强制医疗程序的实施与反思

＂强制医疗程序＂的＂社会防卫功能＂,不仅受到限制刑事责任能力精神病人和接受过治疗精神病人社会危害性的抑制,还会因＂被精神病＂现象而打折扣。破解此困境需从三方面入手：一是参照《精神卫生法》,将涉嫌犯罪的限制刑事责任能力精神病人,纳入＂非自愿性住院治疗＂范围;二是增加精神病治疗资源投入,强化＂强制医疗＂适用与解除的风险防范意识;三是堵塞《精神卫生法》中＂非自愿性住院治疗＂的漏洞,防止其成为＂被精神病＂新生代的寄生区。     

试论药品不良反应民事责任和救济制度

药品不良反应主要是指合格药品在正常用法用量的情况下出现的与用药目的无关的或意外的有害反应。药品发生了不良反应 ,应由有过错行为的生产经营者承担法律责任。在各方都无过错时 ,国家应当建立药品不良反应救济制度予以救济     

司法改革“上海方案”中法官职业化的探索

本文希望在司法改革的背景下对法官职业化进展进行分析梳理，指出问题，找到对策。文中以司法改革“上海方案”为分析对象，该改革方案中针对法官职业化的问题提出了相关的具体措施。这些措施值得称赞，但也存在一些诸如人员分类管理制度的可行性，审判权力运行机制科学性，职业化制度保障缺失性，“上海方案”的可复制性等问题。通过对上述问题的思考，加上英美等发达国家的经验，希望对存在的问题有一个较为明确的解答。     

The development and pilot testing of a family treatment court best practices assessment: The model standards implementation scale

In 2019, the family treatment court (FTC) best practice standards (the Standards) were published to clarify attributes of FTC programs associated with superior child, parent, and family outcomes. The Standards cover the breadth of FTC operations including program structure and leadership, substance use treatment and complementary services, and behavioral responses to participants. This study aimed to develop an instrument (the Model Standards Implementation Scale; “MSIS”) that stakeholders can use to assess implementation of the Standards by individual FTCs. The MSIS balances usability with scientific validity. Interrater reliability (IRR), internal consistency, and several types of validity were assessed. Results indicated moderate to strong IRR, high internal consistency, mixed known groups validity depending on Standard, and high convergent and divergent validity. Initial findings suggest good validity and usability of the MSIS for evaluating FTC Standards' implementation. Notably, the process of using the tool functioned to educate FTC team members on the Standards. Although implementation of the MSIS is a resource-intensive process, the opportunity to receive constructive feedback proved to be an effective incentive for initial and subsequent participation in the evaluation among FTCs. Future research is needed to examine predictive validity, including association between Standards' implementation and family outcomes in FTCs.     

Justifications for Non-Consensual Medical Intervention: From Infectious Disease Control to Criminal Rehabilitation

A central tenet of medical ethics holds that it is permissible to perform a medical intervention on a competent individual only if that individual has given informed consent to the intervention. Yet it occasionally seems morally permissible to carry out non-consensual medical interventions on competent individuals for the purpose of infectious disease control (IDC). We describe two different moral frameworks that have been invoked in support of non-consensual IDC interventions and identify five desiderata that might be used to guide assessments of the moral permissibility of such interventions on either kind of fundamental justification. We then consider what these desiderata imply for the justifiability of carrying out non-consensual medical interventions that are designed to facilitate rehabilitation amongst serious criminal offenders. We argue that these desiderata suggest that a plausible case can be made in favor of such interventions.     

Therapeutic engagement in medium-secure care: an interpretative phenomenological analysis of service users’ experiences

Service users (SUs) detained in forensic hospitals are usually required to engage in psychological therapies aimed at reducing mental distress and/or for preventing further offending. Poor therapeutic engagement (TE) can lead to adverse clinical outcomes and reoffending, at a cost to the individual, staff, the service provider, and the public. To understand what factors influence TE from a SUs’ perspective, the experiences of 10 male residents of a medium-secure hospital were explored. Using a service-user informed design, interpretative phenomenological analysis of interview data was completed. Four superordinate themes emerged: different worlds; what the individual brings; what the therapy entails; and control. Consideration of how these factors may be of use to professionals working in secure care settings is discussed in relation to existing theory and research.     

论我国当前群防群治工作

群防群治是我国社会治安综合治理的重要力量。建国后,国家群防群治工作从实践到理论进行了长期的探索。改苹开放后,群防群治工作有了新的特点和变化,面临新的机遇和挑战。当前全国各地群防群治队伍形形色色,但是基本可以归结为四类,这四类群防群治队伍的组织形式、管理模式、工作内容职责、经费保障有的有规范性文件依据,有的还没有规范性文件依据,实践中作法缺乏统一。当前推动群防群治工作需要做的工作很多,其中通过立法统一、完善群防群治各项工作,加强人防与物防和技防的结合,保障经费,明确工作职责是关键。     

Long-term Accompanying Service: Reflection on the Specialization in Social Work

Since 2006, China is undergoing a rapid growth in social work. In contrast with the rapid expansion of the scopes and fields for social work, the need for specialization in social work is creasing. Especially in mental health service in community, this demand is even higher. This article is intended to study a project on mental health in community called Assertive community treatment carried out in Shenzhen for 4 years, and finds that: a) the longstanding accompanying service is different from the short-term services; b) the longstanding accompanying service is another kind of specialized social work; c) the longstanding accompanying service is the best way for Chinese social workers to promote specialization of social work.     

Violence prevention in psychiatry: an umbrella review of interventions in general and forensic psychiatry

Relative risks of violence in psychiatric patients are high compared to the general population and existing evidence in non-psychiatric populations may not translate to reductions in violence in psychiatric populations. We searched 10 databases including Medline, EMBASE, CINAHL and Scopus, from inception until August 2015 for systematic reviews and meta-analyses of violence prevention interventions in psychiatry. Reviews were included if they used a hard outcome measure (i.e. police or hospital recorded violence, or reincarceration) and contained randomized or non-randomized controlled studies. Five reviews met our inclusion criteria (n = 8876 patients in total), of which four received a GRADE rating of ‘low’ or ‘very low’. Three randomized studies (n = 636) reported that therapeutic community interventions may reduce reincarceration in drug-using offenders with co-occurring mental illness (‘moderate’ GRADE rating). The lack of intervention research in violence prevention in general and forensic psychiatry suggests that interventions from non-psychiatric populations may need to be relied upon.