模糊的边界:社区待遇命令作为种族监视的工具
Chioma Dibia1, Agomoni Ganguli-Mitra1
1School of Law, University of Edinburgh, Old College, South Bridge, Edinburgh EH8 9YL, United Kingdom.
International journal of law and psychiatry
|September 8, 2025
概括
根据1983年"心理健康法" (Mental Health Act 1983) 所规定的社区治疗命令 (CTO) 对黑人来说是不成比例的. 这篇论文考察了CTO作为种族监视,可能构成心理医疗保健中的种族不公正.
科学领域:
- 心理健康法 心理健康法
- 公共卫生 公共卫生
- 种族社会学 种族社会学
背景情况:
- 1983年"心理健康法" (MHA) 允许强制拘留和治疗被认为有风险的精神疾病的个人.
- 人们担心,内政部的强制权力不成比例地应用于患有精神障碍的黑人.
- 社区治疗命令 (CTO) 在黑人人口中使用特别过度.
研究的目的:
- 探索社区待遇命令 (CTO) 作为种族监视的工具.
- 认为对患有精神障碍的黑人个人继续使用CTO代表了国家权力的延伸.
- 检查CTO的使用是否构成精神卫生保健中的种族不公正.
主要方法:
- 对现有文献和MHA和CTO使用数据的定性分析.
- 在心理健康干预的背景下批判性地检查种族监视的概念.
- 对CTO对黑人社区的影响的法律和道德分析.
主要成果:
- 黑人获得CTO的可能性比白人高7倍以上 (NHS数字,2024).
- 尽管对其有效性的证据有限,但CTO越来越多地用于黑人.
- CTO被认为是侵入性的,并被描述为一种种族监视形式.
结论:
- 在黑人身上不成比例地使用CTO表明精神卫生保健中的系统性问题.
- CTO可以作为种族监视的机制,扩大国家对黑人社区的控制.
- 继续使用CTO引发了人们对心理健康系统中种族不公正的严重担忧.
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