The Emerging Role of Police in Facilitating Psychiatric Evaluation Since the 2013 Implementation of the First Chinese Mental Health Law.

作者: Xiaodong Chen , Robert Rosenheck , Min Yu , Shuxia Yan , Xiong Huang

DOI: 10.1007/S10488-020-01091-6

关键词: Psychiatric assessmentMental illnessReferralHealth administrationPublic healthMental health lawPsychiatric hospitalPsychiatrySubstance abuseMedicine

摘要: In 2013, China’s first Mental Health Law (MHL) took effect, with the goal of better protecting patients’ rights. Under law police, appropriate training, rather than family members, employers or medical staff sent from a hospital, are ones who bring persons in behavioral crises to facilities for psychiatric assessment possible involuntary hospitalization. We examined proportion and distinctive characteristics brought emergency services (PES) by police since implementation MHL. used records document demographic clinical all evaluated at PES Guangzhou Psychiatric Hospital, largest hospital fourth city, April 2017 August 2017. Bivariate multivariate statistical analyses were performed identify patients police. Among 1515 visits, 166 (11.0%) as compared virtually none years before effect. Compared non-police referrals, referrals associated male gender, age greater 30, more documented violent behavior, likelihood having been restrained, higher rates admission after assessment. Assessed risk suicidality diagnoses substance use disorder not significantly referral. A modest but increased noteworthy implementations MHL especially those behavior requiring restraint hospitalization resulting mental illness.

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