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Healthcare quarterly (Toronto, Ont.). 2025 Jan;27(4):24-28. doi: 10.12927/hcq.2025.27586

Rehabilitating the Forensic Psychiatric System: What's Really Broken?

恢复精神病司法鉴定制度:什么出问题了? 翻译改进

Anita Szigeti  1

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作者单位

  • 1 Anita Szigeti, is a mental health justice litigator, founder of the Toronto law firm Anita Szigeti Advocates, president of the Law and Mental Disorder Association and a co-author and general editor of five textbooks on mental health and mental disorder and the law (all published by LexisNexis Canada).
  • DOI: 10.12927/hcq.2025.27586 PMID: 40406836

    摘要 中英对照阅读

    The forensic psychiatric system is often criticized for being either too lenient or overly punitive, revealing deep-seated misconceptions about its operations and outcomes. This paper explores the systemic challenges faced by individuals with serious mental health conditions who intersect with the criminal justice system, focusing on the pervasive stigma, systemic biases and resource shortages that define their experiences. While the public frequently perceives forensic detention as lenient or preferential, the reality is starkly different, with individuals facing prolonged detentions and significant barriers to reintegration. Moreover, systemic issues such as racial discrimination, inadequate access to culturally appropriate care and a lack of supported housing exacerbate these challenges. Contrary to popular belief, the flaws in the system stem not from inadequacies in the law but from chronic under-resourcing of both forensic and civil mental health services. The paper concludes by advocating for improved inter-system collaboration, increased resource allocation and a shift in societal perceptions to address these entrenched issues effectively.

    Keywords:forensic psychiatric system; mental health; rehabilitation

    法医精神病系统常常因为过于宽容或过度严厉而受到批评,这揭示了人们对该系统的运作和结果存在的根深蒂固的误解。本文探讨了患有严重精神健康问题并与刑事司法系统交叉的人所面临的制度性挑战,重点关注广泛存在的污名化、体制偏见以及资源短缺等问题。虽然公众常常认为法医拘留既宽松又特别优惠,但现实却截然不同,这些个体面临着长期拘留和重新融入社会的巨大障碍。此外,系统性的种族歧视、缺乏适当的文化护理和缺乏支持性住房等进一步加剧了这些问题。与普遍看法相反,系统的缺陷并非源于法律的不足,而是由于对法医和民事精神健康服务的长期资源匮乏所致。本文最后呼吁改善跨系统合作,增加资源配置,并转变社会观念以有效解决这些根深蒂固的问题。

    关键词:司法精神病体系; 心理健康; 康复治疗

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    Rehabilitating the Forensic Psychiatric System: What's Really Broken?