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首页> 外文期刊>South African medical journal = >Impact of the South African Mental Health Care Act No. 17 of 2002 on regional and district hospitals designated for mental health care in KwaZulu-Natal
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Impact of the South African Mental Health Care Act No. 17 of 2002 on regional and district hospitals designated for mental health care in KwaZulu-Natal

机译：南非2002年第17号精神保健法对夸祖鲁-纳塔尔省指定用于精神保健的地区和地区医院的影响

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BACKGROUND: The South African Mental Health Care Act (the Act) No. 17 of 2002 stipulated that regional and district hospitals be designated to admit, observe and treat mental health care users (MHCUs) for 72 hours before they are transferred to a psychiatric hospital. METHODS: Medical managers in 49 'designated' hospitals in KwaZulu-Natal (KZN) were surveyed on infrastructure, staffing, administrative requirements and mental health care user case load pertaining to the Act for the month of July 2009. RESULTS: Thirty-six (73.4%) hospitals responded to the survey; 30 (83.3%) stated that the Act improved mental health care for MHCUs through the protection of their rights, provision of least restrictive care, and reduction of discrimination; 10 (27.8%) had a psychiatric unit and, of the remaining 26 hospitals, 11 (30.6%) had general ward beds dedicated for psychiatric admissions; 16 (44.4%) had some form of seclusion facility; and 24 (66.7%) provided an outpatient psychiatric service. Seventy-six per cent of admissions were involuntary or assisted. Thirteen of the 32 (40.6%) state psychiatrists in KZN were employed at 8 of these hospitals. Designated hospitals expressed dissatisfaction with the substantial administrative load required by the Act. The Review Board had not visited 29 (80.6%) hospitals in the preceding 6 months. CONCLUSION: Although 'designated' hospitals admit and treat assisted and involuntary MHCUs, they do so against a backdrop of inadequate infrastructure and staff, a high administrative load, and a low level of contact with Review Boards.
机译：背景：2002年第17号《南非精神卫生保健法》（该法）规定，指定地区和地区医院接受，观察和治疗精神卫生保健使用者（MHCU）72小时，然后再转移到精神病医院。 。方法：对夸祖鲁-纳塔尔省（KZN）的49家“指定”医院的医疗管理人员进行了调查，调查涉及该法案于2009年7月的基础设施，人员配备，行政要求和精神卫生保健用例的负担。结果：三十六（ 73.4％）的医院对调查做出了回应; 30（83.3％）指出，该法通过保护MHCU的权利，提供最少限制性的服务以及减少歧视来改善MHCU的精神保健; 10家（27.8％）设有精神病科，在其余26家医院中，有11家（30.6％）设有专为精神科住院的普通病床; 16（44.4％）人拥有某种形式的隔离设施; 24名（66.7％）提供门诊精神病服务。 76％的录取是非自愿或有帮助的。这些医院中有8家雇用了KZN的32名州精神病医生中的13名（40.6％）。指定的医院对该法案要求的大量行政管理工作表示不满。审核委员会在过去6个月中未访问过29家（80.6％）医院。结论：尽管“指定的”医院接纳并治疗了非自愿的MHCU，但它们是在基础设施和人员不足，管理负担高，与审核委员会联系程度低的背景下进行的。

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