Co-occurring disorders among mentally ill jail detainees. Implications for public policy.

Co-occurring disorders among mentally ill jail detainees. Implications for public policy.
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精神病监狱被拘留者中同时发生的疾病。

DOI:
10.1037//0003-066x.46.10.1036
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发表时间:
1991
期刊:
The American psychologist
影响因子:
--
通讯作者:
Teplin,LA
Teplin,LA
中科院分区:
--
文献类型:
--
作者:
Abram,KM;Teplin,LA

文献摘要

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研究表明,当治疗替代方案更可取但又不可用时,警察经常逮捕精神病患者。因此,监狱中可能关押着不成比例的患有并发疾病的严重精神疾病患者。关于严重精神障碍、药物滥用和反社会人格障碍同时发生的数据是从 728 名随机选择的城市监狱男性被拘留者中收集的。作者利用比例差异检验和对数线性分析证明,大多数患有严重精神障碍(精神分裂症或严重情感障碍)的受试者也符合药物滥用或反社会人格障碍的标准。这些发现表明,有关惩教机构和普通民众的医疗保健服务的公共政策发生了一些变化。
Studies have demonstrated that police often arrest the mentally ill when treatment alternatives would be preferable but are unavailable. Thus, jails may contain disproportionate numbers of severely mentally ill persons who have co-occurring disorders. Data on the co-occurrence of severe mental disorder, substance abuse, and antisocial personality disorders were gathered from 728 randomly selected male urban jail detainees. Using difference of proportions tests and loglinear analysis, the authors demonstrated that most subjects with a severe mental disorder (schizophrenia or a major affective disorder) also meet criteria for a substance abuse or antisocial personality disorder. These findings suggest several changes in public policy regarding health care delivery in correctional settings and for the general population.
第二版
DOI: --
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