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KMID : 0613620210410020258
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Health Social Welfare Review
2021 Volume.41 No. 2 p.258 ~ p.276
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Stakeholders’ experiences related to the Admission Review Committee after the revision of Mental Health Welfare Act
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Shin So-Youn
Cho Yoon-MIn
Yoon Nan-He
Hwang Seo-Eun
Hwang Jong-Nam
Choi Jung-Won
Kim Jan-Di
Heo Jong-Ho
Lee Sun-Goo
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Abstract
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The revision of the “Mental Health Act” into the “Act on the Improvement of Mental Health and the Support for Welfare Services for Mental Patients” in 2016 led to the tightening of procedures for involuntary hospitalization through the implementation of the “Committee for Review as to Legitimacy of Admission” (hereinafter “Admission Review Committee”). This study evaluated whether the Admission Review Committee has achieved its goal to promote the human rights of people with a mental illness through qualitative analysis of stakeholder experiences. The evaluation is based on interviews with a total of 27 subcommittee members from all the five national psychiatric hospitals which have an Admission Review Committee in place. Those interviewed were psychiatrists, lawyers, mental health professionals, patients and their families, and investigators. As a result, a total of four categories and 16 themes emerged from the thematic analysis. Our study shows that the Admission Review Committee has promoted human rights by functioning as a minimum safeguard to prevent unjust involuntary hospitalization and forced transfer to psychiatric hospitals. However, insufficient procedural assistance has limited the right to self-determination, and the committee heavily relied on paper review rather than the face-to-face investigation with people with a mental illness. For a better supportive committee for the human rights of people with a mental illness, we suggest that the committee adopt the face-to-face review process, procedural assistance services, and a governance system closely connecting medical facilities with local communities.
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KEYWORD
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Mental Health and Welfare Law, Admission Review Committee, Involuntary admission, People with mental illness, Qualitative research
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