探索通往强制拘留的途径和防止英格兰重复强制拘留的方法;临床医生的观点
Ariana Kular1, Mary Birken1, Lisa Wood1,2
1Division of Psychiatry, Faculty of Brain Sciences, University College London, London, United Kingdom.
PLOS mental health
|February 9, 2026
概括
临床医生确定了服务用户因素,服务水平问题和系统障碍,这些障碍有助于增加强制性精神病监禁. 加强社区服务和解决偏见是减少拘留的关键.
科学领域:
- 精神病学和心理健康服务研究研究
- 质量健康研究 质量健康研究
- 卫生政策和系统分析 卫生政策和系统分析
背景情况:
- 近几十年来,英格兰和其他高收入国家强制性精神病监禁率有所增加.
- 了解临床医生对拘留驱动因素的看法对于制定有效的减少策略至关重要.
- 英格兰的"心理健康法"规定了强制拘留,需要对其应用和结果进行审查.
研究的目的:
- 探索英国临床医生对导致强制精神病监禁的因素的看法.
- 根据"心理健康法",确定临床医生提出的减少未来拘留的策略.
- 分析影响拘留决策的服务用户,服务水平和系统因素.
主要方法:
- 在英格兰,与23名临床医生进行了半结构化的定性访谈.
- 参与者与根据"心理健康法"被强制拘留的个人有过经验.
- 采用模板分析系统地组织和解释采访数据,确定关键主题.
主要成果:
- 服务用户因素包括高风险,创伤,不坚持和缺乏社会支持.
- 服务层面的问题包括沟通不良,缺乏信任,临床医生偏见,资源限制和系统障碍.
- 潜在的解决方案包括改善护理质量,患者/家庭干预,服务投资,药物选择,拘留的替代方案和更好的出院计划.
结论:
- 临床医生确定的系统性,患者层面和服务层面的因素显著影响强制拘留实践.
- 增加社区心理健康服务的资源和加强护理规划至关重要.
- 减轻临床医生偏见和提高参与度的策略对于降低拘留率至关重要.
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