Spitalizarea non-voluntară a pacientului psihiatric: aspecte biopsihosociale
The Involuntary Admission of Psychiatric Patient: Biopsychosocial Issues

Summary/Abstract: Unlike other specialties, where patients can’t be treated without their free and informed consent, psychiatric hospitalization is made in two ways: one with consent (voluntary) and non-voluntary admission. Non-voluntary hospitalization of patients with mental disorders is a medical act, sometimes necessary, but is controversial in terms of ethical and legal aspects. In most countries, one criteria for non-voluntary admission refers to the potential danger of mentally ill and other criteria refers to the notion of “parens patriae”. In Romania, non-voluntary hospitalization of patients with psychiatric disorders is made under mental health law and the protection of persons with mental disorders. Law 487/2002 describes conditions that can trigger such a procedure. Criteria for non-voluntary hospitalization are involving an imminent danger to the person in question, or to the people around him, and if in thee case on no admission a person suffering from a serious mental disorder and whose judgment is impaired, could generate severe damage to his condition. Over the years, the law on compulsory hospitalization suffered permanent review. Before this legislative changes, neurotics and psychopaths were subjected to the same non-voluntary admission standards as patients with major mental disorders. Paternalistic attitude of psychiatrists could generate a feeling of adversity and a reduced addressability to psychiatric services, among patients subjected to non-voluntary admission. My work is a retrospective study, and is analyzing observation charts of 167 patients subjected to non-voluntary admission during April 2003 and October 2011 in Socola -Iasi Psychiatry Hospital.

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