Psychiatric patients with histories of aggression and crime five years after discharge from a cognitive-behavioral program
Psychiatric patients with histories of aggression and crime five years after discharge from a cognitive-behavioral program
复制标题
DOI：
10.1080/14789940903174238
复制
发表时间：
2010-01-01
影响因子：
1.4
通讯作者：
Rabinowitz, Steve
中科院分区：
文献类型：
--
作者：
Yates, Kathy F.;Kunz, Michal;Rabinowitz, Steve
一项计划评估检查了长期认知技能住院计划 (STAIR) 在减少精神疾病再住院和再住院率方面的作用。获得了精神病史和犯罪史。进行了心理测试。出院后每月进行随访。 145 名患者完成了 STAIR 计划，并在出院后进行了 6 至 60 个月的随访。 31 人 (21.4%) 情况稳定，67 人 (46.2%) 再次入院，47 人 (32.4%) 再次被捕和/或再入院。根据 STAIR 入院年龄和门诊用药依从性预测小组成员资格。值得注意的是，STAIR 实施后，逮捕、住院和住院天数均减少。用药依从性是与临床稳定性和预防犯罪行为相关的最持久的因素。其他因素的影响可能会根据在社区停留的时间长短而有所不同。长期住院计划（例如 STAIR）可能对其中一些患者有帮助。
A program evaluation examined a long-term cognitive skills inpatient program (STAIR) in reducing rehospitalization and rearrest rates in mental illness. Psychiatric and criminal histories were obtained. Psychological tests were administered. After discharge, monthly follow-up was obtained. One hundred forty-five patients completed the STAIR program and were followed for a range of six to 60 months after discharge. Thirty-one (21.4%) remained stable, 67 (46.2%) were rehospitalized, and 47 (32.4%) were rearrested and/or rehospitalized. Group membership was predicted by STAIR admission age and outpatient medication compliance. Significantly, fewer arrests, hospitalizations, and days institutionalized occurred post-STAIR. Medication compliance is the single most enduring factor associated with clinical stability and prevention of criminal behavior. Other factors' impact may vary depending on the length of stay in the community. Long-term inpatient programs (e.g., STAIR) may be helpful to some of these patients.