本文旨在通过回顾和总结中国近年来在精神障碍领域的公共政策,呈现这个领域正在愈演愈烈的“机构化”趋势,包括新建扩建大型封闭机构、遏制小型社区化服务机构、鼓励精神障碍者脱离社区生活等,并基于《残疾人权利公约》从国家责任、公共政策的不良社会后果等两个层面分析此种趋势潜藏的危险,希望引起政策制定者、利益相关者的思考,共同推动精神健康服务向支持所有个体“独立生活和融入社区”的方向转型。
<<This article reviews China’s mental-health-related policies that have been made in the past decade. By doing so,it discloses the upsetting trend of institutionalization in this area,i.e. increasingly building and enlarging huge segregated mental hospitals,restricting the development of community-based mental health services,and providing higher allowances for institutionalized persons with mental disabilities than those who live in the communities. It further analyzes the hazards caused by this trend according to the Convention on the Rights of Persons with Disabilities (CRPD),both from the perspectives of respecting state responsibilities and the actual or perceived adverse social effects of such policy,e.g. unchecked human rights violations against people with disabilities and long-term financial burden upon the government. As a conclusion,this article suggests that stakeholders (including but not limited to policy-makers) reform all mental-health-related policies and practices to uphold every person’s right to “independent living and being included in the community”.
<<Keywords: | Mental HealthPublic PolicyInstitutionalizationHuman RightConvention on the Rights of Persons With DisabilitiesMental HospitalMental Disability |