坚定的社区待遇作为美国审前被拘留者监禁的替代方案
Brian Zampella1, Simone Talton2, Jonathan Lam3
1Kirby Forensic Psychiatric Center, New York State Office of Mental Health, United States of America; New York University, Silver School of Social Work, United States of America.
International journal of law and psychiatry
|April 25, 2024
概括
当被用作监禁 (ATI) 的替代方案时,坚定的社区治疗 (ACT) 计划显著减少了严重精神疾病 (SMI) 患者的审前拘留. 这些密集的干预措施增加了社区认罪交易的可能性,改善了治疗的坚持和结果.
科学领域:
- 法医精神病学 法医精神病学
- 心理健康服务研究 心理健康服务研究
- 刑事司法改革 刑事司法改革
背景情况:
- 严重精神疾病 (SMI) 患者在刑事司法系统中占有不成比例的比例.
- 积极社区治疗 (ACT) 等临床干预措施可以减少复发,但作为监禁 (ATI) 的替代方案未得到充分利用.
研究的目的:
- 评估ACT团队作为SMI预审被拘留者ATI计划的有效性.
- 评估基于ACT的ATI对审前拘留率和认罪交易结果的影响.
主要方法:
- 对87名预审被拘留者的回顾性队列研究发现他们无能力接受审判.
- 对49名被转介到ACT团队的患者的结局进行比较,与未被转介的患者进行比较.
- 对审前拘留时间和ATI认罪折扣率的分析.
主要成果:
- 被转移到ACT-ATI计划的患者在审前拘留的可能性降低了20%.
- 引用ACT程序增加了34%的ATI认罪交易的可能性.
- 行动计划促进了密集的社区监督和推广,支持ATI.
结论:
- 有SMI的预审被拘留者从基于ACT的ATI计划中受益.
- 由ACT提供的密集的社区服务有助于成功摆脱监禁.
- ACT计划在改善治疗坚持和减少SMI个人的刑事司法参与方面表现有前途.
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