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The impact of the COVID-19 outbreak on the medico-legal and human rights of psychiatric patients

机译:COVID-19爆发对精神病患者医疗法律和人权的影响

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摘要

The COVID-19 pandemic has raised significant concerns for population mental health and the effective provision of mental health services in the light of increased demands and barriers to service delivery [1]. Particular attention is being directed toward the possible neuropsychiatric sequelae of both COVID-19 and of the stringent societal mitigation steps deployed by national governments, concerns that are informed by historical increases in the incidence of psychotic disorders following influenza pandemics [2]. However, so far there has been scant attention paid to other important areas of psychiatry during COVID-19, including medico-legal aspects and human rights. In this paper, we discuss the legal implications for psychiatry of the COVID-19 pandemic and report a novel situation in which psychiatric patients may experience diminution of their statutory protections. We believe that this represents a paradigm shift in psychiatric care and that the consideration of the fundamental rights of psychiatric patients as “less important” than infection control measures compel mental health professionals to “advocate for … patients and their caregivers” in this time of crisis [1].
机译:鉴于需求增加和提供服务的障碍,COVID-19大流行引起了人们对心理健康和有效提供心理健康服务的极大关注[1]。尤其要注意COVID-19和国家政府采取的严格的社会缓解措施可能造成的神经精神后遗症,这种担忧是由流感大流行后精神病性疾病发生率的历史上升所引起的[2]。但是,到目前为止,在COVID-19期间,人们对精神病学的其他重要领域的关注很少,包括医学法律方面和人权方面。在本文中,我们讨论了COVID-19大流行对精神病学的法律意义,并报告了一种新情况,其中精神病患者可能会遭受其法定保护的减少。我们认为,这代表了精神病治疗的范式转变,并且考虑到精神病患者的基本权利比感染控制措施“不重要”,这迫使精神卫生专业人员在危机时刻“倡导……患者及其护理人员” [1]。

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