比如在出院的问题上，精神卫生法规定自愿住院的病人可随时要求出院，不需要任何证明，这种情况和过去大不相同，如今很多医生的观念都没扭转过来。

For instance in the hospital on the issue of,Mental health legislation provisions voluntary hospitalization of patients may at any time request discharge from the hospital,Don't need any proof,This kind of situation and the past is not the same,Nowadays many doctors idea didn't turn over.

　　如此一来，病人纷纷涌到精神科，医生是否吃得消？贾福军表示，如今全国精神专科医生也就只有2万人左右，这的确会是一个大挑战。

so,The patient have surged to psychiatry,The doctor is be able to stand?JiaFuJun said,Now the national spirit of specialized subject doctor is only about 20000 people,It would be a big challenge.

　　我曾经看过一个小品，演员演一位应聘者，摇头晃脑，别人给他开1000元工资，他说要800元。问他哪里来的，他说来自武汉六角亭，我上网一查，原来是精神病院，这就很不合适。

I have seen a sketch,Actors play a candidate,rubbernecking,He opened the other people to pay 1000 yuan,He said to 800 yuan.Ask him where to,He said from wuhan hexagonal pavilion,I surf the Internet to check,It is a mental hospital,It is not right.

　　14日，中美均发生校园惨案，死伤数十人，嫌疑犯均被怀疑患有精神障碍。该事件让“精神病”话题引起高度关注。

14,China and the United States had occurred campus massacre,Killing dozens of people,The suspects are suspected of suffering from mental disorder.This event let"psychosis"Subject attracted high attention.

　　此前两月，“难产”多年的《中华人民共和国精神卫生法》经全国人大常委会表决通过，将于2013年5月1日正式施行。昨日，省卫生厅召开宣传贯彻精神卫生法座谈会，专家就社会上广泛关注的“谁应入院、谁来诊断”等焦点问题进行了解读。据专家估算，全省各类重性精神病患者超过120万人，而目前登记在册实行规范管理的仅有37万多人，各级政府亟需加强对精神卫生事业的重视和投入。

After two months,"dystocia"Years of[Mental health law of the People's Republic of China]Approved by the National People's Congress standing committee vote to pass,On May 1, 2013 and formally.yesterday,Provincial health department to carry out a propaganda spirit health law symposium,Experts is the society's attention"Who should be to the hospital/Who to diagnose"And focus on understanding to read.Experts estimate,The all kinds of heavy psychosis patients more than 1.2 million people,And at present registered a standardized management of only 370000 people,Governments at all levels should strengthen to mental health attention and investment.

　问题??90%没走“自愿”程序 problems??90% didn't go"voluntary"program

　　精神障碍患者住院是自愿还是非自愿，是该法的主要争议点。在讨论阶段，卫生界更强调健康，而法律界更强调人身自由。

In patients with mental disorders in hospital is voluntary or involuntary,Is the main point of the dispute.In the discussion stage,WeiShengJie more emphasis on health,And the legal profession more emphasis on personal freedom.

　　作为中国首部精神卫生领域国家大法精神卫生法规定，精神障碍的住院实行自愿原则。“非自愿住院”必须同时符合就诊者为“严重精神障碍患者”，以及“已经发生伤害自身行为/危害他人安全行为”这两个条件。

As China's first national mental health field nature spirit health law provisions,Mental disorders in voluntary principle."Involuntary hospitalization"At the same time must conform to the issued for"Serious in patients with mental disorders",and"Has happened hurt their own behavior/harm others safety behavior"The two conditions.

　　“这意味着，住院与否与患者本人是否有‘自知力’和‘行为能力’无关，而只和他病情是否严重以及是否有危害、伤害行为有关。”广东省精神卫生研究所所长贾福军坦言，若将此问题延伸，法律实施后，病人的“送、诊、治、出”程序对医务人员来说都是挑战。“比如在出院的问题上，精神卫生法规定自愿住院的病人可随时要求出院，不需要任何证明，这种情况和过去大不相同，如今很多医生的观念都没扭转过来。”

"This means that,Hospital or not and whether I have patients‘insight’and‘Behavior ability’Has nothing to do,And only and his condition is serious and whether any harm/Damage behavior related."Guangdong institute of mental health director JiaFuJun said,If this problem will be extended,After the implementation of the law,The patient's"send/diagnosis/to/the"Program for medical staff for all is a challenge."For instance in the hospital on the issue of,Mental health legislation provisions voluntary hospitalization of patients may at any time request discharge from the hospital,Don't need any proof,This kind of situation and the past is not the same,Nowadays many doctors idea didn't turn over."

　　而省精神卫生研究所社会精神医学研究室主任林勇强透露的一个数字也说明了这一问题。他表示，据不完全统计，如今在基层精神病院重性精神病房收治的患者中，超过90%都是没走“自愿”程序的。

Provincial institute of mental health and social spiritual medical research director LinYongJiang revealed a number also illustrates the problem.He said,According to incomplete statistics,Now in the basic mental hospital of heavy mental ward were patients,More than 90% are didn't go"voluntary"program.

　　新法明年5月1日就要实施，这些病人如何处理？贾福军表示，这就意味着这些医院必须补办患者自愿住院手续，而对一些可以出院的患者，必须理顺出院相关程序，否则就会违法。

The new law next year will take effect on May 1st,These patients how to deal with?JiaFuJun said,This means that the hospital must fill do patients voluntary admission procedures,And for some patients can be discharged,The hospital must rationalize related program,Otherwise they will be illegal.

挑战??纷纷涌到精神科，医生是否吃得消？ challenge??Have surged to psychiatry,The doctor is be able to stand?

　　过去，精神病人的诊断和治疗除了去精神专科，还会去心理科以及神经科等。因此，谁具备诊断治疗资质，是立法的另一个争论点。

In the past,The diagnosis and treatment of mental patients except to college spirit,Will also go to the psychology department and the department of neurology, etc.so,Who have the qualification of the diagnosis and treatment,Legislation is another issue.

　　精神卫生法规定，精神障碍的鉴定应当由精神科执业医师严格按照条件和程序作出判定，并明文规定，除法律另有规定外，不得违背本人意志进行确定其是否患有精神障碍的医学检查。

Mental health law provisions,Mental disorders of the appraisal shall be made by the psychiatric practice physician in strict accordance with the conditions and procedures to make decision,And expressly provided,Unless otherwise stipulated by the law,I will not violate to determine whether it is suffering from mental disorder of medical examination.

　　如此一来，病人纷纷涌到精神科，医生是否吃得消？贾福军表示，如今全国精神专科医生也就只有2万人左右，这的确会是一个大挑战，希望全社会能关注这一群体，让他们的病情能早期发现，早期治疗，可避免病情恶化而发生肇事肇祸的行为。

so,The patient have surged to psychiatry,The doctor is be able to stand?JiaFuJun said,Now the national spirit of specialized subject doctor is only about 20000 people,It would be a big challenge,Hope that the whole society to pay close attention to this group,Let them was found early,Early treatment,Can avoid his condition deteriorated and happen accident cause trouble behavior.

　　而另一个挑战还来自于医生对患者出院前进行的“检查评估”程序。根据法律，精神科执业医师要对实施住院治疗的患者进行检查评估，评估结果表明患者不需要继续住院治疗的，医疗机构应当立即通知患者及其监护人。

And another challenge also comes from the doctor to the patient before discharge"Check the evaluation"program.According to the law,Psychiatric practice physician to implement patients hospitalized for inspection evaluation,The simulation results show that the patients don't need to continue to hospital treatment,A medical institution shall immediately notify patients and their guardians.

　　贾福军表示，所谓“检查评估”包括危险性评估，这也是医生面临的挑战。“当然，当初没有危险性评估就没有非自愿治疗，同样，没有危险性评估，自然没有出院之说。”

JiaFuJun said,The so-called"Check the evaluation"Including risk assessment,This is the doctor the challenge."Of course,There had been no danger evaluation is no involuntary treatment,The same,No risk assessment,Nature has said of discharge."

现状??精神卫生资源七成集中珠三角 status??Mental health resources seventy percent concentrated pearl river delta

　　省卫生厅副厅长耿庆山介绍，据卫生部调查，精神疾病在我国疾病总负担中排名居首位，约占疾病总负担的20%。截至2012年12月13日，全省在信息系统建立电子档案并规范管理的重性精神病人有370061例。而专家根据发病率估算，目前全省各类重性精神病患者超过120万。

Provincial health department deputy director GengQingShan is introduced,According to the ministry of health survey,Mental illness in our total burden of disease in the ranking,Accounts for about 20% of the total burden of disease.By the end of 2012 on December 13,The province in the information system to establish and standardize the management of the electronic archives heavy sexual mental patient 370061 cases.The specialist according to estimate the incidence of a disease,At present the weight of more than 1.2 million patients with psychosis.

　　然而，我省精神卫生资源短缺。据介绍，目前全省精神卫生类床位数仅1.5万张，刚达到全国平均水平和卫生部规定的最低配置标准，而且七成集中在珠三角地区，不能满足当前精神卫生服务的需求，部分地方政府及社会救助水平偏低。专家呼吁，各级政府要加大对精神卫生事业的投入，大力发展公益性防治机构。

however,Mental health resources shortage in our province.According to introducing,At present the mental health class bedspace only 15000 copies,Just reach the national average and the ministry of health of the prescribed minimum configuration standard,And seventy percent concentrated in the pearl river delta region,Can't satisfy the current mental health service requirement,Part of the local government and social assistance level is low.The experts urged,Governments at all levels should strengthen the mental health input,Vigorously develop the prevention and control of public welfare institutions.

　呼吁??不应侮辱歧视精神病患者 Calls for??Should not insult discrimination psychiatric patients

　　精神卫生法规定，全社会应当尊重、理解、关爱精神障碍患者，任何组织或者个人不得歧视、侮辱、虐待精神障碍患者。肇庆市第三人民医院副院长谭常赞对此深有共鸣。

Mental health law provisions,The whole society should respect/understand/Care for patients with mental disorders,Any organization or individual shall not be discriminated against/insult/Abuse in patients with mental disorders.Zhaoqing city people's hospital of the vice President of the tan often praise deeply have resonance.

　　他批评有的小品刻意丑化精神病患者形象：“我曾经看过一个小品，演员演一位应聘者，摇头晃脑，别人给他开1000元工资，他说要800元。问他哪里来的，他说来自武汉六角亭，我上网一查，原来是精神病院，这就很不合适。”

He criticized some sketch deliberately to smear mental image:"I have seen a sketch,Actors play a candidate,rubbernecking,He opened the other people to pay 1000 yuan,He said to 800 yuan.Ask him where to,He said from wuhan hexagonal pavilion,I surf the Internet to check,It is a mental hospital,It is not right."

　　在接受记者采访时，一位广州市民也表示，有时候想说别人傻，会说“你从芳村来的”。因为收治精神病人的广州脑科医院，恰好位于芳村。这种说法不尊重人，确实不妥。

When accepting a reporter to interview,A guangzhou citizens also said,Sometimes want to say someone stupid,Will say"You come from aromatic village".Because mental patients were guangzhou brain hospital,Just a YuFang village.This statement does not respect,Does not.

　　谭常赞呼吁，社会不要歧视精神病患者，尤其是医生，不得拒绝给他们提供诊疗服务。(记者/曹斯 陈枫 通讯员/粤卫信)

Tan often praise calls for,Don't discriminate against social mental illness,Especially the doctor,Shall not refuse to provide medical services.(Reporter/CaoSi ChenFeng correspondent/guangdong WeiXin)