意大利的无约束性全科医院精神病单位 (SPDCs) - - 一项描述性的组织研究
Raffaella Pocobello1, Francesca Camilli1, Giovanni Rossi2
1Institute of Cognitive Sciences and Technologies, National Research Council, 00196 Rome, Italy.
Healthcare (Basel, Switzerland)
|June 19, 2024
概括
意大利的精神病学单位表现出强烈的承诺,没有限制政策,许多报告零事件. 有效的组织协议和培训是减少精神卫生保健中的强制性做法的关键.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 医疗保健管理的管理
- 医疗保健中的人权.
背景情况:
- 意大利是去机构化和精神病医疗改革的领导者.
- 全球范围内正在探索在通用医院精神病单位 (GHPU) 实施无限制政策.
- 越来越需要人道和尊重权利的精神病治疗.
研究的目的:
- 描述和探索意大利GHPU的无限制政策的应用.
- 评估这些无限制实践的组织特征和有效性.
- 为促进全球关于人道精神病治疗的讨论做出贡献.
主要方法:
- 一个全国性的描述性研究,使用有目的的抽样.
- 一项详细的在线调查,涉及七个部分的60个项目,分发给24个GHPU.
- 收集了结构,组织和运营方面的数据,以及限制情节管理.
主要成果:
- 观察到对无约束政策的重大承诺,14个GHPU在2022年报告了零约束事件.
- 系统程序和风险管理培训是常见的,旨在减少强制性做法.
- 专用花园空间与限制发生率的增加之间发现了相关性.
结论:
- 在精神病治疗中,无约束实践是可行的,并且在道德上是符合的.
- 组织协议和全面的培训对于成功的无约束环境至关重要.
- 这项研究支持向更人道和尊重权利的精神病治疗转变范式.
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