在爱尔兰监狱等待精神病医生入院的候诊名单上,五年来,男士们:在法医"床危机"期间的临床结果
Margaret Gallagher1, Damian Smith2, Philip Hickey3
1Department of Psychiatry, St Vincent's University Hospital, Elm Park, Dublin 4, Ireland; Department of Psychiatry, University College Dublin, Ireland.
International journal of law and psychiatry
|September 14, 2023
概括
在爱尔兰,精神病囚犯延迟进入法医病床是很常见的. 非法医入院,特别是从拘留所转移,部分缓解了这些漫长的等待,改善了一些人的结果.
科学领域:
- 法医精神病学 法医精神病学
- 囚犯健康问题 囚犯健康问题
- 心理健康服务研究 心理健康服务研究
背景情况:
- 爱尔兰面临的挑战是,一般和法医病床供应率较低.
- 对于患有严重精神疾病的囚犯来说,进入法医病床的困难和延迟是普遍存在的.
研究的目的:
- 为了确定男性囚犯需要精神病医院入院的临床结果.
- 分析入院的时间框架和其他患者的结果.
- 评估法医与非法医入院的风险适当性.
主要方法:
- 在爱尔兰 (2015-2019) 的精神病医院入院等待名单上,对541名男性囚犯的分析.
- 包括人口,临床和犯罪变量.
- 评估结果,包括法医/非法医入院和通过自愿治疗恢复.
- 使用DUNDRUM工具箱尺度用于安全性和临床紧急性评估.
主要成果:
- 541名男性囚犯在等待名单上度过了114多年的时间.
- 近四分之一的人通过自愿治疗得到改善;超过75%的人没有.
- 大多数囚犯被录取,但有很大的延迟.
- 非法医入院,特别是转移从预审,是最常见的结果.
结论:
- 长期的法医入院延误部分被非法医转移所抵消.
- 将轻罪犯从拘留所转移到非法医环境中发挥了关键作用.
- 调查结果强调了有限的法医床位对囚犯心理健康护理的影响.
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