Probation, mental health, and mandated treatment - A national survey

Probation, mental health, and mandated treatment - A national survey
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DOI:
10.1177/0093854805284420
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发表时间:
2006-04-01
影响因子:
2.1
通讯作者:
Louden, JE
Louden, JE
中科院分区:
心理学3区
文献类型:
--
作者:
Skeem, JL;Emke-Francis, P;Louden, JE

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在美国,大量患有精神疾病(PMI)的缓刑人员正在接受监管。在这项全国性的调查中,我们比较了66个专业心理健康机构和25个传统缓刑机构的匹配样本的监管方法。典型的专门机构有五个区别于传统模式的关键特征:(A)专属的精神卫生工作量,(B)有意义地减少工作量,(C)持续的官员培训,(D)积极整合内部和外部资源,以满足私营医疗机构的需求,以及(E)解决问题的战略,作为解决治疗不依从问题的主要手段。缓刑监督员认为这些专业特征“非常有用”,并认为专业机构比传统机构更有效地管理硕士学位。然而,典型的专业机构最重要的特点可能也是最危险的:案件工作量减少。提出了对研究和实践的启示。
A large number of probationers with mental illness (PMIs) are under supervision in the United States. In this national survey, we compared the supervision approaches of a matched sample of 66 specialty mental health and 25 traditional probation agencies. The prototypic specialty agency has five key features that distinguish it from the traditional model: (a) exclusive mental health caseloads, (b) meaningfully reduced caseloads, (c) sustained officer training, (d) active integration of internal and external resources to meet PMIs' needs, and (e) problem-solving strategies as the chief means for addressing treatment noncompliance. Probation supervisors perceived these specialty features as "very useful" and perceived specialty agencies as more effective than traditional ones for PMIs. However, the most important feature of the prototypic specialty agency may also be the most endangered: reduced caseloads. Implications for research and practice are presented.