Étude du vécu et de la compréhension par les patients hospitalisés sans consentement de l’audience devant le juge des libertés et de la détention

Balancing autonomy and beneficence at the time of psychiatric discharge

“…We think that it is fair to say that most psychiatrists in the U.S., Canada, Australia, and Western Europe, where decisions about extending involuntary hospitalization are in judicial or quasi-judicial hands, have reconciled themselves to the process. Indeed, many clinicians may have come to recognize advantages to a court-driven process, such as maintaining an alliance with the patient when someone else makes the discharge decision [ 11 ]. Perhaps surprisingly, studies have suggested that rather than strictly applying dangerousness standards to their release decisions, judges may actually follow more of a parens patriae approach, taking into account patients’ treatment needs, the availability of community-based services [ 12 ], and the impact on families of premature discharges [ 13 ].…”