在安大略省的刑事司法和法医精神卫生系统中的智力和发育障碍:使用数据来讲述故事
Yona Lunsky1,2,3, Flora I Matheson2,4,5, Fiona Kouyoumdjian2,6
1Azrieli Adult Neurodevelopmental Centre, Centre for Addiction and Mental Health, Toronto, Ontario, Canada.
Criminal behaviour and mental health : CBMH
|January 24, 2024
概括
在安大略省的刑事司法和法医精神卫生系统中,智力和发育障碍 (IDD) 的成年人占比过高. 这项研究突出了它们的流行率和特征,并建议为改善护理量身定制的干预措施.
科学领域:
- 法医精神病学和心理学 法医精神病学和心理学
- 公共卫生和卫生服务研究研究
- 关于残疾人的研究.
背景情况:
- 国际研究表明,在刑事司法和法医精神卫生系统中,智力和发育障碍 (IDD) 的成年人比例不成比例.
- 在单个司法管辖区内的多个系统中量化IDD参与的程度存在重大挑战.
研究的目的:
- 估计在安大略省刑事司法和法医精神卫生系统的关键部门的智力和发育障碍 (IDD) 的患病率.
- 在这些系统中,与没有IDD的成年人相比,划出IDD的成年人的人口和临床特征.
主要方法:
- 利用行政数据来识别和描述参与联邦和省级惩戒设施,法医住院心理健康护理和社区心理健康计划的IDD成年人.
- 整合了来自项目咨询小组和有实践经验的个人的见解,以将发现置于背景,并推动推.
主要成果:
- 在所有四个研究部门中,IDD的成年人过度代表,患病率从联邦惩戒机构的2.1%到法医住院护理的16.7%.
- 显著比例的IDD个体是年轻人 (20-38.4%) 和居住在低收入社区 (34.5-41.8%).
- 在惩戒机构内,在IDD患者中观察到更高的医疗复杂性和同时出现的精神健康状况.
结论:
- 在这些系统中建立对IDD个体的人口层面的理解,对于识别和解决服务和护理需求至关重要.
- 建议在参与司法系统之前,期间和之后实施干预建议,由系统用户和专业人士提供信息.
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