Involuntary hospitalization of drug users: a comparative study on law s and approaches between Brazil and other countries
DOI:
https://doi.org/10.25118/2763-9037.2020.v10.29Keywords:
Drug addiction, involuntary hospitalization, mental health lawAbstract
Chemical dependency is a complex issue that motivates several discussions, especially in terms of therapeutic options, notably those that go against the patient’s will, i.e., involuntary and compulsory hospitalization. The objective of this study was to evaluate and compare therapeutic approaches and laws regulating involuntary hospitalization as a treatment for drug dependence in different countries across the world. An electronic bibliographic search was conducted in the MEDLINE, PubMed, SciELO and LILACS databases covering years 2008 to 2018. Articles published in English, Spanish or Portuguese and addressing involuntary or compulsory psychiatric hospitalization were retrieved, and information about the country’s legislation wascollected whenever available. A total of 76 articles were found, of which 53 were selected for analysis. The regions covered by the research included Europe (Italy, Norway, England, Portugal and Greece), the Americas (Canada, United States of America, Jamaica, Barbados, Chile and Brazil), Asia (Russia, China, India and Pakistan), Oceania (Australia and New Zealand) and Africa (South Africa). A worldwide trend was found to pass laws that respect patient rights. The decision upon involuntary hospitalization is made by medical doctors in most countries, usually requiring two doctors to make this decision. Involuntary psychiatric treatment still generates many discussions, despite advances towards more modern legislations in several of the countries studied. There is a legal tendency to reinforce the need to assess the risk that the patient offers to others or to him/herself as a justification for hospitalization. Brazil has followed such tendency by establishing three modalities of hospitalization and prioritizing voluntary treatment as a joint decision involving the fields of both health and law.
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American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). Arlington: American Psychiatric Publishing; 2013. DOI: https://doi.org/10.1176/appi.books.9780890425596
World Health Organization (WHO). ICD-11 Classification of mental and behavioral disorders. Diagnostic criteria for research [Internet]. 2018 [cited 2020 Aug 11]. https://icd.who.int/en
Opsal A, Kristensen Ø, Larsen TK, Syversen G, Rudshaug BE, Gerdner A, et al. Factors associated with involuntary admissions among patients with substance use disorders and comorbidity: a cross-sectional study. BMC Health Services Res. 2013;13:57. DOI: https://doi.org/10.1186/1472-6963-13-57
Zhang S, Mellsop G, Brink J, Wang X. Involuntary admission and treatment of patients with mental disorder. Neurosci Bull. 2015;31:99-112. DOI: https://doi.org/10.1007/s12264-014-1493-5
Instituto Nacional de Ciência e Tecnologia para Políticas Públicas do Álcool e Outras Drogas (INPAD). II Lenad - Levantamento nacional de álcool e drogas [Internet]. 2012 [cited 2020 Aug 11]. https://inpad.org.br/wp-content/uploads/2014/03/Lenad-II-Relatório.pdf
Teixeira EH, Dalgalarrondo P. Violent crime and dimensions of delusion: a comparative study of criminal and nocriminal delusional patients. J Am Acad Psychiatry Law. 2009;37:225-31.
Ally EZ, Laranjeira R, Viana MC, Pinsky I, Caetano R, Mitsuhiro S, et al. Intimate partner violence trends in Brazil: data from two waves of the Brazilian national alcohol and drugs survey. Braz J Psychiatry. 2016;38:98-105. DOI: https://doi.org/10.1590/1516-4446-2015-1798
Mullen PE. Forensic mental health. Br J Psychiatry. 2000;176:307-11. DOI: https://doi.org/10.1192/bjp.176.4.307
Nestor PG, Woodhull A, Newell D, O’Donovan K, Forte M, Harding S, et al. Clinical, social and neuropsychological dimensions of the intersection of addicton and criminality. J Am Acad Psychiatry Law. 2018;46:179-86.
Brasil, Código Civil. Lei 10.216, de 6 de abril de 2001. www.planalto.gov.br/ccivil_03/LEIS/LEIS_2001/L10216.htm
de Barros DM, Serafim AP. Legal criteria for involuntary hospitalization in Brazil. Rev Psiquiatr Clín. 2009;36:175-7. DOI: https://doi.org/10.1590/S0101-60832009000400008
Novaes PS. O tratamento da dependência química e o ordenamento jurídico brasileiro. Rev Latinoam Psicopatol Fundam. 2014;17:342-56. DOI: https://doi.org/10.1590/1984-0381v17n2a13
McKenzie K, Patel V, Araya R. Learning from low income countries: mental health. BMJ. 2004;329:1138-40. DOI: https://doi.org/10.1136/bmj.329.7475.1138
Raboch J, Kališová L, Nawka A, Kitzlerová E, Onchev G, Karastergiou A, et al. Use of coercive measures during involuntary hospitalization: findings from ten European countries. Psychiatr Serv. 2010;61:1012-7. DOI: https://doi.org/10.1176/ps.2010.61.10.1012
Barbui C, Papola D, Saraceno B. Forty years without mental hospitals in Italy. Int J Ment Health Syst. 2018;12:43. DOI: https://doi.org/10.1186/s13033-018-0223-1
Balducci PM, Bernardini F, Pauselli L, Tortorella A, Compton MT. Correlates of involuntary admission: findings from an Italian inpatient psychiatric unit. Psychiatr Danub. 2017;29:490-6. DOI: https://doi.org/10.24869/psyd.2017.490
Diseth RR, Høglend PA. Compulsory mental health care in Norway: the treatment criterion. Int J Law Psychiatry. 2014;37:168-73. DOI: https://doi.org/10.1016/j.ijlp.2013.11.001
Wynn R. Involuntary admission in Norwegian adult psychiatric hospitals: a systematic review. Int J Ment Health Syst.2018;12:10. DOI: https://doi.org/10.1186/s13033-018-0189-z
Senon JL, Jonas C, Botbol M. The new French mental health law regarding psychiatric involuntary treatment. BJPsych Int. 2016;13:13-5. DOI: https://doi.org/10.1192/S205647400000091X
Gourevitch R, Brichant-Petitjean C, Crocq MA, Petitjean F. Law & psychiatry: the evolution of laws regulating psychiatric commitment in France. Psychiatr Serv. 2013;64:609-12. DOI: https://doi.org/10.1176/appi.ps.201300174
Kelly BD. Mental health legislation and human rights in England, Wales and the Republic of Ireland. Int J Law Psychiatry. 2011;34:439-54. DOI: https://doi.org/10.1016/j.ijlp.2011.10.009
Shah A. The relationship between the use of mental health act and general population suicide rates in England and Wales. J Inj Violence Res. 2012;4:26-9. DOI: https://doi.org/10.5249/jivr.v4i1.66
Ação de Saúde Sobre Gênero, Violência e Ciclo de Vida (ASGVCV). Violência interpessoal - abordagem, diagnóstico e intervenção nos serviçosde saúde [Internet]. 2014 Dec [cited 2020 Aug 11]. www.dgs.pt/documentos-e-publicacoes/violencia-interpessoal-abordagem-diagnostico-eintervencao-nos-servicos-de-saude-pdf.aspx
Azenha SSD. O internamento compulsivo e a representação da doença mental- percurso histórico. Arq Med. 2014;28:54-60.
Douzenis A, Michopoulos I, Economou M, Rizos E, Christodoulou C, Lykouras L. Involuntary admission in Greece: a prospective national study of police involvement and client characteristics affecting emergency assessment. Int J Soc Psychiatry. 2012;58:172-7. DOI: https://doi.org/10.1177/0020764010387477
Stylianidis S, Peppou LE, Drakonakis N, Douzenis A, Panagou A, Tsikou K, et al. Mental health care in Athens: are compulsory admissions in Greece a one-way road? Int J Law Psychiatry. 2017;52:28-34. DOI: https://doi.org/10.1016/j.ijlp.2017.04.001
Stylianidis S, Peppou LE, Drakonakis N, Iatropoulou G, Nikolaidi S, Tsikou K, et al. Patients’ views and experiences of involuntary hospitalization in Greece: a focus group study. Int J Cult Ment Health. 2017;11:425-36. DOI: https://doi.org/10.1080/17542863.2017.1409778
Douzenis A, Tsopelas C, Lykouras L. Mental health law in Greece. Int Psychiatry. 2014;11:11-2. DOI: https://doi.org/10.1192/S1749367600004203
Williams AR, Cohen S, Ford EB. Statutory definitions of mental illness for involuntary hospitalization as related to substance use disorders. Psychiatr Serv. 2014;65:634-40. DOI: https://doi.org/10.1176/appi.ps.201300175
Craw J, Compton MT. Characteristics associated with involuntary versus voluntary legal status at admission and discharge among psychiatric inpatients. Soc Psychiatry Psychiatr Epidemiol. 2006;41:981-8. DOI: https://doi.org/10.1007/s00127-006-0122-7
Westmoreland P, Johnson C, Stafford M, Martinez R, Mehler PS. Involuntary treatment of patients with life-threatening anorexia nervosa. J Am Acad Psychiatry Law.2017;45:419-25.
Chandler RK, Fletcher BW, Volkow ND. Treating drug abuse and addiction in the criminal justice system: improving public health and safety. JAMA. 2009;301:183-90. DOI: https://doi.org/10.1001/jama.2008.976
Gray JE, Hastings TJ, Love S, O’Reilly RL. Clinically significant differences among Canadian mental health acts: 2016. Can J Psychiatry. 2016;61:222-6. DOI: https://doi.org/10.1177/0706743716632524
de Almeida JM, Horvitz-Lennon M. Mental health care reforms in Latin America: an overview of mental health care reforms in Latin America and the Caribbean. Psychiatr Serv. 2010;61:218-21. DOI: https://doi.org/10.1176/ps.2010.61.3.218
World Health Organization, Assessment Instruments for Mental Health Systems (WHOAIMS). Mental Health Sytem in Jamaica [Internet]. 2009 [cited 2020 Aug 12]. www.who.int/mental_health/Jamaica_who_aims_report.pdf?ua=1
Emmanuel M, Campbell M. Commentary: a comparative review of involuntary admission of people with mental illness in China and Barbados. J Am Acad Psychiatry Law. 2015;43:45-7.
Bustamante-Donoso JA, Cavieres-Fernández A. [Involuntary psychiatric hospital admissions]. Rev Med Chil. 2018;146:511-7. DOI: https://doi.org/10.4067/s0034-98872018000400511
Santander JT, Huerta FD, Aceituno FD, Fuentes MX. Descripción clínica y sociodemográfica de pacientes psiquiátricos internados involuntariamente bajo el régimen de hospitalización administrativa en Chile. Rev Chil Neuropsiquiatr. 2011;49:157-64. DOI: https://doi.org/10.4067/S0717-92272011000200005
Mendelevich VD. Bioethical differences between drug addiction treatment professionals inside and outside the Russian Federation. Harm Reduct J. 2011;8:15. DOI: https://doi.org/10.1186/1477-7517-8-15
Golichenko M, Chu SK. Human rights in patient care: drug treatment and punishment in Russia. Public Health Rev. 2018.39:12. DOI: https://doi.org/10.1186/s40985-018-0088-5
Neznanov NG, Vasileva V. Legal regulation of mental healthcare provision in Russia. BJPsych Int. 2015;12:17-8. DOI: https://doi.org/10.1192/S205647400000009X
Phillips MR, Chen H, Diesfeld K, Xie B, Cheng HG, Mellsop G, et al. China’s new mental health law: reframing involuntary treatment. Am J Psychiatry. 2013;170:588-91. DOI: https://doi.org/10.1176/appi.ajp.2013.12121559
Zhou JS, Xiang YT, Zhu XM, Liang W, Li H, Yi J, et al. Voluntary and Involuntary psychiatric admissions in China. Psychiatr Serv. 2015;66:1341-6. DOI: https://doi.org/10.1176/appi.ps.201400566
Tareen A, Tareen KI. Mental health law in Pakistan. BJPsych Int. 2016;13:67-9. DOI: https://doi.org/10.1192/S2056474000001276
Kala A, Kala K. Involuntary admission and treatment. Indian J Soc Psychiatry 2015;31:130-3.46. Wyder M, Bland R, Blythe A, Matarasso B, Crompton D. Therapeutic relationships and involuntary treatment orders: Service users’ interactions with health-care professionals on the ward. Int J Ment Health Nurs. 2015;24:181-9. DOI: https://doi.org/10.1111/inm.12121
Gray JE, McSherry BM, O’Reilly RL, Weller PJ. Australian and Canadian mental health acts compared. Aust N Z J Psychiatry. 2010;44:1126-31. DOI: https://doi.org/10.3109/00048674.2010.520009
Soosay I, Kydd R. Mental health law in New Zealand. BJPsych Int. 2016;13:43-5. DOI: https://doi.org/10.1192/S2056474000001124
Lund C, Kleintjes S, Cooper S, Petersen I, Bhana A, Flisher AJ, et al. Challenges facing South Africa’s mental health care system: stakeholders’ perceptions of causes and potential solutions. Int J Cult Ment Health. 2011;4:23-38. DOI: https://doi.org/10.1080/17542863.2010.503039
Moosa MY, Jeenah FY. Involuntary treatment of psychiatric patients in South Africa. Afr J Psychiatry (Johannesbg). 2008;11:109-12. DOI: https://doi.org/10.4314/ajpsy.v11i2.30261
Fistein EC, Holland AJ, Clare IC, Gunn MJ. A comparison of mental health legislation from diverse Commonwealth jurisdictions. Int J Law Psychiatry. 2009;32:147-55. DOI: https://doi.org/10.1016/j.ijlp.2009.02.006
World Health Organization (WHO). Regional Office for the Americas/Pan-American Health Organization Emergency Programmes [Internet]. 2013 [cited 2020 Aug 12]. https://www.who.int/hac/network/who/ro_paho/en/
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