1. Saize HJ,etal.BrJPsychiatry184:163168,2004 DressingH,etal.SocialPsychiatryPsychiatr Epidemiol 39:797803,2004 Kallert TW,etal.JForensicMentalHealth6:197207,2007 2. Dr.PierreBastin,Mentalhealthadvisor,Médecins SansFrontières NationalInstitutesofHealth 3.
Mental Health Act Mental Health Act (Mielenterveyslaki) (1), (2), (3), 4 (1), (2), (3) Loi du 27 juin 1990 (1) Hospitalisation d office, (2) Hospitalisation d office si danger imminent, (3) Hospitalisation a la demande d un tiers, (4) Hospitalisation d extreme urgence Legge 180180 1978 Psychiatric Hospitals (Compulsory Admissions) Act (1), (2) (3), (4), (5) (1), (2), (3) (1)2 6,(2) 2,(3) Mental Health Bill (1),(2),(3) 2010 (Exposure,(4) Draft),(5) 1./2./3./ 1 4./5.6.7./8./ 2 MentalHealth Bill2010: ExposureDraft) 18 1 2
1 28 6 2 6 1 3 4 72 2 72 12 2 1 2 1 1 1 1 2 1 2 2 1 3 1 4 1
AMHP AMHP (CMHT)(EI)(AO) (GP) (CRHT) AMHP(ApprovedMentalHealthPractitioner) (CPA) CMHT(CommunityMentalHealthTeam): M t H lth T EI(EarlyInterventionteam): AO(AssertiveOutreachTeam): (AMHP) AMHP AMHP 2 AMHP2 AMHP23 AMHP AMHP2 Involuntary treatment () 1 ( () 2 3 1 2 3
M1 M2 M 3 4 3 3senior psychiatristm3 6M1M2M3 4M3 1 Hospitalisation d office Article L.3213-1 (Prefet) 2 Hospitalisation d office si danger imminent (Prefet) 3 4 Article L.3213-2 Hospitalisation a la demande d un tiers Article L.3212-1 Hospitalisation ti d extreme urgence Article L.3212-3 48 Dr. Pierre Bastin (Mental health advisor, Médecins Sans Frontières)
1 Hospitalisation d office, (Prefet) (Prefet) 2 Hospitalisation d office si danger imminent (Prefet) (Prefet) 3 Hospitalisation a la demande d un tiers 4 Hospitalisation d extreme urgence Dr. Pierre Bastin (Mental health advisor, Médecins Sans Frontières)
Interimorder 1 2 3 4 Further detention order 1 2 3 4 Provisional detentionand provisional detention extention order( Interimorder Provisional detentionand provisional detention extention order(
Conditional order Observation order 1 2 3 4 Conditional order 6 2 3 National Institutes of Health
MentalHealthBill2010(ExposureDraft) Part5Compulsorypatients clause70 CriteriaforInpatientTreatmentOrders 28 Inpatient 1. Treatment Order 2. 3. 15 4. 3 5. 6. Minister Governor in Council
* 100 ** Austria 1999 18% 175 Belgium 1998 5.8% 47 Denmark 2000 4.6% 34 Finland 2000 21.6% 218 France 1999 12.5% 11 Germany 2000 17.7% 175 Greece Na Na Na Ireland 1999 10.9% 74 Italy Na 12.1% Na Luxembourg 2000 Na 93 Netherlands 1999 13.2% 44 Portugal 2000 3.2% 6 Spain Na Na Na Sweden 1998 30% 114 UK 1999 13.5% 48 ** *Salize HJ, Dressing H. Br J Psychiatry 184:163-168, 2004. Dressing H, Salize HJ. Soc Psychiatry Psychiatr Epidemiol 39: 797-803, 2004. * Austria 4days 48hours 3months Belgium 15days 10days 40days,2years Denmark 24hours(7days) Na Na Finland 3days Na 9months France 24hours 48hours Na Germany 24hours14days 24hours(3days) 6weeks,1(2)years Greece 10days 48hours 6months Ireland 24hours Na 21days Italy 2days 48hours 7days Luxembourg 3days 24hours 14days Netherlands 5days 24hours 3weeks,612months Portugal 12days 48hours Na Spain Na 24hours Na Sweden 4days 24hours 4weeks UK 14days 72hours 28days,6months *Salize HJ, Dressing H. Br J Psychiatry 184:163-168, 2004. Dressing H, Salize HJ. Soc Psychiatry Psychiatr Epidemiol 39: 797-803, 2004.
* Proposal Bulgaria HeadofHealthService 2472 Czeck 24 Rupublic Germany Administrative authority Administrativeauthority/Police/ Judicial/Psychiatrichospital 10 172 10 Greece ** 48 Israel *** 48 Italy 2 48 (48 ) Lithuania 48 Poland 48 Slovak 24 Republic Spain 24 Sweden 4 UK SW SW 72 * Kallert TW, et al. International Journal of Forensic Mental Health 6: 197-207, 2007. ** *** * Proposal Bulgaria 343 Czeck Rupublic 3 Germany Greece Israel Administrativeauthority 612 624 7143 Italy 7 Lithuania 1 Poland 1063 SlovakRepublic 3 Spain Sweden UK SW 21 SW 6 3 286 * Kallert TW, et al. International Journal of Forensic Mental Health 6: 197-207, 2007.