慢性精神疾病和纠正参与:一个基于人口的匹配病例控制研究在加拿大安大略省,加拿大
Ruchi Vijh1, Fiona G Kouyoumdjian2,3, Tomisin Iwajomo3,4
1Department of Psychology, University of Calgary, Calgary, Alberta, Canada.
概括
患有慢性精神疾病和惩教参与的个体有更多的心理社会并发症,并使用了更严重的心理健康服务,但在进入惩教设施之前,精神病医生的访问较少.
科学领域:
- 精神病学是一个精神病学.
- 犯罪学 犯罪学
- 公共卫生 公共卫生
背景情况:
- 患有慢性精神疾病的个人在惩戒设施中占比不大.
- 了解这种人群中纠正参与的风险因素至关重要.
研究的目的:
- 为了比较从惩戒设施释放的慢性精神疾病患者和没有惩戒参与的人之间的社会人口统计学,临床和先前的心理健康服务利用情况.
主要方法:
- 在安大略省进行了一项匹配的病例控制研究,将从惩戒设施释放的个人 (病例) 与没有惩戒参与的人 (控制) 进行比较.
- 分析包括社会人口统计,临床和心理健康服务利用数据从1和3年前的纠正参与.
- 使用波桑回归和负二项式回归估计了发生率比率.
主要成果:
- correctional 参与的个人表现出更高的物质剥夺,居住不稳定,更短的疾病持续时间和更多的心理社会并发症.
- 他们还显示了更高的初级保健医生访问率,急诊室访问率和住院率.
- 相反,那些接受了惩戒的个人在接受惩戒之前的精神病医生访问率较低.
结论:
- 尽管伴随性疾病和急性服务使用率较高,但涉及惩戒系统的慢性精神疾病患者的精神病医生访问率较低.
- 这表明,在纠正参与之前,这群弱势群体在获得专业心理健康护理方面存在潜在的差距.
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