俄勒冈州的COVID-19,Mink-Bowman和法院下令的精神病学服务
Thomas E Hansen1, Amela Blekic2, Joseph D Bloom2
1Dr. Hansen is Adjunct Associate Professor, and Dr. Blekic is Associate Professor, Department of Psychiatry, School of Medicine, Oregon Health and Sciences University, Portland, OR. Dr. Bloom is Clinical Professor of Psychiatry, University of Arizona, College of Medicine-Phoenix, Phoenix, AZ, and Dean Emeritus, Oregon Health and Sciences University, Portland, OR. hansenmanley@comcast.net.
概括
由于COVID-19的流行,俄勒冈州的情况更加恶化.
科学领域:
- 法医精神病学 法医精神病学
- 公共卫生政策 公共卫生政策
- 心理健康服务 心理健康服务
背景情况:
- COVID-19扰乱了法庭转诉和俄勒冈州立医院 (OSH) 的入院.
- 提高应受审判 (CST) 录取能力导致病床危机,影响社区医院和监狱.
- 1993年的一项任务要求OSH在七天内接纳监狱被拘留者进行CST评估或恢复.
研究的目的:
- 分析COVID-19对俄勒冈州心理健康承诺系统的影响.
- 调查公民承诺与能力恢复之间的相关性.
- 提出改善承诺流程的干预措施.
主要方法:
- 在COVID-19大流行期间审查转诊和入院数据.
- 对监狱拘留时间的分析与七天的任务相比.
- 检查民事和刑事承诺途径之间的相互作用.
主要成果:
- 民事承诺转介下降,而CST录取量急剧增加.
- 平均监狱拘留时间超过了七天的限制,原因是就业安全和安全能力问题.
- 在公民承诺和能力恢复率之间观察到负相关性.
结论:
- 随着COVID-19大流行,俄勒冈州的心理健康承诺过程中出现了系统性问题.
- 需要进行干预,以平衡民事和刑事承诺的需求.
- 改进这些流程可以提高患者护理和司法管理.
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