住院精神病房如何既安全又有治疗效果
Matthew L Edwards1, Nathaniel P Morris2
1Assistant professor of psychiatry and an assistant training director of the General Psychiatry Residency Program in the Department of Psychiatry and Behavioral Sciences at the Stanford University School of Medicine in Stanford, California.
AMA journal of ethics
|March 6, 2024
概括
由于安全问题,住院精神病学单位面临着变得更加控制的压力,这可能会阻碍患者的尊严和康复. 需要策略来平衡安全与支持患者福祉的治疗环境.
科学领域:
- 精神病学是一个精神病学.
- 医疗保健管理的管理
- 患者安全 患者安全
背景情况:
- 住院精神病学单位的目标是成为培养尊严和康复的治疗环境.
- 自伤和暴力等不良事件可能导致诉讼和增加控制的压力.
研究的目的:
- 描述精神病学环境中的"安全漏斗"现象.
- 提出平衡安全,人性和恢复的战略.
主要方法:
- 在精神病单位环境压力的概念分析.
- 风险管理与治疗环境的审查.
主要成果:
- 一个"安全漏斗"效应驱动住院精神病环境向增加控制和减少患者自主权.
- 这种趋势可能会对患者的尊严和康复产生负面影响,因为它限制了个人物品,运动和隐私的访问.
结论:
- 将严格的安全措施与以人性为本,以恢复为导向的方法相平衡至关重要.
- 实施减轻"安全漏斗"的策略对于有效的住院精神病治疗至关重要.
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