PMID- 30459656
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20201001
IS  - 1664-0640 (Print)
IS  - 1664-0640 (Electronic)
IS  - 1664-0640 (Linking)
VI  - 9
DP  - 2018
TI  - The Implementation of China's Mental Health Law-Defined Risk Criteria for 
      Involuntary Admission: A National Cross-Sectional Study of Involuntarily 
      Hospitalized Patients.
PG  - 560
LID - 10.3389/fpsyt.2018.00560 [doi]
LID - 560
AB  - Objective: Involuntary admission is one of the most controversial issues in 
      psychiatry in China. This study aimed to examine the implementation of the new 
      risk criteria for involuntary admission, as defined by the new Mental Health Law 
      (MHL), in major psychiatric hospitals; and to explore factors associated with the 
      implementation. Method: We selected 32 psychiatric hospitals in 29 provincial 
      capital cities in mainland China. We included all involuntarily admitted 
      psychiatric inpatients who were discharged from December 25 to 27, 2017. 
      Patients' demographic and clinical data and reasons for admission were retrieved. 
      Hospitals' information was also collected. Multilevel logistic regression was 
      applied to explore factors associated with the implementation. Results: We 
      collected valid data from 814 inpatients. Rates of risk criteria implementation 
      ranged from 7.9 to 88.5% in these hospitals. Only 369 inpatients (45.3%) met the 
      MHL-defined risk criteria. Overall, between 62.2 and 78.5% of the variance in 
      risk criteria implementation was at the patient level, and between 21.5 and 37.8% 
      of the variance was at the hospital level. Patients with higher Global Assessment 
      of Functioning (GAF) scores at admission were less likely to meet the risk 
      criteria (OR 1.02, 95% CI 1.01-1.03). No statistically significant association 
      was found between risk criteria implementation and other patient level or 
      hospital level factors. Conclusion: Our findings show the implementation rate of 
      the MHL's risk criteria overall was low, with only 45.3% of involuntary 
      admissions meeting the MHL-defined criteria. This suggests that some patients' 
      civil rights might have been violated.
FAU - Jiang, Feng
AU  - Jiang F
AD  - School of Public Health, Chinese Academy of Medical Sciences and Peking Union 
      Medical College, Beijing, China.
FAU - Zhou, Huixuan
AU  - Zhou H
AD  - School of Public Health, Chinese Academy of Medical Sciences and Peking Union 
      Medical College, Beijing, China.
FAU - Rakofsky, Jeffrey J
AU  - Rakofsky JJ
AD  - Department of Psychiatry and Behavioral Sciences, Emory University, Atlanta, GA, 
      United States.
FAU - Hu, Linlin
AU  - Hu L
AD  - School of Public Health, Chinese Academy of Medical Sciences and Peking Union 
      Medical College, Beijing, China.
FAU - Liu, Tingfang
AU  - Liu T
AD  - Institute for Hospital Management, Tsinghua University, Beijing, China.
FAU - Liu, Huanzhong
AU  - Liu H
AD  - Department of Psychiatry, Chaohu Hospital of Anhui Medical University, Hefei, 
      China.
FAU - Liu, Yuanli
AU  - Liu Y
AD  - School of Public Health, Chinese Academy of Medical Sciences and Peking Union 
      Medical College, Beijing, China.
FAU - Tang, Yi-Lang
AU  - Tang YL
AD  - Department of Psychiatry and Behavioral Sciences, Emory University, Atlanta, GA, 
      United States.
AD  - Atlanta VA Medical Center, Decatur, GA, United States.
LA  - eng
PT  - Journal Article
DEP - 20181106
PL  - Switzerland
TA  - Front Psychiatry
JT  - Frontiers in psychiatry
JID - 101545006
CIN - Front Psychiatry. 2019 Mar 12;10:121. PMID: 30914981
PMC - PMC6232607
OTO - NOTNLM
OT  - implementation
OT  - involuntary admission
OT  - mental health law
OT  - psychiatric hospital
OT  - risk criteria
EDAT- 2018/11/22 06:00
MHDA- 2018/11/22 06:01
PMCR- 2018/11/06
CRDT- 2018/11/22 06:00
PHST- 2018/08/08 00:00 [received]
PHST- 2018/10/17 00:00 [accepted]
PHST- 2018/11/22 06:00 [entrez]
PHST- 2018/11/22 06:00 [pubmed]
PHST- 2018/11/22 06:01 [medline]
PHST- 2018/11/06 00:00 [pmc-release]
AID - 10.3389/fpsyt.2018.00560 [doi]
PST - epublish
SO  - Front Psychiatry. 2018 Nov 6;9:560. doi: 10.3389/fpsyt.2018.00560. eCollection 
      2018.