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[Carrying out the compulsory orders in psychiatry]
Razek Khwaled1, Alexander Grinshpoon
1Mental Health Services, Ministry of Health, Israel. razek.haled@moh.health.gov.il
Harefuah
|September 15, 2007
Summary
Modern Mental Health Acts balance individual liberty with public safety. A 2005 Israeli study found most compulsory mental health treatments resulted in involuntary hospitalization, with a significant portion of individuals complying voluntarily.
Area of Science:
- Legal and ethical aspects of mental healthcare.
- Comparative legislation on mental health.
- Public health policy and individual rights.
Context:
- Societies grapple with balancing individual liberty against public safety in mental health legislation.
- International review of compulsory mental health treatment laws in eight Western countries.
- Evolution of Israel's Mental Health Act from 1955 to 1991, shifting towards individual rights.
Purpose:
- To analyze the criteria and enforcement of compulsory examination and involuntary hospitalization laws.
- To examine the trend in judicial interpretation favoring individual rights in mental health cases.
- To investigate the practical application and outcomes of compulsory mental health management.
Summary:
- A 2005 retrospective survey of 170 compulsory mental health cases in Israel revealed that 71.7% led to involuntary hospitalization.
- Orders were executed after a single visit in 48.3% of cases.
- Individual responses varied, with 43% complying willingly and 7.2% requiring police intervention due to resistance.
Impact:
- Highlights the practical implementation of mental health legislation and its impact on patient rights.
- Informs policy discussions on the criteria and procedures for compulsory mental health treatment.
- Contributes to understanding the balance between public safety and personal freedom in mental healthcare.
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