从入狱到释放的精神卫生保健实践,遍及东南地区的监狱
Elena A DiRosa1, Tonya Van Deinse2, Gary S Cuddeback3
1Institute for Global Health and Infectious Diseases, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, US. elena_dirosa@med.unc.edu.
由于资源和人员有限,监狱难以提供足够的心理健康护理. 改善查,及时评估和社区支持对于患有精神疾病的囚犯至关重要.
科学领域:
- 公共卫生 公共卫生
- 犯罪学 犯罪学
- 心理健康服务研究 心理健康服务研究
背景情况:
- 监狱越来越多地成为美国事实上的精神卫生机构.
- 有限的研究存在于惩戒设施内的综合精神卫生保健实践.
研究的目的:
- 描述从入狱到释放的心理健康护理实践和挑战.
- 确定监狱内的心理健康服务需要改进的领域.
主要方法:
- 进行了34次半结构面试,与5个东南州的监狱医疗人员进行了面试.
- 使用框架方法进行定性数据分析.
主要成果:
- 心理健康查往往只关注自杀倾向,忽视当前的症状.
- 护理的延迟和有限的出院计划是常见的,服务的连续性不佳.
- 监狱面临的挑战是管理大量患有精神疾病的个人,而资源和人员有限.
结论:
- 监狱有宪法义务提供足够的心理健康护理,但目前的做法不足.
- 建议包括修订卫生标准,改进识别和评估流程,加强社区资源联系.
- 需要进行系统性改进,以满足被监禁人口的心理健康需求.
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