Involuntary commitment

Involuntary commitment, civil commitment, or involuntary hospitalization/hospitalisation[a] is a legal process through which an individual who is deemed by a qualified person to have symptoms of severe mental disorder is detained in a psychiatric hospital (inpatient) where they can be treated involuntarily. This treatment may involve the administration of psychoactive drugs, including involuntary administration. In many jurisdictions, people diagnosed with mental health disorders can also be forced to undergo treatment while in the community; this is sometimes referred to as outpatient commitment and shares legal processes with commitment.

Criteria for civil commitment are established by laws which vary between nations. Commitment proceedings often follow a period of emergency hospitalization, during which an individual with acute psychiatric symptoms is confined for a relatively short duration (e.g. 72 hours) in a treatment facility for evaluation and stabilization by mental health professionals who may then determine whether further civil commitment is appropriate or necessary. Civil commitment procedures may take place in a court or only involve physicians. If commitment does not involve a court there is normally an appeal process that does involve the judiciary in some capacity, though potentially through a specialist court.[b]

  1. ^ "Being sectioned (in England and Wales)". Royal College of Psychiatrists. August 2013.
  2. ^ Rains, Luke Sheridan; Zenina, Tatiana; Dias, Marisa Casanova; Jones, Rebecca; Jeffreys, Stephen; Branthonne-Foster, Stella; Lloyd-Evans, Brynmor; Johnson, Sonia (2019-05-01). "Variations in patterns of involuntary hospitalisation and in legal frameworks: an international comparative study". The Lancet Psychiatry. 6 (5): 403–417. doi:10.1016/S2215-0366(19)30090-2. ISSN 2215-0366. PMC 6475657. PMID 30954479.
  3. ^ Macgregor, Aisha; Brown, Michael; Stavert, Jill (2019-04-16). "Are mental health tribunals operating in accordance with international human rights standards? A systematic review of the international literature". Health & Social Care in the Community. 27 (4). Wiley: e494–e513. doi:10.1111/hsc.12749. ISSN 0966-0410. PMID 30993806.


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