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美国法医精神病医院的限制和隔离实践和政策
Tobias Wasser1, Bentley Strockbine2, Yvonne Uyanwune2
1Dr. Wasser is an Associate Professor of Psychiatry, Yale School of Medicine, New Haven, CT. Dr. Strockbine is the Chief Medical Officer, Whiting Forensic Hospital, Middletown, CT. Dr. Uyanwune is a Psychiatry Resident, Yale School of Medicine, New Haven, CT. Dr. Kapoor is an Associate Professor of Psychiatry, Yale School of Medicine, New Haven, CT. tobias.wasser@yale.edu.
这项研究调查了法医医院主任的限制政策. 实体是常见的,而限制椅是罕见的,大多数设施都有机构级别的限制政策.
科学领域:
- 法医精神病学 法医精神病学
- 卫生政策 卫生政策
- 患者安全 患者安全
背景情况:
- 30年来,一直在努力减少精神病院的克制和隔离.
- 之前的研究集中在一般精神病医院,在了解法医环境方面留下了一个空白.
- 这项研究解决了美国州立法医医院对约束政策缺乏数据的问题.
研究的目的:
- 描述美国法医医院设置中的克制政策和做法.
- 调查州法医服务主任关于限制方式和政策.
- 提供国家对法医心理健康护理中限制使用的概述.
主要方法:
- 全国调查国家法医服务主任.
- 收集关于限制方式和政策可用性的数据.
- 分析了代表25个州的29名董事的调查答复.
主要成果:
- 物理持是最常见的束方法.
- 座椅是最少使用的安全座椅.
- 大多数法医机构都有规范约束的政策,通常是在机构层面.
结论:
- 法医医院主要依赖于身体的控制.
- 特定的安全装置,如椅子的可用性有限.
- 机构政策是这些环境中限制做法最常见的监管框架.
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