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6 Aust. & N.Z. J. Criminology 1 (1973)

handle is hein.journals/anzjc6 and id is 1 raw text is: 








AUST. & N.Z. JOURNAL OF CRIMINOLOGY   (Mar., 1973): 6, 1


                     EDITORIAL

The  Right to Treatment
TODAY   psychiatry and psychiatric treatment are playing a considerable
part in sentencing  and they  show signs of  playing an ever-increasing
role. Clearly the time is coming when some  stock-taking and evaluation
is most  necessary  in order that  the various  claims being  made  by
psychiatrists and psychotherapists may be supported  or refuted, as also
the claims of others that the advent  of the 'psychiatric era' correlates
in a causal sense with penological liberalism and 'softness' and an increase
in the crime rate. One  aspect of this matter has been touched upon  in
an article in this Journal).
    It is almost certainly true that  psychiatry in Australia and  New
Zealand has not been used in the criminal process in the manner it appears
to have  been used in some  cases in the United States of America;  for
example,  Rouse(2) concerned with insanity and Millard(3) in relation to
sexual psychopathy.  Nevertheless, it is probably worthwhile looking at
some  recent commentary  stemming  from the United States as there may
well be cause for us to pause and take a look at our own  practices and
the direction in which we  are moving.
    Robitscher, in an interesting article Courts, State Hospitals and the
Right to Treatment (4) comments on a concept originated by Birnbaum(s),
The  Right to Treatment.   As originally propounded, the concern was
not a matter  of psychiatric treatment as a right for all. Rather it was
concerned with the plight of the involuntarily hospitalized state hospital
patient who was not receiving the same quality or quantity of care that was
available to private psychiatric patients and who presumably  therefore
was being held for a longer period than those patients. It is to be noted
that Birnbaum  is not a Szaszian who denies the propriety of all involun-
tary hospitalization. Robitscher writes:
    The  enforcement of the right to treatment under the Birnbaum
    proposal would  be by a habeus  corpus proceeding.  By  demon-
    strating that hospitals were staffed below a minimum   ratio or
    that consultations were spaced farther than minimal  periods of
    time the patient would be entitled to release. Recently, expand-
    ing his pragmatic standards for proof of adequacy of treatment,
    Birnbaum()   spelled out  a  more  complete   list of desirable
    institution-wide standards that must be met  for an  inmate  to
    be  retained: (1)  accreditation by the  Joint  Commission  on
    Accreditation of Hospitals; (2) qualification for Medicare and

 1. See p. 47
 2. Rouse v. Cameron 373 F 2d 451 (DC Cir 1966).
 3. Millard v. Cameron (DC Cir 1966) No. 19, 584.
 4. Robitscher, J. (1972) Amer.J.Psychiat. 129 298.
 5. Birnbaum, M. (1960) Amer. Bar Assoc. J. 46 499.
 6. Birnbaum, M. (1971) Some Remarks on the 'Right to Treatment'. Alabama Law Review 23
   623.


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