在权利和现实之间:在一家法医精神病诊所实施安全区的病人对社会包容性的看法
Veikko Pelto-Piri1, Lars Kjellin1, Linn Kronman2
1Faculty of Medicine and Health, University Health Care Research Center, Örebro University, Örebro, Sweden.
Frontiers in psychiatry
|December 5, 2025
概括
"Safewards"模型可能会改善法医精神病学中员工与患者的关系,但它不能保证患者的包容性. 需要进行更广泛的改革,以实现真正的社会包容和基于权利的护理服务.
科学领域:
- 法医精神病学 法医精神病学
- 社会包容研究 社会包容研究
- 患者权利倡导 患者权利倡导
背景情况:
- 促进社会包容和维护人权对于法医精神病学服务的可持续发展至关重要.
- 了解患者对社会包容性的看法对于有效的护理至关重要.
- "Safewards"模型显示了在住院患者环境中增强社会包容性的潜力.
研究的目的:
- 探索患者在实施Safewards模型的法医精神病诊所内对社会包容性的看法.
- 确定特定的Safewards干预措施,并了解患者对这些干预措施的体验.
主要方法:
- 在瑞典法医精神病诊所对8名男性患者进行了个别采访.
- 使用主题内容分析,将数据围绕参与,互惠关系和社会正义进行演和归纳编码.
- 一个定性描述提供了患者对Safewards干预措施的看法概述.
主要成果:
- 患者认可了Safewards的干预措施,并且通常对干预措施做出了积极反应.
- 九个主题出现了,包括无能,有限的决策参与,对质量改进投入的渴望,积极的员工态度,同行支持,社会退缩,无聊,需要有尊严的护理,以及对不公正的监禁的看法.
- 在参与决策,相互关系和社会正义方面,确定了需要改进的关键领域.
结论:
- "Safewards"模式可以促进更加富有同情心的员工-患者互动,但并不能本质上确保参与或基于权利的护理.
- 为了在法医精神病学服务中实现更大的社会包容性,需要全面的文化和结构性变化,而不仅仅是实施特定的模型.
- 需要进一步的研究来探索系统性障碍和促进社会包容性在法医心理健康设置的促进者.
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