在行政非自愿住院的背景下制定知识和技能培训计划:试点试验
Akihiro Shiina1, Yusuke Sudo2, Yodai Suzuki3
1Division of Medical Treatment and Rehabilitation, Chiba University Center for Forensic Mental Health, Chiba-shi, Chiba, Japan.
Frontiers in psychiatry
|November 26, 2025
概括
这项试点研究表明,培训计划显著提高了精神病学家对行政非自愿住院 (AIH) 决策的知识. 该计划提高了AIH技能,但没有影响法医精神病学的动机.
科学领域:
- 法医精神病学 法医精神病学
- 心理健康法 心理健康法
- 医学教育 医学教育
背景情况:
- 日本的行政非自愿住院 (AIH) 计划于1950年为精神障碍罪犯建立,缺乏明确的结果数据.
- 需要改善医疗专业人员对AIH适应的标准和理解.
研究的目的:
- 实施和评估一项新开发的培训计划,旨在增强AIH的决策能力,为早期职业生涯的精神病医生.
- 评估该计划在提高知识和保持法医精神病学动机方面的有效性.
主要方法:
- 一个开放的,干预性的,探索性的试点研究,涉及18名通过雪球采样招募的医生.
- 参与者参加了一个为期4小时的研讨会,包括视频会议和小组讨论,随后是心理健康和福利法案行政非自愿住院测试 (AIH测试).
主要成果:
- 观察到AIH测试得分的显著改善,从研讨会前的12.1 ± 2.1 增加到研讨会后的14.7 ± 3.9 (P = 0.019).
- 培训计划有效地提高了参与者对AIH的知识.
- 在研究法医精神病学的动机上没有发现任何显著的变化.
结论:
- 开发的AIH技能培训计划有效地提高了精神病学家对行政非自愿住院的知识.
- 该计划成功地提高了AIH决策的基本技能,而不会对法医精神病学的动机产生负面影响.
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