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KMID : 0897520230280020023
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Journal of Korean Association of Social Psychiatry
2023 Volume.28 No. 2 p.23 ~ p.32
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Analysis of the opinions of the Involuntary Admission Review Committee: Based on survey for the critical factors regarding involuntary admission
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Lee Won-Sun
Sim Ah-Rim
Lee Won-Hye
Jun Jin-Yong
Park Dong-Yeon
Hwang Tae-Yeon
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Abstract
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Objectives: In accordance with the revised Mental Health and Welfare Act of June 2016, the Involuntary Admission Review Committee (hereinafter referred to as “the committee”) has been established since June 2018 to assess the suitability of involuntary admission of psychiatric patients. To examine and improve the committee system, this study surveyed the assessment criteria, major issues, and opinions on the operation of the committee, with a focus on the assessment of involuntary hospitalization.
Methods: From June to July 2020, a survey was distributed to 74 members of the National Center for Mental Health's committee for the assessment of involuntary hospitalization. The survey consisted of multiple-choice and open-ended questions regarding the major assessment criteria, standards, and operation of the committee in relation to the suitability of involuntary admission. The survey data were analyzed using chi-square tests to examine differences in responses based on age, job position, and other demographic variables.
Results: The prioritized considerations in assessing the suitability of involuntary admission were ‘risk for suicidality/homicidality’ (81.1%), ‘necessity of hospitalization’ (56.8%), and ‘coercive transport’ (54.1%). Regarding the use of coercion during transport, ‘physically coercion’ (83.8%), ‘restraint on a stretcher car’ (68.9%), and ‘coercive atmosphere’ (32.4%) were the most commonly considered factors. While there was no significant association between demographic variables and overall assessment opinions, differences were observed in the assessment of special situations such as alcohol use and adolescent issues based on job position. The committee members suggested measures to increase uniformity in assessment standards for the risk of harm to oneself or others and individual assessment standards.
Conclusion: This study provides the domestic data on the assessment opinions of committee members for involuntary hospitalization. Based on these findings, we expect that fair and consistent assessment of involuntary admission of psychiatric patients can be achieved through improvements and revisions in the committee system and operation.
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KEYWORD
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Mental health and welfare Law, Involuntary Admission, Involuntary Admission Review Committee, Admission review guideline
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