J Korean Neuropsychiatr Assoc.
1999 Nov;38(6):1282-1292.
Judgement of Continuing Hospitalization in the Treatment of Chronic Mentally-Ill Patients
- Affiliations
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- 1Department of Neuropsychiatry, College of Medicine, Chungbuk National University, Cheongju, Korea.
- 2Welfare & Environment Bureau, Chungchongbuk-do, Korea.
- 3Cheongju Dizticl Preseichs Office, Korea.
- 4Kim Soo-Il Neuropsychiatric Clinic, Cheongju, Korea.
- 5Department of Neuropsychiatry, Cheongju Medical Center, Cheongju, Korea.
- 6Seo-Won Law Firm, Cheongju, Korea.
Abstract
OBJECTIVES
This study was to develop effective managements and to avoid the abuse of human rights in mentally-ill patients. The Mental Health Judgement Board of Chungchongbuk-do province has been held monthly since August, 1997 according to the Mental Health Act. In this study, the procedures and the problems of judging continuing hospitaliztion of chronic mentally-ill patients were reviewed.
METHODS
The mentally-ill patients who submitted the request for continuing hospitalization with the certificate of charged doctor and the agreement of caregiver were reviewed by the Mental Health Judgement Board of Chungchongbuk-do province. The analysis of the diagnoses, caregivers, medical care systems, and rejection rate for the patients were done.
RESULTS
Total mumber of mentally-ill patients who requested for continuing hospitalization were 7,981 from twenty-one monthly meetings. The diagnostic distributions were 80.9% for schizophrenic patients, 8.1% for alcoholics and 11.0% for others including dementia. As for the caretakers, the rate of majors was 29.8%, parents 26.9%, sibling 26.1%, spouse 6.3%, offspring 5.9%, and others 5.0%. And 73.0% of the patients were on Medicaid and 27.0% were insured. The patients who got the rejection for continuing hospitalization were 196 at the rate of 2.46%. And the rejection rates of schizophrenic and alcoholic patients were 0.73% and 17.6%, respectively.
CONCLUSIONS
New policies for decreasing longterm hospitalization of chronic mentally-ill patients are required. And the social support systems for psychiatric rehabilitation and readjustment are presently insufficient for the already discharged mentally-ill. Moreover, the practical guidelines for human rights of patients remains to be suggested.
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