• Yang Shao, Bin Xie, Mary-Jo Delvecchio Good, and Byron J Good.
• Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, China.
• Int J Law Psychiatry. 2010 Jan 1; 33 (1): 52-7.

ObjectiveTo date, there is no systematic analysis of mental health laws and their implementation across the People's Republic of China. This article aims to describe and analyze current legal frameworks for voluntary and involuntary admissions of mentally ill patients in the five cities of China that currently have municipal mental health regulations.MethodsInformation on the legislation and practice of involuntary admission in the five cities was gathered and assessed using the "WHO Checklist on Mental Health Legislation." The checklist was completed for each city by a group of psychiatrists trained in mental health legislation.ResultsAlthough the mental health regulations in these five cities cover the basic principles needed to meet international standards of mental health legislation, some defects in the legislation remain. In particular, these regulations lack detail in specifying procedures for dealing with admission and treatment and lack oversight and review mechanisms and procedures for appeal of involuntary admission and treatment.ConclusionsA more comprehensive and enforceable national mental health act is needed in order to ensure the rights of persons suffering mental illness in terms of admission and treatment procedures. In addition, more research is needed to understand how the current municipal regulations of mental health services in these cities are implemented in routine practice.Copyright 2009 Elsevier Ltd. All rights reserved.

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