I duh loh zawnga rilru lam hriselna enkawl dan tur? Nirogi Lanka nena Involuntary Commitment chungchang i zir dawn teh ang

A châng chuan, nunah hian ngaihtuah phak loh khawpa harsa hun kan paltlang ṭhin a ni lawm ni? A bik takin rilru hriselna chungchangah , mimal thenkhat chuan tanpuina an mamawh tih pawh an hre lo mai thei. Chutiang hunah chuan mi pakhat chu a duh loh zawng pawh ni se, mahni himna tur atan enkawl tura refer a ngai mai thei. Vawiin hian thupui nalh tak, mahse thuk tak pawimawh tak kan sawi dawn a ni: ‘Involuntary Commitment’.

‘Involuntary Commitment’ tih hi eng nge ni?

A awlsam zawngin, ‘Involuntary Commitment’ tih hian i duh loh zawnga rilru lam natna khirh tak enkawlna tur psychiatric unit-a admit che dan dan anga kalpui dan a kawk a ni. Chu thu hriat chuan hlauthawng emaw, thinrim emaw i nei thei tih chu hriatthiam theih a ni. I ngaihtuah mai thei, "Engtin nge ka remtihna tel lo chuan hetiang hi an tih theih?" I reaction hi a dik vek a ni.

Amaherawhchu, hriatthiam tur pawimawh tak chu hei hi nangmah tihnat tur emaw, inhlat taka awm tir tur emawa tih a ni lo tih hi a ni. I medical team , court kaihhnawih (probate court tia koh fo) nen chuan, i mamawh hun chhung leh enkawlna chi dik tak chu an rel a ni. A pawimawh ber chu court thupek tel lo chuan tumahin rilru lam damdawi i chungah an nawr thei lo.

A tlangpuiin, duh loh zawnga inpekna atana thutlukna siam chu rilru lam hriselna dinhmunin nangmah (mahni intihhlum) emaw, midang emaw tana harsatna thlen nghal theihna (mahni intihhlum) (homicidal) a nih chuan siam a ni. A châng chuan, natna pakhat a nasat lutuk a, mahni invenna bulpui, ei leh in emaw, incheina emaw i tih theih loh chuan he step hi a ngai thei bawk.

Miin i aiawha hetiang thil hi a dil a nih chuan mimal beihna angin ngai suh. Tuman lung ina khung che emaw, harsatna thlen che emaw an tum lo. A tum ber chu i himna tur leh inrawlhna tel lova nunna atana hlauhawm thei thil thleng thei tur venna a ni.

Hei hian eng rilru lam hriselna dinhmun nge a puih tak tak?

I ngaihtuah mai thei, "Eng ang dinhmun khirh tak nge enkawl ngei ngei tur a nih?" A nihna takah chuan, involuntary commitment tia hriat process hi rilru lam harsatna bik neia mimalte tanpui nan ruahman a ni. Hei hi rilru lam natna nei zawng zawng tan hman a ni lo tih hre reng ang che. He kawng hi nangmah emaw midang emaw tana chhiatna thlen theihna hlauhawm tak a awm chauhvin ngaihtuah a ni .

Chutiang dinhmun thenkhat chu hetiang hi a ni:

• Schizophrenia ang chi rilru hriselna dinhmun: Heng dinhmunte hian thil tak tak nena inzawmna a tichhe thei a ni.
• Mood disorders, major depression leh bipolar disorder: Hengte hian mood inthlak danglamna nasa tak a thlen thei a, a chang chuan rilru natna nasa tak leh mahni intihhlum tumna a thlen thei bawk.
• Substance hman avanga rilru lam natna: Substance thenkhat hian hun eng emaw chen, rilru lama harsatna nasa tak a thlen thei.
• Mahni intihhlum duhna: Mi pakhatin a nun tihtawp tumna a neih reng chuan hei hi emergency pawimawh takah ngaih a ni.
• Dementia with associated psychiatric symptoms: Cognitive decline hi a chang chuan rilru lam harsatna lungchhiatthlak tak tak nen a inzawm thei bawk.

Hetiang approach hi mi zawng zawng tan a nih loh laiin, i rilru hriselna dinhmun hian nangmah himna emaw, i chhehvela mite himna emaw a thlen nghal chuan tehfung tul tak a lo ni ta a ni.

Hetiang referral chi hrang hrang atan hian eng criteria nge zawm tur?

Duhthusam lova inenkawlna atana thil tulte han thlir ila. Hei hi thutlukna siam mai mai a ni lo; i dikna chanvo humhalh a nih theih nan dan bik hmanga kaihhruai dan anga civil process a ni.

Criteria ngaihtuah tlangpui chu:

• I rilru lam natna khirh tak i nei a, chu chuan i hriatna, i rilru put hmang , i rorelna, leh i nungchang nasa takin a tichhe a ni. Hei hian thil tak tak leh delusion thliar hran a harsa thei a, a nih loh leh thunun theih loh khawpa tharum thawhna a thlen thei bawk.
• Hêng chhinchhiahnate hian i hrisêlna emaw, i himna emaw, a nih loh leh mi dangte himna atân hlauhawmna a siam nghâl a ni . Entîr nân, mahni intihhlum tumna chiang tak târ lan emaw, mi dangte chunga tharum thawhna thiltih emaw.
• I dinhmun nasat lutuk chuan i mimal mamawh bulpui , ei leh in, incheina, a nih loh leh chenna tur zawng ang chite chu a ngaihtuah thei lo che a ni.
• Inpatient hospital treatment hi i dam lehna atan clinically beneficial a nih thu an rel a ni.

Nirogi Lanka-ah hian boruak khapna tlem ber kan dah pawimawh ber a ni. Outpatient service hmanga i mamawh phuhruk theih a nih chuan chu kawng chu inpatient admission aiin a duh zawk reng ang.

Engtin nge ‘Involuntary Commitment’ kalphung hi a thawh?

Local civil law leh regional practices a zirin a kalphung a inang lo thei a, mahse a tlangpuiin heng step te hi a zawm thin:

1. Dilna bul tanna:Mi buaipuitu—chhungkaw member, ṭhian, doctor, social worker, a nih loh leh dan kengkawhtu ang chi—chuan rilru lam hriselna lama thuneitu \ha tak takte hnena thlenin civil commitment process chu a ṭan a ni.

2. Medical referral: Thil engemaw takah chuan emergency responder-te chuan emergency room-ah healthcare provider-in a evaluation neihpui turin an phur thei che a ni.

3. Medical evaluation: Doctor chuan involuntary commitment atana criteria bik i tlin leh tlin loh hriat tumin a ennawn ang che.

4. Psychiatric facility-a admission: Damdawi thiamin criteria a tlin tih a hriat chuan inpatient psychiatric facility-ah stabilization leh care atan admit i ni ang.

5. Court thlirletna: Court hearing neih a ni thei a, chhunzawm zel, hun rei tak chhung duh loh zawnga enkawl chu damdawi lam a tul em tih hriat theih a ni.

Step 3 leh 4 inkarah hian hun rei lote chhung emergency observation period (a tam zawkah chuan darkar 72) chhung atan i awm thei bawk. Hemi ṭum hian medical team te chu i symptoms te chu a stabilize thei a ni. Hemi hun chhung hian i dam lehna kawngah i tel thei a nih chuan voluntary inpatient care-a inthlak theihna option i nei thei ang. Hemi kalpui chhung zawng hian i dikna leh himna hi kan ngaih pawimawh ber a ni.

Duhthusam lova enkawlna hian eng nge a thlen?

I duh loh zawnga enkawlna atana admit i nih hian a tha lam leh a harsa lam a keng tel a ni. Khawthlang lamah chuan i nunna a chhanhim thei a , second chance a pe thei che a, chu chu a rah chhuah pawimawh ber a ni.

Mahse, i duh loh zawnga admit i nih chuan lungngaihna nasa tak, hlauhna, leh ṭanpui ngai lo anga inhriatna a thlen thei tih pawm a pawimawh bawk . Thil engemaw takah chuan, he thil tawn hian Post-Traumatic Stress Disorder (PTSD) ang chi dinhmun a thlen thei a ni.

Undergoing (Involuntary Commitment) hian a hnuaia thil tawn te hi a thlen thei bawk:

• I nitin nun leh i tih dan tur chu a buai thei .
• I phatsan tih i hre mai thei , a bîk takin i hmangaih takte chu chutianga inrawlh an nih chuan.
• Sum leh pai lama harsatna i tawk mai thei .
• Damdawi ina i awm chhung hian i personal autonomy chu a tlem hle niin i hria mai thei .
• Hriselcare system emaw dan kengkawhtute emaw rinna vawng reng chu i harsat mai thei .

A châng chuan admission i nih hmain i symptoms nasatzia chu i hre kim lo mai thei. Mahse, zirchianna tam takah chuan damlote’n an mamawh enkawlna an dawn a, an dam leh chuan an dam lehna tura (Involuntary Commitment) hian chanvo pawimawh tak a neih chu an hrechhuak fo thin tih a tarlang.

A tir lamah chuan enkawl tura "tih luih" ka nih avanga thinrimna emaw, lungngaihna emaw rilru put hmang hi a awm fo laiin, mimal tam tak chuan a hnuah, "Chutih laia tanpuina ka dawn avang khan tuna ka awmna hmunah hian ka awm ta a ni," tiin an ngaihtuah thin.

Eng chen nge enkawlnaah ka awm a ngai dawn?

I enkawlna hun chhung hi i clinical mamawh bik a innghat a ni. Hei hi dan anga kalpui a nih avangin court chuan i dinhmun enfiah turin periodic (hearing) a nei ang. Chûngte chu ni 7, ni 14, a nih loh leh ni 30 inkarah a thleng thei a, chu chu thil awm dân azirin a ni. (Criteria for civil commitment) i tlin chhunzawm zel chuan—chu chu nangmah emaw, mi dangte emaw tana chhiatna thlen theihna hlauhawmah i la awm reng tihna a ni—damdawi ina awm chhunzawm zel a ngai mai thei.

Research atanga a lan dan chuan damdawi in atanga chhuah hnu thla engemaw zat chhungin mahni intihhlum theihna a sang thei hle . Chuvangin, i rilru hahna apianga i thlen theihna tur (support system) leh (local resources nena inzawmna) nghet tak siam a pawimawh hle. Sri Lanka ramah chuan a tul chuan Sumithrayo (1333) emaw CCCline (1926) ang chi service hmangin support i hmu thei a ni.

Thunun theih loh anga i inhriat lai hian rilru natna chi hrang hrang—inngaitlawm emaw, hriat loh emaw anga inhriatna ang chi—i neih chu thil awmdan pangngai a ni. Hei hi (Involuntary Commitment) process chhunga thil thleng tlangpui a ni.

Hei hi buaithlak emaw, lungngaihna emaw i nih pawhin, he thila hmalakna tinte hi i himna leh i damna tur bakah i chhehvela mite himna tur atana ruahman a ni tih hre reng ang che. Mi pakhatin a ngaihsak em em che chuan nun hrisel tak nei tura an duh avangin i aiawha tanpuina zawng turin thutlukna a siam a ni. I awm lai hian hei hi hmuh a harsa mai thei a, mahse, i tihnat tum ni lovin, tanpui tura awmte’n an hual vel che tih hria ang che.

A kalphung emaw, i beisei theih tur emaw zawhna i neih chuan i (caregivers), (social worker), emaw i medical team member tu pawh zawt hreh suh.

Takeaways pawimawh tak tak (Take-Home Message) 1.1.

(Involuntary Commitment) hi thupui buaithlak leh sensitive tak a ni a, mahse hriat chian a pawimawh hle.

• Hei hi hremna a ni lo: Duh lohva chetna hi hremna emaw, lung ina tan emaw ang chi a ni ngai lo. Nangmah leh i chhehvela mite humhimna tur kawng hnuhnung ber atan kalpui a ni.
• Legal process: Hei hi i dikna leh himna tur atana medical professional leh legal system te telna kalphung mumal tak a ni.
• I rilru put hmang chu pawm la, ṭanpuina zawng rawh: He thil tawn lai hian thinrim, lungngaihna, a nih loh leh hlauhna i neih chu thil pangngai a ni. Heng rilru put hmangte hi nangmah chauhin hmachhawn suh. Doctor, nurse, leh counselor te chu i tanpui turin an awm reng a ni.
• Enkawlna hnua puihna hi a pawimawh hle: Damdawi in chhuahsan hnuah pawh i rilru hriselna chu dah pawimawh chhunzawm zel la, hmang tangkai (counseling), leh puihna atan i chhungte leh i thiante rinchhan zel ang che.
• Nangmah chauh i ni lo: Nangmah emaw, i hriat tu emaw hian hetiang thil hi i tawk a nih chuan nangmah chauh i ni lo tih hre reng ang che. I tanpui theihna tur resources a awm a.

He thu hian he thupui buaithlak tak chungchangah hian chiang zawka hriatna i neih theih nan a puih che kan beisei. Chutiang dinhmun chu tumahin an hmachhawn ngai lovang tih kan beisei laiin, a lo thleng a nih chuan, Nirogi Lanka-in a rawn ken che u, hneh theihna leh tihdam theihna chakna kan duhsak che u a ni.

Nirogi Lanka: Rilru hriselna, Duh loh vanga enkawl, Psychiatric Hospital, Mahni intihhlum laka invenna, Rilru natna, Dan anga kalpui dan, Duh loh vanga inpekna, Psychiatric Unit, Court Order