Chronic mental illness and the criminal justice system.

Chronic mental illness and the criminal justice system.
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慢性精神疾病和刑事司法系统。

DOI:
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发表时间:
1989
期刊:
Hospital & community psychiatry
影响因子:
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通讯作者:
J. D. Bray
J. D. Bray
中科院分区:
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文献类型:
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作者:
B. Mcfarland;L. Faulkner;J. Bloom;R. Hallaux;J. D. Bray

文献摘要

被引文献

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共有260名家庭成员对一项调查作出了答复,该调查旨在了解他们患有精神病的亲属与刑事司法系统的接触情况。家庭成员的报告表明,患有精神病的亲属主要是30岁出头的男性,被诊断患有精神分裂症或双相情感障碍;他们平均有四次被送进州立精神病院。大多数人已被逮捕,但只有五分之一被定罪。药物滥用和不遵守精神科药物是逮捕的重要预测因素。绝大多数家庭成员将逮捕归因于精神危机,在大约一半的案件中,逮捕前的承诺尝试失败。然而,只有少数精神病患者的亲属在被捕时被送往医院。调查结果强调,精神卫生专家和执法人员之间需要更密切的合作。
A total of 260 family members responded to a survey seeking information about their mentally ill relatives' contacts with the criminal justice system. Reports by family members indicated that the mentally ill relatives were mainly men in their early thirties with a diagnosis of schizophrenia or bipolar disorder; they had had an average of four admissions to a state mental hospital. The majority had been arrested, but only a fifth had been convicted of a crime. Substance abuse and noncompliance with psychiatric medications were significant predictors of arrest. Family members overwhelmingly attributed the arrests to psychiatric crises, and in about half the cases a failed attempt at commitment had preceded the arrest. However, only a minority of the mentally ill relatives were taken to a hospital at the time of the arrest. The findings highlight the need for closer collaboration between mental health specialists and law enforcement personnel.