeffrey E. Barnett ◽  
Jeffrey Zimmerman
Keyword(s):  
Mental Health ◽  
Informed Consent ◽  
Private Practice ◽  
Informed Consent Process ◽  
Consent Process ◽  
Mental Health Clinicians ◽  
Missed Appointments ◽  
Effective Use ◽  
Reserve Time

No business can run effectively and be profitable if customers do not pay for services offered. Mental health clinicians in private practice can easily go out of business if they repeatedly reserve time for clients that goes uncompensated. This chapter highlights how policies regarding cancelled and missed appointments are essential for the effective running of one’s practice. Yet, this chapter illustrates how rigidly enforcing these policies may backfire and result in harm to one’s practice and even in ethics and legal charges against the clinician. A thoughtful and sensitive approach for implementing these policies is provided. Guidance is offered on how to make decisions regarding the use of these policies and how their effective use may promote the success of one’s private practice. This chapter also explains how to effectively integrate the use of these policies into the ongoing informed consent process.

China's National Mental Health Law: a 26-year work in progress

The Lancet ◽  
2012 ◽  
Vol 379 (9818) ◽  
pp. 780-782 ◽  
Author(s):  
Yu-Tao Xiang ◽  
Xin Yu ◽  
Gabor S Ungvari ◽  
Edwin HM Lee ◽  
Helen FK Chiu
Keyword(s):  
Mental Health ◽  
Health Law ◽  
Mental Health Law ◽  
Work In Progress ◽  
National Mental Health

scholarly journals Mental health law in Qatar

2013 ◽  
Vol 10 (4) ◽  
pp. 88-90 ◽  
Author(s):  
Mohammed T. Abou-Saleh ◽  
Mohamed Abdelalaim Ibrahim
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Mentally Ill ◽  
Common Law ◽  
Health Law ◽  
Mental Health Law ◽  
Health Strategy ◽  
Ongoing Development ◽  
National Mental Health

This article provides a brief outline of mental health services in Qatar, historical notes on the use of informal traditional conventions under common law for the care under compulsory conditions of people who are mentally ill and information on the ongoing development of the Mental Health Law and its key provisions in the context of the new National Mental Health Strategy.

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