Abstract

Objective

This article is a reflection of 15 years of human rights legislation and advocacy focused on improving the lives of people with mental disorders in the Middle East and the Arab region. It presents the pros and cons of deinstitutionalization taking into account the experience of health systems in other countries. Consideration is given to both: the doctor’s expertise and the patient’s perspective, their values, personal experience and lifestyle choices. The purpose of this article is to advance the integration of people living with mental disorders in the community through the facilitation of an environment that enables them to achieve the maximum degree of functional independence and the highest possible quality of life, preserving their dignity.

Materials and methods

Relevant databases were searched (Medline, PubMed, and Cochrane library of systemic reviews and clinical trials) with the following Mesh terms: “CRPD,” “chronic psychiatric hospitalization,” “Arab Mental Health systems,” and “Mental health laws.” Recent articles published were prioritized.

Conclusion

Research in the area of chronic psychiatric hospitalization and its effect on the course and prognosis of mental illness is still scarce, especially in the Arab world. This article aimed to open the door for future discussions studying the pros and cons of the different indications of hospitalization and the legal considerations. The aim is to shed light on best practices for maximizing dignity for every person, promoting functional independence and ensuring the highest possible quality of life.

中文翻译：

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平衡住院指征和法律考虑：从问题转向解决方案：中东和阿拉伯世界的文化敏感辩论回顾

摘要

客观的

本文反映了 15 年来专注于改善中东和阿拉伯地区精神障碍患者生活的人权立法和宣传。考虑到其他国家卫生系统的经验，它介绍了去机构化的利弊。考虑到两者：医生的专业知识和患者的观点、他们的价值观、个人经验和生活方式选择。本文的目的是通过营造一个环境，使精神障碍患者能够实现最大程度的功能独立和尽可能高的生活质量，同时维护他们的尊严，从而促进精神障碍患者融入社区。

材料和方法

使用以下 Mesh 术语搜索相关数据库（Medline、PubMed 和 Cochrane 系统评价和临床试验库）：“CRPD”、“慢性精神病住院”、“阿拉伯心理健康系统”和“心理健康法”。最近发表的文章被优先考虑。

结论

关于慢性精神病住院及其对精神疾病病程和预后影响的研究仍然很少，尤其是在阿拉伯世界。本文旨在为未来讨论研究不同住院适应症的利弊和法律考虑打开大门。目的是阐明最大限度地提高每个人的尊严、促进功能独立和确保尽可能高的生活质量的最佳实践。