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The case of a 50-year-old man with severe intellectual disability is described. After 20 years of institutional care, the subject was moved to a newly opened community group home. His physical and mental health deteriorated at this location after unproven allegations of sexual abuse which had taken place whilst he had been living in the institution. Although the subject's health continued to deteriorate, there was resistance to his re-admission to the same hospital for assessment. He had always needed to be cajoled into eating, but this approach had not been followed by the home which had contributed towards his weight loss. The situation the subject, the carers and the health personnel found themselves in illustrates how problematic it is to find the right balance between restrictive practices and respect for an individual's choice.  相似文献   
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现代精神病学中,基于对精神障碍患者个人权利的保护和对公众安全的维护,非自愿住院及相关治疗成为不可或缺的一部分.但非自愿住院的实施历来广受争议,为平衡精神障碍患者合法权益与公共安全之间的矛盾,各国通过立法对非自愿住院的实施加以规范,本文简要介绍国内外针对精神障碍患者实施非自愿住院的相关调查研究,为有关政策法规的制定研究以及机构依法开展非自愿医疗提供参考.  相似文献   
3.
精神专科医疗机构作为精神卫生法规范的主体,在法律实施后将受到重大影响。本文内容将分为两个部分:首先综述了专科医疗机构历史上的功能定位以及境外立法影响的经验教训,然后对我国专科机构将要面临的机遇和挑战进行了概括梳理。目的是为今后相关的管理政策和科学研究提供参考。  相似文献   
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除了对患者的危险性和住院等行使同意的"决策能力"评估外,精神卫生法对未来司法精神病学领域的重要影响还包括对医疗决定争议的鉴定,以及监狱精神卫生服务.我们以目前全国人大审议中的《精神卫生法(草案)》(以下简称《草案》)[1]相关规定为例加以梳理.  相似文献   
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司法精神病学发展的历史,长期以来一直是研究和应对精神病人各种危害行为的历史.尽管民事司法鉴定领域业务量不断增大,但精神疾病司法鉴定理论和实践在我国仍主要围绕刑事责任能力、受审能力、服刑能力等展开.当精神卫生服务及其法制化进入到精神卫生专门立法时代后,这种情形可能会出现较大转变,带来司法精神病学领域诸多新的挑战.  相似文献   
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Background: This project surveyed the use of the Children Act and the Mental Health Act in in-patient child and adolescent mental health services in England and Wales.
Methods: Data were collected as a day census from child and adolescent psychiatric inpatient units, questionnaire forms completed by consultant psychiatrists or key-workers. Returns were received from 71 of the 80 units.
Results: One hundred and twenty-seven of the 663 patients had been admitted formally, the great majority under a section of the Mental Health Act. Compared with those admitted informally, those admitted formally were older, contained a higher proportion of males and had 'adult-type diagnoses', mainly schizophrenia, mood disorders and personality disorder. The clinical and psychosocial characteristics of formal and informal patients were consistent with these differences.
Conclusions: This study provides a timely and useful snapshot of the use of the Acts in this population.  相似文献   
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