惩戒设施中的医疗决策:突出差距,倡导政策变革
Therese A Santiago1, Jeremiah Stout2, Maria I Lapid3
1Krieger School for Arts and Sciences, Johns Hopkins University, Baltimore, MD, USA.
Community mental health journal
|July 29, 2024
概括
监禁人员面临着重大的健康挑战,包括精神疾病和慢性疾病. 政策改革迫切需要,以确保在押人员的医疗决策,防止悲惨的结果.
科学领域:
- 公共卫生 公共卫生
- 医学伦理 医学伦理
- 犯罪学 犯罪学
背景情况:
- 监禁人口中存在严重精神疾病,物质使用障碍和慢性疾病的高发病率.
- 惩戒设施往往缺乏足够的资源来管理囚犯复杂的身体和心理健康需求.
- 现有的法律和政策不足以应对被监禁人员的医疗保健挑战,特别是老龄化和绝症患者.
研究的目的:
- 突出影响监禁人员的关键医疗保健差异和政策差距.
- 提出一个案例研究,说明决策能力受损和缺乏替代性决策在惩戒环境中的后果.
- 倡导对政策进行修订,以改善监禁患者的医疗保健准入和决策权.
主要方法:
- 一个男性精神分裂症患者的案例研究分析在一个惩戒设施.
- 审查有关监禁人员医疗决策的现行法律和政策.
- 讨论该案对在惩戒机构提供医疗保健的影响.
主要成果:
- 一名精神分裂症患者由于决策能力受损,拒绝接受拯救生命的医疗治疗.
- 由于没有代理决策者,导致了该患者可预防的死亡.
- 该案例说明了当前政策未能充分保护惩戒设施中的弱势患者.
结论:
- 紧急修订政策是必要的,以制定明确的医疗决策协议,对被拘留的人来说.
- 需要采取干预措施来弥合护理差距,并确保监禁患者及时接受医疗治疗.
- 解决被监禁人口的复杂健康需求需要在政策和实践中进行系统性变化.
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