监狱中的心理健康服务:识别和量化实施障碍的障碍
Faith Scanlon1, Robert D Morgan2
1Department of Psychiatry, Massachusetts General Hospital.
Psychological services
|February 6, 2025
概括
在监狱中实施心理健康服务是一项挑战. 由于众多障碍,很少有患有严重精神疾病的囚犯能够开始进行认知行为干预,阻碍了获得护理的机会.
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
- 惩戒医疗保健 惩戒医疗保健 惩戒医疗保健
背景情况:
- 监狱是美国主要的精神卫生保健提供者,但获得治疗的机会有限.
- 缺乏关于实施因素的经验数据,导致惩戒设施的治疗率较低.
研究的目的:
- 为监狱中患有严重精神疾病的个人实施简短的认知行为小组干预的障碍.
- 分析参与者招募,干预开始和完成率,以及在治疗过程中遇到的障碍.
主要方法:
- 在监狱环境中实施了一次简短的认知行为小组干预.
- 使用实施研究综合框架记录了障碍.
- 通过内容分析和频率计数,分析了参与者的问题和不参与的原因.
主要成果:
- 只有44%的符合条件的参与者开始了干预,尽管有兴趣和足够的监禁时间.
- 遇到了150多个障碍,包括运输问题和设施锁定.
- 参与者的担忧和不参与的原因被系统地记录和分析.
结论:
- 严重的障碍阻碍了监狱中提供心理健康干预措施,影响了治疗的可获得性.
- 了解这些实施挑战对于提高监狱环境中心理健康护理的可用性和有效性至关重要.
- 调查结果提供了洞察力,以加强在惩戒设施内实施基于证据的治疗方法.
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