问题管理+的可接受性和可行性,以解决荷兰预审囚犯中的心理健康问题:试点随机对照试验协议
Mathilde J F van Oudenaren1,2, Anke B Witteveen3, Anja J E Dirkzwager3,4
1Vrije Universiteit Amsterdam, Amsterdam, Netherlands. M.j.f.van.oudenaren@vu.nl.
Health & justice
|May 13, 2025
概括
本研究评估了问题管理加 (PM+) 干预措施对荷兰拘留所囚犯的可行性. 目标是减少心理健康问题,并为未来的大规模试验提供信息.
科学领域:
- 心理健康研究 心理健康研究
- 惩戒医疗保健 惩戒医疗保健 惩戒医疗保健
- 心理干预 心理干预
背景情况:
- 与普通人群相比,监狱人口的心理健康问题比率更高.
- 监狱在提供精神卫生保健方面存在独特的挑战,包括人员短缺.
- 可扩展的,非专家提供的干预措施,如世卫组织的Problem Management Plus (PM+) 计划,有望解决惩戒机构中常见的心理健康问题.
研究的目的:
- 评估适应荷兰预审监狱PM+干预措施的可行性和可接受性.
- 确定荷兰监狱系统内更广泛地实施PM+的障碍和促进因素.
主要方法:
- 一个单盲试验随机对照试验,将PM+与照顾常规 (CAU) 与单独CAU进行比较.
- 纳入60名18岁以上的荷兰语监狱囚犯,他们的心理压力很高 (K10 ≥16).
- 通过招聘,保留,坚持,不良事件和利益相关者的反来评估可行性;在基线,1周和3个月后续测量心理健康结果.
- 随后的过程评估包括采访25个利益相关者 (参与者,辅导员,监狱工作人员,家人/朋友),并使用反射主题分析进行分析.
主要成果:
- 目前正在收集可行性和可接受性数据.
- 心理健康结果 (焦虑,抑郁,PTSD症状) 将在干预后和随访时进行评估.
- 来自过程评估的定性数据将确定实施因素.
结论:
- 这项试点随机对照试验是首次调查世卫组织开发的荷兰监狱心理健康可扩展干预措施.
- 结果将指导潜在的未来全面随机对照试验,以便更广泛地实施.
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