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Patients' rights to complain in Finnish psychiatric care: An overview
Authors:Maritta Välimäki  Lauri Kuosmanen  Jukka Kärkkäinen  Diane K Kjervik
Institution:1. University of Turku, Department of Nursing Science, Turku, Finland;2. Hospital District of Southwest Finland, Turku, Finland;3. Primary Health Care Organization of City of Vantaa, Vantaa, Finland;4. Prison Service, Health Care Services, Hämeenlinna, Finland;5. School of Nursing, The University of North Carolina at Chapel Hill, Chapel Hill, USA;1. Oxford Health NHS Foundation Trust, United Kingdom;2. Institute of Psychiatry, King’s College London, United Kingdom;3. Centro Hospitalar Psiquiátrico de Lisboa, Lisbon, Portugal;4. Geneva University Hospitals and Geneva University, Geneva, Switzerland;5. Oxford University, United Kingdom;6. World Association of Social Psychiatry Working Group on Coercion, United Kingdom;1. Kaiser Permanente Hawaii, Honolulu, HI;2. Department of Psychiatry, John A Burns School of Medicine, University of Hawaii, Honolulu, HI;3. Department of Geriatric Psychiatry, John A Burns School of Medicine, University of Hawaii, Honolulu, HI;4. Department of Psychiatry, Tripler Army Medical Center, Honolulu, HI;1. Department of Psychiatry, Dalhousie University, Halifax, Nova Scotia, Canada
Abstract:Cuts in resources for Finnish psychiatric care may jeopardize the realization of patients' rights in mental health settings. The right to complain is a basic right of all patients in Finland, and is especially important to patients treated involuntarily and also to those who have experienced coercive treatment methods during their hospitalizations. In Finland, a patient's right to complain is guaranteed by law, both in legislation and in national quality recommendations. The complaint process in Finland is very complex, and there are several ways to make a complaint that are not always familiar to patients with severe illnesses. Psychiatric patients may have cognitive impairments that make the formulation of a complaint difficult. Despite help from the patient ombudsman, unbalanced power structures in psychiatric hospitals, insufficient information and long evaluation of appeals makes the complaint process very demanding for psychiatric patients.
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