在监狱中为严重精神疾病患者实施治疗:对利益相关方关于可行性和可接受性的观点进行混合方法研究
Faith Scanlon1, Robert D Morgan2, Daisy Aceves3
1Massachusetts General Hospital, Boston, USA. fscanlon@mgh.harvard.edu.
Administration and policy in mental health
|April 25, 2024
概括
在监狱中实施心理健康干预是可行的,对患者和管理人员都是可以接受的. 这项研究为扩大此类计划提供了证据,以满足在惩戒机构中对心理健康服务的高需求.
科学领域:
- 刑事司法 刑事司法 刑事司法
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 患有精神疾病的个人在美国刑事法律系统中占有不成比例的比例.
- 监狱是为这些人提供心理健康护理的关键时刻.
- 对实施挑战的有限理解阻碍了监狱心理健康计划的发展.
研究的目的:
- 评估在县监狱环境中对严重精神疾病患者进行九次心理治疗干预的可行性和可接受性.
- 从接受治疗的人和监狱管理人员收集有关干预实施的混合方法数据.
- 为围绕惩戒机构精神卫生服务的发展和政策提供信息.
主要方法:
- 在县监狱中实施了一项为期九次的心理治疗干预.
- 通过重点小组和采访,从治疗接受者 (n=29) 收集混合方法数据.
- 监狱管理人员 (n=6) 完成了关于可行性和可接受性的定量自我报告措施.
- 用感应性主题模板分析分析了定性数据.
- 使用描述性统计数据分析了定量数据.
主要成果:
- 接受治疗的人绝大多数支持干预的可行性 (100%) 和可接受性 (97%).
- 监狱管理人员的自我报告得分显示了高水平的可行性和可接受性.
- 从定性分析中出现了七个关键主题,详细介绍了促进者和实施障碍.
- 两个利益相关者团体都为监狱中的干预使用提供了定性和定量支持.
结论:
- 心理治疗干预在患有严重精神疾病的个人和监狱管理人员中表现出高可行性和可接受性.
- 研究结果支持在监狱环境中整合此类心理健康计划.
- 这项研究为临床服务和政策制定提供了有价值的见解,以解决监狱中大量需要心理健康护理的需求.
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