了解向城市警察局提交的非自愿住院申请
Kevin M Simon1, Jenna Savage1, Lauryn Krebs1
1Department of Psychiatry, Harvard Medical School, Boston, and Boston Public Health Commission, Boston (Simon); Office of Research and Development, Boston Police Department, Boston (Savage); School of Criminology and Justice Studies, University of Massachusetts Lowell, Lowell (Krebs, Wegiel, Morabito).
波士顿的非自愿住院申请显示了种族差异,不成比例地影响了黑人. 许多应用程序缺乏临床检查,突出需要改善监督和培训.
科学领域:
- 公共卫生 公共卫生
- 卫生法 法律 卫生法
- 健康的社会决定因素
背景情况:
- 在马萨诸塞州,临时非自愿住院受一般法律第12条的规定.
- 了解申请流程对于确保公平的患者护理和法律合规至关重要.
研究的目的:
- 分析波士顿警察局 (PD) 参与的临时非自愿住院申请程序 (第12节).
- 识别过程中的潜在差异和需要改进的领域.
主要方法:
- 追溯分析了2021年7月14日至2022年6月30日期间提交给波士顿PD的488份第12条申请.
- 检查人口统计数据,请求的理由,请愿者信息和申请结果.
主要成果:
- 发现了显著的种族差异:41%的申请是针对黑人或非洲裔美国人,他们占波士顿人口的23%.
- 76%的申请缺乏申请人直接进行的临床检查.
- 波士顿警察局完成了70%的要求的非自愿住院订单.
结论:
- 该研究揭示了第12节申请中的大量种族差异,不成比例地影响了黑人个人.
- 缺乏临床检查和证明需要监管监督和加强请愿者培训.
- 需要改进数据收集和报告,以解决不完整的人口统计数据的问题,并确保公平的流程.
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