Involuntary placement of a mentally ill person in a psychiatric hospital and care institution

Introduction In the mental health area, the most problematic issues are the involuntary placement of the mentally ill in closed institutions, both under civil and criminal proceedings, and their involuntary treatment. Despite the international efforts of harmonizing measures, the nature and practi...

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Main Authors: A. Arold, J. Kostomarova
Format: Article
Language:English
Published: Cambridge University Press 2021-04-01
Series:European Psychiatry
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S0924933821010221/type/journal_article
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author A. Arold
J. Kostomarova
author_facet A. Arold
J. Kostomarova
author_sort A. Arold
collection DOAJ
description Introduction In the mental health area, the most problematic issues are the involuntary placement of the mentally ill in closed institutions, both under civil and criminal proceedings, and their involuntary treatment. Despite the international efforts of harmonizing measures, the nature and practice of the services still vary from country to country. Objectives To analyse involuntary placement of persons with mental disorders in closed institutions under civil and criminal proceedings, which include both psychiatric hospitals and care institutions. Methods Review and analysis of regulations and practice of involuntary placement of a person with a mental disorder in a closed institution in the context of Estonian, Finnish, Russian, and English law, health care and social system. Results Estonian, Finnish, Russian, and English law distinguish between criminal and civil proceedings regarding involuntary placement of a mentally ill person in a closed institution. However, specifics of the proceedings are different among the countries, e.g. judicial involvement, and deadlines. Also, the provision of forensic mental health services differ among these countries, e.g. in Estonia offenders and non-offenders are kept separately, whilst in England and Russia patients are not distinguished so strictly. Conclusions The distinction between involuntary placement of the mentally ill in criminal and civil proceedings is distinguished primarily for the reason that in one case the risk arising from the person is directly realized by committing an unlawful act and in the other case the risk arising from the person is directed at themselves or is not qualified as an unlawful act.
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spelling doaj.art-3dc846ca0c01405581e9685c1a4085e42023-11-17T05:08:16ZengCambridge University PressEuropean Psychiatry0924-93381778-35852021-04-0164S381S38110.1192/j.eurpsy.2021.1022Involuntary placement of a mentally ill person in a psychiatric hospital and care institutionA. Arold0J. Kostomarova1C, Marienthali Kliinik, Tallinn, EstoniaLaw, University of Tartu, Tartu, Estonia Introduction In the mental health area, the most problematic issues are the involuntary placement of the mentally ill in closed institutions, both under civil and criminal proceedings, and their involuntary treatment. Despite the international efforts of harmonizing measures, the nature and practice of the services still vary from country to country. Objectives To analyse involuntary placement of persons with mental disorders in closed institutions under civil and criminal proceedings, which include both psychiatric hospitals and care institutions. Methods Review and analysis of regulations and practice of involuntary placement of a person with a mental disorder in a closed institution in the context of Estonian, Finnish, Russian, and English law, health care and social system. Results Estonian, Finnish, Russian, and English law distinguish between criminal and civil proceedings regarding involuntary placement of a mentally ill person in a closed institution. However, specifics of the proceedings are different among the countries, e.g. judicial involvement, and deadlines. Also, the provision of forensic mental health services differ among these countries, e.g. in Estonia offenders and non-offenders are kept separately, whilst in England and Russia patients are not distinguished so strictly. Conclusions The distinction between involuntary placement of the mentally ill in criminal and civil proceedings is distinguished primarily for the reason that in one case the risk arising from the person is directly realized by committing an unlawful act and in the other case the risk arising from the person is directed at themselves or is not qualified as an unlawful act. https://www.cambridge.org/core/product/identifier/S0924933821010221/type/journal_articleinvoluntary placementmental healthpsychiatrymental health legislation
spellingShingle A. Arold
J. Kostomarova
Involuntary placement of a mentally ill person in a psychiatric hospital and care institution
European Psychiatry
involuntary placement
mental health
psychiatry
mental health legislation
title Involuntary placement of a mentally ill person in a psychiatric hospital and care institution
title_full Involuntary placement of a mentally ill person in a psychiatric hospital and care institution
title_fullStr Involuntary placement of a mentally ill person in a psychiatric hospital and care institution
title_full_unstemmed Involuntary placement of a mentally ill person in a psychiatric hospital and care institution
title_short Involuntary placement of a mentally ill person in a psychiatric hospital and care institution
title_sort involuntary placement of a mentally ill person in a psychiatric hospital and care institution
topic involuntary placement
mental health
psychiatry
mental health legislation
url https://www.cambridge.org/core/product/identifier/S0924933821010221/type/journal_article
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