Mental diseases: a public health problemMay, James Vance
Science
Mental diseases: a public health problem
May, James Vance
Mental health services; Psychology, Pathological
Statutory enactments relative to the forms of mental disease which
render the individual subject to legal custody and detention in an
institution are illustrated by the provisions of the Civil Code of
Illinois. This defines an "insane" person as one "who by reason of
unsoundness of mind is incapable of managing his own estate, or is
dangerous to himself or others, if permitted to go at large, or in such
condition of mind or body as to be a fit subject for care and treatment
in a hospital or asylum for the insane." In Alabama a person is legally
insane "if he has been found by a proper court deficient or defective
mentally so that for his own or others' welfare his removal is required
for restraint, care, and treatment." As a general rule, provision by
law is made 1, for an application for commitment; 2, for a medical
certificate of two or more properly qualified physicians showing the
person to be insane and a proper subject for care and treatment in an
institution, and 3, for the order of the Judge of a Court of Record for
commitment to a state hospital. The necessity of some form of legal
authorization for detention is a result of the fundamental principle
in English procedure that no man, against his will, may be deprived
of his liberty without due process of law. This right was recognized
and perpetuated by the Magna Charta signed by King John in 1215 and is
very definitely referred to in at least two different articles in the
Constitution of the United States.
As a rule the application for commitment can be made only by certain
persons definitely specified in the law,—parents, near relatives, the
guardian or various public officials such as overseers of the poor.
In Massachusetts any person may sign such a petition. In Florida a
request must be jointly made by five reputable citizens. This would
not appear to be a material point in law. Some courts require that a
notice of the application be served upon the person whose commitment
is requested. In New York a notice must be served at least one day
prior to the hearing of the case unless the judge personally certifies
that substituted service has been made upon some other person or that
personal service was considered inadvisable for some adequate reason
noted and has therefore been dispensed with. The Arizona law requires
the judge to hold a hearing and have the alleged insane person before
him for examination. In California a jury trial may be requested and
a commitment made only on a verdict of insanity requiring a vote of
at least three-fourths of the jurors. A trial by jury may be asked
for in Colorado, Connecticut and many other states and must be
granted. Trial by jury is necessary in all cases in Georgia. Provision
is usually made for an appeal to some higher court. In many states
hearings are mandatory, in others they are optional with the court. In
Iowa each county has a board of three commissioners of insanity, one
of whom must be a physician.
Public-domain text, read in full here on John Shaqi.
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