在监狱中识别早期精神病患者:为协调专科护理服务吸取教训
Michael T Compton1, Jason Tan de Bibiana1, Leah G Pope1
1Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, and New York State Psychiatric Institute, New York City (Compton, Pope); Vera Institute of Justice, New York City (Tan de Bibiana).
Psychiatric services (Washington, D.C.)
|January 11, 2024
概括
实施以监狱为基础的干预措施,以识别早期精神病患者,并在释放后将他们连接到协调专科护理 (CSC) 显示出可行性. 然而,社会和法律障碍往往阻止了成功的转诊,强调了需要专门的联络人员和政策改革的需要.
科学领域:
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
- 刑事司法 刑事司法 刑事司法
背景情况:
- 监狱是识别有心理健康状况的个人的关键点.
- 早期的精神病干预对于长期的结果至关重要.
- 将监狱被拘留者与释放后的社区护理联系起来是一个重大挑战.
研究的目的:
- 评估两部分干预措施的可行性,以检测监狱囚犯的早期精神病.
- 在释放后促进与协调专科护理 (CSC) 的连接.
- 识别成功推和参与的障碍和促进者.
主要方法:
- 一项为期24个月的干预措施,包括对惩戒官员的教育活动和专门的解雇计划.
- 监狱被关押者对早期精神病症状,物质使用和未经治疗的精神病 (DUP) 持续时间的评估.
- 我们采访了8名患有早期精神病的符合条件的被拘留者.
主要成果:
- 干预组件可以在监狱环境中实现.
- 未经治疗的精神病 (DUP) 的中位持续时间为36周.
- 由于社会或法律障碍,只有八名符合条件的被拘留者中有一人被成功转介到CSC.
结论:
- 基于监狱的教育和支持干预可以促进早期精神病的转诊.
- 监狱和CSC计划中的专门联络人员对于成功至关重要.
- 持续的合作和适应政策和组织变化是有效实施的必要条件.
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