概括
扩大对精神疾病无家可归者的非自愿承诺缺乏证据,可能会造成伤害. 政策应该优先考虑支持性住房,并重新评估对那些不构成风险的人的承诺标准.
科学领域:
- 心理健康政策 心理健康政策
- 公共卫生 公共卫生
- 法律医学 法律医学
背景情况:
- 精神疾病患者无家可归的人数增加.
- 政策建议主张扩大非自愿承诺.
- 有关非自愿性承诺的有效性和潜在危害的担忧.
研究的目的:
- 评估无家可归者和精神疾病治疗的非自愿承诺的证据.
- 检查患有精神疾病的个人的医疗决策能力.
- 为解决无家可归和精神疾病提出替代政策解决方案.
主要方法:
- 审查现有关于非自愿承诺及其长期益处的研究.
- 对精神疾病患者决策能力研究的分析.
- 审查政策建议和替代干预措施,如支持性住房.
主要成果:
- 没有证据支持非自愿承诺的长期益处.
- 与扩大非自愿承诺相关的重大危害潜力.
- 大多数患有精神疾病的人都有决策能力.
结论:
- 非自愿的承诺并不是对精神病患者无家可归的解决方案.
- 政策应该转向支持性住房和基于证据的干预措施.
- 需要重新评估承诺标准,考虑诸如北爱尔兰"心理健康能力法"之类的模式.
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