威尔士监狱中创伤性压力服务和干预途径的变化:全国调查
Natasha Kalebic1, Clare Crole-Rees1, Jack Tomlin2
1Department of Psychological Medicine and Clinical Neurosciences, Cardiff University School of Medicine, Cardiff, UK.
The Medico-legal journal
|February 9, 2024
概括
创伤后应激障碍 (PTSD) 和复杂的PTSD在监狱中很常见. 一项调查显示,治疗的可用性不一致,突出了对创伤性压力囚犯的标准化护理途径的需要.
科学领域:
- 精神病学是一个精神病学.
- 犯罪学 犯罪学
- 公共卫生 公共卫生
背景情况:
- 创伤后应激障碍 (PTSD) 和复杂的PTSD在惩戒设施内非常普遍.
- 在被监禁的人群中,创伤性压力往往没有被诊断和治疗.
- 监禁可能会加剧先前存在的创伤,导致重新创伤.
研究的目的:
- 对所有威尔士监狱进行全国调查,以评估当前的创伤性压力服务.
- 收集有关在监狱中可用和实施基于证据的PTSD和复杂PTSD治疗方法的信息.
主要方法:
- 在所有威尔士监狱设施进行了一项全国性调查.
- 数据收集的重点是针对创伤性压力障碍的现有服务和治疗方法.
- 该研究评估了当前实践与NICE推的基于证据的治疗方法的一致性.
主要成果:
- 在威尔士监狱中,针对PTSD和复杂PTSD提供NICE推的基于证据的治疗方法中发现了显著的差异.
- 监狱当前对创伤性压力的服务不一致.
- 对于患有PTSD和复杂PTSD的被监禁个人来说,治疗的可用性存在差异.
结论:
- 监狱系统迫切需要对创伤后应激障碍 (PTSD) 和复杂创伤后应激障碍 (C-PTSD) 的标准化护理途径.
- 该途径的开发应该涉及一个共识过程,包括前线惩教人员和心理健康专家.
- 对经历创伤性压力的囚犯来说,改善和持续获得基于证据的治疗方法至关重要.
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