Involuntary commitment (psychological treatment, i duh loh pawhin) chungchang i zir dawn em ni?

A châng chuan, kan nun hi rin loh takin a harsa ṭhin a ni lawm ni? A bik takin rilru lam hriselna chungchangah hian mi thenkhat chuan tanpuina an mamawh tih pawh an hre lo mai thei. Hetiang hunah hian mi pakhat chu a duh loh zawng pawh ni se, mahni himna tur atan enkawl tir an nih theihna hun a awm. Vawiin hian thupui sensitive tak, mahse pawimawh tak ``Involuntary Commitment'' tih kan sawi dawn a ni.

Hei hi eng nge ni ‘involuntary commitment’?

A awlsam zawngin, ``Involuntary Commitment'' tih hian dan anga ``psychiatric unit'', chu chu rilru lam hriselna unit-ah, i duh loh zawngin, rilru lam natna khirh tak enkawlna dawng turin i inpe tihna a ni. Chu thu i hriat chuan hlauhna leh thinrimna i nei thei. ''Engtin nge ka remtihna tel lo chuan hetiang hi an tih theih ang?'' tih hi i ngaihtuah mai thei.

Mahse hetah hian hriatthiam tur pawimawh tak chu hei hi tihbuai emaw, hnawhchhuah emaw tumna a ni lo tih hi a ni. Nangmah enkawltu medical team leh a kaihhnawih court (ram thenkhatah chuan hei hi ``probate court`` an ti bawk) te chuan eng chen nge enkawl i mamawh tih leh eng ang enkawlna nge i mamawh tih an rel ang. A pawimawh ber chu court-in a remtih loh chuan tumahin rilru lam damdawi ei turin an nawr thei lo.

A tlangpuiin, mi pakhatin enkawlna atana nawr luih tura thutlukna siam chu rilru lam hriselna lama harsatna nei, mahni intihhlum (`(mahni intihhlum)`) emaw, midang tihnat (`(homicidal)`) emaw a nih chuan a ni. A châng chuan, chu dinhmun chu a nasat lutuk a, an mamawh bulpui, ei leh in leh incheina ang chi pawh an phuhruk thei lo a nih chuan he thutlukna hi siam a ngai mai thei.

Miin nangmah aiawhin hetiang hian ngenna a rawn siam a nih chuan mimal beihnaah ngai suh. Tuman lock up emaw, tihnat emaw an tum lo che. A tum ber chu nangmah venhim leh enkawlna i hmuh loh chuan nunna atana hlauhawm thei thilte ven hi a ni.

Hei hian eng ang rilru dinhmun nge a puih tak tak?

Tûnah chuan, ‘Eng ang harsatnate nge chutianga tihluihnaa enkawl a ngai ang?’ tiin i ngaihtuah mai thei. Dik tak chuan rilru lam hriselna lama harsatna engemaw zat a awm a, chu chu he process ``(Involuntary Commitment)`` tia koh hian a pui thei a ni. Mahse, heng natna vei zawng zawng hi hetiang hian refer an ni vek lo tih hre reng ang che. Hei hi nangmah emaw midang emaw tana hlauhawm a awm chauhvin ngaihtuah a ni .

Chutiang dinhmun thenkhat chu hetiang hi a ni:

Rilru hriselna dinhmun, schizophrenia ang chi hian thil tak tak nena inzawmna a hloh thei a ni.
• Mood disorder te chu major depression leh bipolar disorder te hi a ni . Chûngte chuan mood swing nasa tak a thlen thei a, a châng chuan mahni intihhlumna thlengin a thlen thei bawk.
• Ruihhlo avanga rilru lam natna . Damdawi thenkhat chuan hun eng emaw chen emaw, a awm reng emaw rilru tibuaitu a thlen thei a ni.
• Mahni intihhlum tumna . Miin a nun tawp dan tur a ngaihtuah reng a nih chuan dinhmun hlauhawm tak a ni.
• Dementia leh a kaihhnawih rilru lam natna . Rilru lama harsatna thenkhat chu dementia vangin a lo awm thei a, chu chu kan tar chhoh zel chuan a lo awm thin.

Chuvangin, he method hi hetiang dinhmun nei zawng zawng tan hian hman a ni lo. Amaherawhchu, thil awmdan avanga i nunna emaw, midangte nunna emaw tana hlauhawm nghal a awm a nih chuan hetiang ang hian hmalak a ngai a ni.

Hetiang mi hi refer tur hian eng criteria nge awm?

Okay, tunah chuan mi pakhat chu a duh loh zawnga enkawl tura refer tur a nih chuan eng ang thil nge tihhlawhtlin a ngai tih i en ang u. Hei hi mi pakhatin a sawi vang mai maia tih theih a ni lo. Hei hi civil legal process a ni a . Sri Lanka-ah hian hemi kaihhnawih dan a awm a. (A original article-ah khan American dan a sawi a, mahse a bulpui ber chu hmun tinah a inang vek).

Hengte hi tehfung lian ber ber ngaihtuah thin thenkhat chu hetiang hi a ni:

• Rilru lam hriselna lama natna langsar tak tak i neih a ngai a ni . Heng chhinchhiahnate hian i hriatthiamna, i rilru put hmang , i rorelna, leh i nungchang nasa takin a nghawng tur a ni. Entîr nân, thil dik leh dik lo chu i thliar hrang thei lo mai thei a, a nih loh leh chhan awm lovin i thinrim hle mai thei bawk.
• Hêng chhinchhiahnate hian i hrisêlna emaw, i himna emaw atân hlauhawmna a thlen nghâl tûr a ni a, chu chu nangmah emaw, mi dangte tân emaw pawh ni se . Entîr nân, nun i duh loh thu i sawi fo mai thei a, a nih loh leh mi dangte beih tum ang maiin i inhria thei bawk.
• I natna lan chhuah dan chu i mimal mamawh bulpui , ei leh in, incheina, leh nangmah chauhva hmun him taka awm ang chite i hlen chhuak thei lo tur a ni .
• Damdawi ina awm reng leh he rilru lam natna enkawlna dawng hi i hlawkpui tur a ni .

Thil dang pakhat chu a theih ang anga nonrestrictive taka enkawlna pek kan tum hi a ni. Chu chu, in atanga lo kal a, enkawlna i dawng thei a nih chuan (outpatient services) damdawi ina awm ngai lovin chutianga enkawlna pek kan tum thin (inpatient services).

Engtin nge he ‘Involuntary Commitment’ kalphung hi a lo awm?

Okay, chuvangin he process ``(Involuntary Commitment)`` tih hi engtin nge a kal tlangpui tih hi han en ila. Hei hi mi hrang hrangah a inang lo deuh thei a, jurisdiction tina dan leh hrai a zirin a danglam thei bawk. Mahse a tlangpuiin, step thenkhat chu hetiang hi a ni:

1. Mi lungkham takin tanpuina a dil: Mi pakhatin i ngaihtuah a (hei hi chhungte, i thian emaw, doctor emaw, `(social worker)` emaw, police officer (`(dan kengkawhtu)`) emaw a ni thei) chuan he `(civil commitment)` process hi tanpui theitu tur mi a biak a.

2. Damdawi lam enfiah tura referral: A chang chuan police te chuan an rawn inrawlh thei a, `` emergency room``, chu chu emergency treatment unit-ah an hruai thei che a, ``healthcare provider`` hnenah an entir thei che a ni.

3. Medical Evaluation: Doctor chuan ``Involuntary Commitment'' atana qualification i tlin tak tak em tih a enfiah ang che.

4. Mental health unit-a admission: Doctor-in criteria i tlin tih a hriat chuan inpatient psychiatric facility-ah enkawl turin admit i ni ang.

5. Court thupek: Tichuan, court hearing neih a ni a, hun rei zawk detention-a awm a ngai em tih rel a ni. He hun chhung hi ram hrang hrangah leh province hrang hrangah a inang lo.

A châng chuan, step thum leh pali inkârah, doctor-in thutlukna hnuhnung ber a siam hmain, darkar 72 vêl chu enkawlna hnuaiah i awm thei a ni. He emergency hold hian i symptoms te chu a ti nghet thei ang. I theih chuan i duh chuan chu darkar 72 hnuah chuan i duhthusamin i duhthusamin enkawlnaah i inhriattir theihna hun pek i ni thei bawk.

A kalphung zawng zawng leh a hun chhung hi mi hrang hrangah a inang lo va, tualchhung civil code a zirin a danglam thei bawk.

Hetianga tihluihnaa tihluihna hian eng nge a rah chhuah?

Hetiang duh loh zawnga enkawlna hi a tha leh tha lo a awm vek a ni. Khawthlang lamah chuan i nunna a chhanhim thei a , second chance a pe thei bawk. Chu chu a pawimawh ber a ni.

Mahse, a lehlamah chuan, i duh loh zawnga enkawl tura nawr luih i nih chuan lungngaihna nasa tak, hlauhna, leh ṭanpui theih lohna i nei thei a ni . A châng chuan, hei hian Post-Traumatic Stress Disorder (PTSD) tih pawh a thlen thei bawk.

``Involuntary Commitment'' hnuaia awm hian a hnuaia mi hi a thlen thei a ni:

• Nangmah ta a niNitin nunphung a tibuai thei a ni.
• I phatsan niin i inhria mai thei , a bîk takin i mite ngei pawh an inrawlh a nih chuan.
• Economic pressure a awm thei .
• Damdawi ina i awm lai hian i mimal zalenna ṭhenkhat chu i hloh thei a ni .
• Healthcare system emaw dan kengkawhtute rinna i hloh mai thei.

A châng chuan, damdawi ina i luh hmain i natna lan chhuahna nasatzia i hre lo mai thei. Mahse, zirchianna thenkhatah chuan a tul anga enkawlna an dawn leh an dam leh hnuah mi tam tak chuan he ``(Involuntary Commitment)`` hi a pawimawh zia an hrechhuak ta a ni.

A tir lamah chuan thinrimna leh lungngaihna nei an awm a, "Hetah hian ka lo kal luih luih a ni," an ti a, mahse a hnuah chuan, "Aw, chutih laia an thil tih avang khan vawiin hian hetah hian ka awm a ni," tiin an ngaihtuah thin.

He enkawlna hian eng chen nge a daih ang?

Eng chen nge enkawl i mamawh tih chu i mamawh danah a innghat ang. Hei hi dan anga kalpui a nih avangin court hian thil kal dan tur ngaihtuah turin hearing a nei chhunzawm zel dawn a ni. Entirnan, ni 7 danah, ni 14 danah, thla khatah emaw, thla hnih danah emaw court hearing a awm thei. Civil commitment tehfung i la tlin chuan (chu chu nangmah emaw, midang emaw tana chhiatna thlen theihna i la nei tihna a ni), enkawlna dang dawng turin damdawi inah i awm a ngai mai thei.

Zirna hrang hrangah chuan damdawi in atanga chhuah hnu thla engemaw zat chhungin mahni intihhlum theihna a sang thei tih hmuhchhuah a ni . Chuvangin, i dam loh hunah tanpuina i zawn theihna tur support system tha tak siam a, local resources nena inzawmna siam hi a pawimawh hle. Sri Lanka ramah pawh hetiang dinhmuna puitu telephone number leh pawl hrang hrang an awm bawk (e.g. Sumitrayo 1333, CCCline 1926). A tul chuan biak pawh theih a ni.

Miin i tih duh loh thil ti tura a nawr che chuan rilru natna nasa tak i nei ngei ang. Hetiang thil i paltlang lai hian naupang ang maia enkawl, tumahin an ngaithla lo ang maia i inhriat hi thil pangngai tak a ni.

Hei hian i rilru a ti na thei a, i buai phah thei a, mahse, he thil tih dan apiang hi nangmah leh mi dangte him leh hrisel taka awm theihna tura ruahman a ni tih hre reng ang che. Nangmah hi nung taka hmuh duhtu i ni a, a harsa hle a nih pawhin, tanpuina dil tura thutlukna i siam tawh a ni. Hetiang thil thleng lai hian hei hi hmuh a harsa mai thei, mahse, nangmah tihnat ni lovin, tanpui duhtu chein an hual vel tih hria ang che.

Hei hi engtin nge a kal dawn tih emaw, eng nge i beisei tur tih emaw zawhna i neih chuan i enkawltu te, social worker te, i medical team-a mi tu pawh zawt hreh suh.

A tawp berah chuan hriat reng tur tlemte (Take-Home Message) .

He thupui ``(Involuntary Commitment)`` hi a buaithlak deuh a, hriatthiam harsa tak a ni. Mahse hei hi hriat chian a pawimawh hle.

• Hei hi hremna a ni lo: Mi pakhat enkawl tura nawr luih chu hremna emaw, tantirna emaw a ni lo. A tawp ber a ni a, anmahni himna tur leh midang himna tur a ni.
• Dan anga kalpui dan: Hei hi thil tih mai mai a ni lo va, dan anga thil thleng, doctor leh court-te inrawlhna a ni.
• I hriat theih nan phal la, mahse tanpuina dawng rawh: Hetiang thil tawn mek hian thinrimna, lungngaihna, hlauhna leh tanpui theih lohna a neih hi thil pangngai a ni. Mahse, chutiang rilru put hmang chu nangmah chauhvin awm suh. Doctor, nurse leh counselor te chu tanpui turin an awm reng a ni.
• Enkawlna hnu pawha tanpuina a pawimawh: Damdawi in chhuahsan hnuah pawh i rilru hriselna enkawl chhunzawm zel te, a tul chuan counselling lak te, chhungte leh thiante hnen atanga tanpuina zawng te hi a pawimawh hle.
• Nangmah chauh i ni lo: Nangmah emaw, i hriat mi emaw chuan hetiang thil hi i tawk a nih chuan, nangmah chauh i ni lo tih hre reng ang che. Ṭanpuina dilna tur hmun a awm.

He thu hian he thupui buaithlak tak hi hriatthiamna engemaw chen i neih theih nan a puih che kan beisei. Hetiang dinhmun hi tumahin an hmachhawn ngai lovang tih kan beisei rualin, an hmachhawn a nih chuan hneh theihna chakna an hmuh ngei kan beisei bawk.

`Rilru hriselna, duh loh zawnga enkawl, rilru lam damdawi in, mahni intihhlum, rilru lam natna, dan anga kalpui dan, Involuntary Commitment, psychiatric unit, court thupek