In Moldova, involuntary psychiatric hospitalization and the respective legislation are inherited from the Soviet system practically unchanged, a system that does not correspond to the modern system neither in terms of human rights nor in terms of health care practices. The findings belong to experts at the Moldovan Institute for Human Rights (IDOM), who presented an evaluation report on the treatment measures through medical coercion to the Parliamentary Commission for Social Protection.

IDOM points to the insufficiency of providing patients with personal hygiene products, poorly developed occupational and psychological services for patients, as well as insufficient and unmotivated staff. The lack of a protocol for intervention and prevention of tense situations and incidents was also found. Also omitted is the management of aggressive and behaviorally challenged patients to prevent torture and ill-treatment. The lack of ward security presents a danger to staff and patients.

The report also mentions cases of recidivism of criminal acts, including murder immediately after release from forced psychiatric treatment, arbitrary admissions for non-violent acts, the lack of community treatment alternatives, etc. Following these findings, a process was initiated to evaluate and reform the system to international standards.

Dr. Adrian Belîi, chair of the Commission, said that the subject represents an increased interest in society. “The application of coercive treatment requires extensive regulation, requiring much discussion, based on data and evidence, to find a balance in which the dignity and safety of the patient is respected. Parliament is open, in this regard, to collaboration and optimization of the normative framework in the field”, the lawmaker said.

As a result of the study, the experts submitted a list of legislative and normative acts that need to be amended according to international standards and best professional practices.