Multidisciplinary team working in an adult male prison establishment in the UK
Multidisciplinary team working in an adult male prison establishment in the UK
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在英国成年男性监狱机构工作的多学科团队
DOI：
10.1038/sj.bdj.2014.646
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发表时间：
2014
期刊：
影响因子：
--
通讯作者：
T. Newton
中科院分区：
文献类型：
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作者：
E. Heidari;C. Dickinson;T. Newton
本系列的前两篇文章探讨了英国男性囚犯的口腔和牙齿健康，展示了与年龄相仿的非囚犯相比，囚犯的一般和口腔健康如何受到损害。在照顾这一群体的口腔健康需要时，对紧急牙科服务的高需求往往排除了预防和常规护理的提供。为这一人群提供全面的口腔护理需要一定程度的培训，以获得管理囚犯复杂的医疗、牙科和社会需求以及囚犯表现出的高度牙科焦虑症的技能和知识。监狱牙科可能需要的培训类型将在最后一篇文章中讨论。本文将描述一些案例，以证明在英国女王陛下的监狱（HMP），布里克斯顿的男性囚犯提出的复杂问题。本文还将讨论建立一个初级保健专业间的关系网络（IRN）开发的监狱环境中，涉及牙医和其他医疗保健专业人员。在牙医和其他监狱保健专业人员进行非正式讨论后，很明显，弱势患者无法获得牙科服务。这些患者也更频繁地取消/未能参加牙科预约。为了改善这类囚犯获得和提供牙科护理的机会，在牙医、糖尿病护士、法医心理学小组、传染病负责人、全科医生、监狱官员和HMP Brixton内的保健经理之间建立了一个IRN。IRN的性质沿着相关患者病例的审查。IRN允许专业人员和开放式护理文化之间共享信息。网络受到囚犯的重视。监狱人口一般疾病和口腔疾病的发病率较高，因此，国际康复网络有助于识别弱势群体，并使医疗保健提供者能够及时提供适当、有针对性和有重点的护理。
The first two articles in this series exploring the oral and dental health of male prisoners in the UK demonstrated how the general and oral health of prisoners is compromised compared to those of a similar age who are not prisoners. In caring for the oral health needs of this group the high demand for emergency dental services often precludes the delivery of preventive and routine care. Comprehensive oral care for this population requires a level of training to gain the skills and knowledge to manage prisoners' complex medical, dental and social needs and the heightened dental anxiety that prisoners exhibit. The type of training that might be required for prison dentistry will be discussed in the final article. This article will describe a number of cases selected to demonstrate the complex problems presented by male prisoners in Her Majesty's Prison (HMP), Brixton. This article will also discuss the establishment of a primary care inter-professional relationship network (IRN) developed within a prison setting involving a dentist and other healthcare professionals. After informal discussions between the dentist and other prison healthcare professionals, it became apparent that vulnerable patients were not accessing dental services. These patients also cancel/fail to attend their dental appointments more frequently. In order to improve access and provision of dental care for this group of prisoners, an IRN was developed between the dentist, diabetic nurse, forensic psychology team, communicable disease lead, general medical practitioner (GMP), prison officers and healthcare manager within HMP Brixton. The nature of the IRN is presented along with reviews with relevant patient cases. The IRN allowed information sharing between professionals and an open care culture. The network was valued by prisoners. Prison populations show higher rates of general and oral disease, therefore an IRN can help to identify vulnerable groups and allow healthcare providers to give appropriate, targeted and focused care in a timely fashion.