Many loopholes in management
The Ministry of Justice has just announced the dossier for appraisal of the draft Decree stipulating measures to organize and manage people subject to compulsory judicial measures for treatment during treatment at medical examination and treatment facilities.
Reality shows that the system of legal regulations related to the management of this subject is still not synchronized, scattered and incomplete. Many medical examination and treatment facilities do not meet the requirements for facilities and human resources. In addition, the application of information technology in monitoring and tracking is still limited.
Notably, the coordination process between medical facilities with procedural agencies, judgment enforcement agencies and local authorities also encountered many obstacles and difficulties in receiving, managing and ensuring security and order.
Proposal for "3-class door", close supervision
Faced with this situation, the Ministry of Health proposed to clearly stipulate the conditions for establishments designated to implement compulsory treatment measures.
In terms of expertise, the facility must be a hospital with a mental health specialist. In terms of facilities, the treatment area must be designed separately, ensuring strict entry and exit control.
Notably, the draft proposes a 3-layer door system including: hospital room door, corridor door and inpatient treatment area door. All must be securely locked. At the same time, the treatment area must be installed with comprehensive surveillance cameras, with security forces on duty 24/24 hours.
Each hospital room needs to have a separate toilet, minimizing the risk of causing danger. Materials and equipment are also encouraged to be designed in a safe direction, preventing self-harm or violence.
The draft also clearly stipulates: medical facilities are only allowed to receive people subject to compulsory medical treatment measures when they have complete and valid dossiers.
In case the patient has another medical condition requiring emergency treatment, the facility may temporarily refuse to receive them to transfer them to a suitable treatment place first.
For dangerous cases such as serious crimes or having multiple previous convictions, surveillance must be carried out continuously 24/7 with the participation of both medical staff and security forces.
In addition, some strong measures are also proposed such as: Limiting visits, isolation, strengthening protection or control when there is disruptive behavior. However, the application must ensure proper authority, not infringing upon the legitimate rights and interests of patients.
The Ministry of Health believes that the issuance of the Decree is necessary to improve the legal corridor, improve the efficiency of state management, and at the same time ensure the rights of people subject to compulsory medical treatment measures.
In the context of the increasing number of subjects and increasingly complex nature, tightening management solutions are expected to contribute to ensuring safety for both patients, medical staff and society.
