当病房是病人:使用PRISM协议来理解和减少住院智力障碍环境中的暴力
Jana de Villiers1,2, Lorraine Johnstone3
1High Secure Forensic Intellectual Disability Service for Scotland and Northern Ireland, The State Hospital, Carstairs, Scotland.
Criminal behaviour and mental health : CBMH
|December 14, 2023
概括
解决局势风险因素,而不仅仅是个别患者的行为,显著减少了智力障碍住院病房的暴力. 这种方法改善了患者的护理和工作人员的福祉.
科学领域:
- 法医精神病学 法医精神病学
- 知识障碍者服务 智力障碍者服务
- 医疗保健管理的管理
背景情况:
- 住院暴力是一个全球性问题,不成比例地影响智力障碍服务.
- 高暴力率导致患者受伤,员工倦怠,治疗环境受损.
- 传统的暴力管理往往忽视了局势风险因素.
研究的目的:
- 介绍一个智力障碍病房的案例研究,其中暴力率很高.
- 为了证明如何评估和管理局势风险因素减少暴力和改善服务.
- 突出通过情境管理促进风险干预 (PRISM) 协议的有效性.
主要方法:
- 一个关闭的智力障碍病房的案例研究.
- 通过情境管理 (PRISM) 应用促进风险干预的过程.
- 评估和修改导致暴力的局势风险因素.
主要成果:
- PRISM协议促进了对病房特定的局势暴力因素的彻底理解.
- 建议导致了立即和长期行动,包括环境改善.
- 在实施变化后的两个月内,观察到暴力事件的显著减少.
结论:
- 这项研究是首次将PRISM协议应用于智力障碍患者的住院环境.
- 解决局势因素为减少这些环境中的机构暴力提供了一个可行的策略.
- 建议进行进一步的研究,以扩大法医心理健康中的情境风险因素评估的证据基础.
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