心理健康,药物使用和编程:在阿肯色州最大的监狱中应用需求评估框架
Melissa J Zielinski1, Tasfia Jahangir2, Amanda Praseuth1
1Psychiatric Research Institute, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.
概括
社区需求评估 (CNA) 可以通过纳入被监禁者的健康需求和偏好来为监狱计划提供信息. 这项研究发现,阿肯色州的精神健康问题和对编程的强烈渴望率很高.
科学领域:
- 公共卫生 公共卫生
- 惩戒卫生卫生机构
- 医疗保健服务研究 医疗服务研究
背景情况:
- 监狱编程经常忽视特定地点的健康需求和被监禁者的投入.
- 验证的诊断查工具在惩戒设施中很少使用.
- 社区需求评估 (CNA) 框架可以解决这些差距.
研究的目的:
- 评估普拉斯基县区域拘留设施 (PCRDF) 监禁人员的心理和行为健康需求.
- 在PCRDF群体中使用CNA框架确定所需的编程.
- 为制定有效和可持续的监狱计划提供信息.
主要方法:
- 采用了并发转型混合方法设计.
- 179名被监禁的成年人完成了调查和开放式问题.
- 对调查进行了描述性统计分析和对开放式答复的内容分析.
主要成果:
- 报告了临床显著焦虑 (62.6%),PTSD (53.1%) 和抑郁症 (50.3%) 症状的高患病率.
- 积极的物质使用障碍查非常常见 (91.7%).
- 几乎所有参与者 (97%) 希望有更多的节目,优先考虑心理健康和物质使用服务.
结论:
- CNA有效地将被监禁人员的直接投入纳入程序开发中.
- 这种方法可以确定实施和维持重要监狱计划的策略.
- 社区需求评估是解决监狱人口中严重的心理和行为健康负担的一个有价值的机制.
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