title: [Judicial aspects of treatment of incompetent psychiatric patients who categorically refuse treatment].
abstract: Psychiatrists in particular face a clinical, legal and social dilemma in treating their patients who are likely to categorically oppose treatment. This article illustrates this dilemma in the context of Quebec's Bill 145, resulting in the care of psychiatric patients being increasingly referred to the courts. After presenting this legislation and a case, the authors illustrate the impact of this legislation in light of their own experience and similar legislation in the United States. The mechanisms proposed by Bill 145 have proved costly in several respects as well as cumbersome and ineffective. The authors propose the establishment of an administrative tribunal as an alternative to the current recourse to the courts.
authors.affiliation: Hôpital Louis-H. Lafontaine, Montréal, Québec.
authors.forename: J
authors.initials: J
authors.lastname: Cournoyer
authors.forename: Y
authors.initials: Y
authors.lastname: Monette
mesh_terms: D000328:Adult; D003131:Combined Modality Therapy; D003134:Commitment of Persons with Psychiatric Disorders / Q000331:legislation & jurisprudence*; D003617:Dangerous Behavior; D005104:Expert Testimony / Q000331:legislation & jurisprudence*; D006220:Haloperidol / Q000008:administration & dosage; D006801:Humans; D007258:Informed Consent / Q000331:legislation & jurisprudence*; D007872:Legal Guardians; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D012563:Schizophrenia, Paranoid / Q000175:diagnosis / Q000523:psychology / Q000628:therapy
chemical_list: D006220:Haloperidol
vernacular_title: La judiciarisation du traitement du malade psychiatrique inapte qui refuse catégoriquement de consentir.