在密苏里州县监狱获得精神病药物的障碍
Jessica K Burval1, Courtney A Iuppa1,2,3,4,5,6,7, Carrie R Kriz2
1Behavioral Health Clinical Pharmacy Specialist, Cleveland Clinic Marymount Hospital, Garfield Heights, Ohio.
The mental health clinician
|December 22, 2023
概括
在监狱中获得精神病药物的机会是不一致的,成本和配方限制构成了重大障碍. 改善药物获取需要解决药物使用时间,长效注射抗精神病药物的可用性和药物使用费用.
科学领域:
- 法医精神病学 法医精神病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 监禁人员往往有复杂的心理健康需求,需要持续的精神药物治疗.
- 无法获得这些药物的障碍会导致治疗中断和负面的健康结果.
研究的目的:
- 识别监禁人员获得精神病治疗药物的障碍.
- 为了比较这些障碍在能力恢复之前和之后.
- 在县监狱中描述精神病药物配方.
主要方法:
- 密苏里州县监狱的医务人员在2021年10月至2022年2月期间进行了对医务人员的调查.
- 调查问题集中在药物获取,配方政策和药物管理实践上.
- 从参与的监狱中请求精神病药物配方.
主要成果:
- 大多数监狱允许患者使用家庭药物,经常引用成本作为提供药物的障碍.
- 在提供长效注射抗精神病药物 (57%),药物给药费 (22%) 和调整给药时间 (31%) 方面发现了重大局限性.
- 在能力恢复之前和之后,没有观察到障碍的实质差异.
结论:
- 监狱药物政策表现出相当大的差异,需要个性化方法来照顾病人.
- 改善精神病药物获取的关键领域包括优化药物使用时间表,增加长效注射抗精神病药物的可用性,并消除药物使用费用.
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