Global mental health, as a field, has focused on both increasing access to mental health services and promoting human rights. Amidst many successes in engaging with and addressing various human rights violations affecting individuals living with psychosocial disabilities, one human rights challenge remains under-discussed: involuntary inpatient admission for psychiatric care. Global mental health ought to engage proactively with the debate on the ethics of involuntary admission and work to develop a clear position, for three reasons. Firstly, the field promotes models of mental healthcare that are likely to include involuntary admission. Secondly, the field aligns much of its human rights framework with the UN Convention on the Rights of Persons with Disabilities, which opposes the discriminatory use of involuntary admission on the basis of psychosocial disability or impairment. Finally, global mental health, as a field, is uniquely positioned to offer novel contributions to this long-standing debate in clinical ethics by collecting data and conducting analyses across settings. Global mental health should take up involuntary admission as a priority area of engagement, applying its own orientation toward research and advocacy in order to explore the dimensions of when, if ever, involuntary admission may be permissible. Such work stands to offer meaningful contributions to the challenge of involuntary admission.

中文翻译：

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全球心理健康应与非自愿入院的伦理相呼应

作为一个领域，全球精神卫生侧重于增加获得精神卫生服务的机会和促进人权。在处理影响社会心理残疾者的各种侵犯人权行为和解决各种侵犯人权行为方面取得了许多成功的同时，讨论的一项人权挑战仍然未得到充分讨论：非自愿住院接受精神病护理。全球精神卫生应积极参与关于非自愿接纳伦理的辩论，并出于三个原因努力树立明确的立场。首先，该领域提倡可能包括非自愿入院在内的精神保健模式。其次，该领域的大部分人权框架与《联合国残疾人权利公约》保持一致，反对基于社会心理上的残疾或损害而歧视性使用非自愿入院。最后，全球精神卫生作为一个领域，具有独特的地位，可以通过收集数据并进行跨环境分析来为这一长期的临床伦理辩论提供新的贡献。全球精神卫生应将非自愿入院作为参与工作的优先领域，将其自身的研究和倡导方向用于研究可能允许非自愿入院的时间范围（如果有的话）。这些工作将为非自愿录取的挑战做出有意义的贡献。通过收集数据并进行跨环境分析，该实验室具有独特的优势，可以为这一长期的临床伦理学辩论提供新颖的贡献。全球精神卫生应将非自愿入院作为参与工作的优先领域，将其自身的研究和宣传方向用于研究可能允许非自愿入院的时间范围（如果有的话）。这些工作将为非自愿录取的挑战做出有意义的贡献。通过收集数据并进行跨环境分析，该实验室具有独特的优势，可以为这一长期的临床伦理学辩论提供新颖的贡献。全球精神卫生应将非自愿入院作为参与工作的优先领域，将其自身的研究和宣传方向用于研究可能允许非自愿入院的时间范围（如果有的话）。这些工作将为非自愿录取的挑战做出有意义的贡献。