Community-Based Mental Health Treatment Preceding Jail Detention among Adults with Serious Mental Illness.

Community-Based Mental Health Treatment Preceding Jail Detention among Adults with Serious Mental Illness.
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基于社区的心理健康治疗在患有严重精神疾病的成年人的监狱拘留之前。

DOI:
10.1080/14999013.2016.1255283
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发表时间:
2017
影响因子:
1.4
通讯作者:
Tabahi S
Tabahi S
中科院分区:
医学4区
文献类型:
--
作者:
Swartz JA;Tabahi S

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关于对患有严重精神疾病的罪犯进行社区精神健康治疗的有效性的研究缺乏关于所接受服务的类型和强度的具体情况。这项研究调查了431名重度精神分裂症囚犯(282名男性,149名女性)一生和过去一年的社区心理健康治疗使用情况。虽然大多数参与者报告说他们认为有效的心理健康治疗的终生率很高,但只有少数样本在逮捕和拘留前的一年和一个月接受了治疗。在发现性别差异的情况下,妇女接受治疗的可能性低于男子,而且在被捕前一年不遵医嘱离开治疗的可能性更大。物质使用障碍和创伤后应激障碍(PTSD)在男女患者中均未得到充分治疗,治疗主要由精神科医生提供,这表明其他精神卫生专业人员的使用不足。讨论了扩大对罪犯,特别是妇女的治疗的影响,重点是扩大获得辅助但重要的服务的机会,如识字培训、住房和就业服务,以及精神卫生专业人员与精神病医生提供的服务相结合提供的病例管理。
Research on the effectiveness of community-based mental health treatment for offenders with a serious mental illness (SMI) has lacked specifics on the type and intensity of services received. This study examined the detailed lifetime and past-year community mental health treatment use of 431 (282 men; 149 women) jail detainees with SMI. Whereas a majority of participants reported high lifetime rates of mental health treatment they believed effective, treatment in the year and month prior to arrest and detention was accessed by only a minority of the sample. Where gender differences were found, women were less likely to receive treatment than men and more likely to leave treatment against medical advice in the year preceding arrest. Both substance use disorders and post-traumatic stress disorder (PTSD) were significantly undertreated for both genders, and care was provided predominantly by psychiatrists suggesting an underuse of other mental health professionals. The implications for expanding treatment availability for offenders, particularly women, with an emphasis on broadening access to ancillary but critical services such as literacy training, housing and employment services, and case management provided by mental health professionals in conjunction with services provided by psychiatrists are discussed.
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