Abstract
BackgroundIn Japan, hospitalization for the assessment of mentally disordered offenders under the Act on Medical Care and Treatment for the Persons Who Had Caused Serious Cases under the Condition of Insanity (the Medical Treatment and Supervision Act, or the MTS Act) has yet to be standardized.MethodsWe conducted a written survey that included a questionnaire regarding hospitalization for assessment; the questionnaire consisted of 335 options with 9 grades of validity for 60 clinical situations. The survey was mailed to 50 Japanese forensic mental health experts, and 42 responses were received.ResultsAn expert consensus was established for 299 of the options. Regarding subjects requiring hospitalization for assessment, no consensus was reached on the indications for electroconvulsive therapy (ECT) or for confronting the offenders regarding their offensive behaviors.ConclusionsThe consensus regarding hospitalization for assessment and its associated problems were clarified. The consensus should be widely publicized among practitioners to ensure better management during the hospitalization of mentally disordered offenders for assessment.
Highlights
IntroductionIn Japan, hospitalization for the assessment of mentally disordered offenders under the Act on Medical Care and Treatment for the Persons Who Had Caused Serious Cases under the Condition of Insanity (the Medical Treatment and Supervision Act, or the MTS Act) has yet to be standardized
In Japan, hospitalization for the assessment of mentally disordered offenders under the Act on Medical Care and Treatment for the Persons Who Had Caused Serious Cases under the Condition of Insanity has yet to be standardized
All the respondents held a national license as a Designated Physician (’seishin-hoken-shitei-i’) under the Mental Health and Welfare (MHW) Law and Judgment Physician in the Medical Treatment and Supervision Act (MTS Act)
Summary
In Japan, hospitalization for the assessment of mentally disordered offenders under the Act on Medical Care and Treatment for the Persons Who Had Caused Serious Cases under the Condition of Insanity (the Medical Treatment and Supervision Act, or the MTS Act) has yet to be standardized. In 2005, the forensic mental health system in Japan underwent reform along with the enforcement of the Act on Medical Care and Treatment for the Persons Who Had Caused Serious Cases under the Condition of Insanity: the Medical Treatment and Supervision Act (MTS Act) [4]. Under this new system, a person who commits a. The offender should be hospitalized for 2 to 3 months during the psychiatric examination, while continuing an appropriate course of psychiatric treatment; this hospitalization period for assessment is known as ‘kantei-nyuin’ [5]
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