将非自愿治疗重新定义为一个哨兵事件:改善基于权利的心理健康护理的模式
Giulia Cossu1, Michela Atzeni1,2, Thurayya Zreik3,4
1Department of Medical Sciences and Public Health, University of Cagliari, Monserrato Blocco I Cagliari (CA), Cagliari, Italy.
Frontiers in psychiatry
|January 23, 2026
概括
这项研究引入了一个模型,通过将其视为可预防的事件来减少非自愿的精神病治疗. 该方法使用监测和共同设计的干预措施来解决系统性问题,并促进基于权利的精神卫生保健.
科学领域:
- 心理健康服务研究 心理健康服务研究
- "残疾人权利法"是残疾人权利法.
- 改善精神病治疗的质量 改善精神病治疗的质量
背景情况:
- 联合国残疾人权利公约 (CRPD) 质疑精神病治疗中的非自愿治疗,倡导支持决策.
- 关于法律能力,自治和非自愿干预的必要性,辩论仍在继续,倡导团体和精神病学协会的观点各不相同.
研究的目的:
- 提出一种新的模式,以重新定义和减少精神卫生服务中的非自愿治疗.
- 概述一种质量改善系统,用于监测和分析非自愿治疗的驱动因素.
主要方法:
- 拟议的模型将非自愿治疗概念化为可预防的哨戒事件.
- 它涉及到一个监测和质量改进系统,有结构化的报告,根本原因分析和共同设计的干预措施.
主要成果:
- 该模型的应用可以揭示系统驱动因素,如社区服务不足,培训不足和权力不平衡.
- 参与式治理和用户主导的监测被认为是问责制和基于权利的改革的关键.
结论:
- 这种方法可以使心理健康服务与CRPD原则保持一致,减少非自愿治疗,提高问责制.
- 它提供了一个框架,通过了解其潜在的结构和文化机制来分析和克服强制性做法.
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