Information sharing across mental health service providers and criminal legal system stakeholders: Perspectives of people with serious mental illnesses and their family members.
Information sharing across mental health service providers and criminal legal system stakeholders: Perspectives of people with serious mental illnesses and their family members.
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DOI：
10.1016/j.socscimed.2022.115178
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发表时间：
2022-06
影响因子：
5.4
通讯作者：
Leah G. Pope;Amanda Warnock;Tyler Perry;Stephanie Langlois;Simone Anderson;Tehya Boswell;P. Appelbaum;L. Dixon;A. Watson;M. Compton
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文献类型：
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作者：
Leah G. Pope;Amanda Warnock;Tyler Perry;Stephanie Langlois;Simone Anderson;Tehya Boswell;P. Appelbaum;L. Dixon;A. Watson;M. Compton
严重精神疾病患者在刑事法律的系统中所占比例过高，促使采取信息共享举措，在精神卫生服务提供者和刑事法律的系统利益攸关方之间传递信息，以改善资源和简化获得护理的途径。然而，到目前为止，还没有研究调查过那些在这些系统中共享信息的精神疾病患者的观点，或者他们家庭成员的观点。本研究探讨了精神卫生刑事法律的系统信息共享的人与严重的精神疾病和逮捕的历史，以及他们的家庭members.MethodsResearchers采访了24名客户与严重的精神疾病和逮捕的历史谁是随机，对照试验的警察心理健康联动系统，以及他们的家庭成员11。参与者于2020年11月至2021年2月期间招募和面试。一个主题分析被用来编码和分析所有的采访transcript.ResultsStudy参与者阐述了感知的好处和关注的跨系统信息共享。与会者强烈支持双向交流信息，预期这种信息交流可以防止不必要的逮捕和/或监禁，促进与刑事法律的系统专业人员的积极和安全互动，并增进了解和获得治疗的机会。关注是有限的，在很大程度上与周围的精神疾病和潜在后果的污名化，这种stigment.ConclusionsWhile关注信息共享应考虑，研究参与者压倒性地认为，精神卫生服务提供者和刑事法律的利益相关者之间的信息共享作为一个积极的干预。这种观点可以被理解为面对刑事法律的系统接触时的一种务实的选择，进一步的研究可以指导方案和政策的变化。
ObjectiveThe overrepresentation of people with serious mental illnesses in the criminal legal system has spurred information-sharing initiatives to transmit information between mental health service providers and criminal legal system stakeholders with the goal of improving resources and streamlining access to care. However, no research to date has examined the perspectives of people with mental illnesses who have their information shared across these systems or the perspectives of their family members. This study examined the perspectives on mental health-criminal legal system information sharing among people with serious mental illnesses and a history of arrest, as well as their family members.MethodsResearchers interviewed 24 clients with serious mental illnesses and a history of arrest who are enrolled in a randomized, controlled trial of a police-mental health Linkage System as well as 11 of their family members. Participants were recruited and interviewed between November 2020 and February 2021. A thematic analysis was used to code and analyze all interview transcripts.ResultsStudy participants articulated perceived benefits and concerns around cross-system information sharing. There was strong support for information sharing in both directions, with the anticipation that such information sharing can prevent unnecessary arrest and/or incarceration, promote positive and safe interactions with criminal legal system professionals, and foster greater understanding and access to treatment. Concerns were more limited and largely related to perceived stigma around mental illnesses and the potential consequences of such stigma.ConclusionsWhile concerns about information sharing should be considered, study participants overwhelmingly perceived the sharing of information between mental health providers and criminal legal stakeholders as a positive intervention. Such perspectives can be understood as a pragmatic choice in the face of criminal legal system contact and additional research could guide programmatic and policy changes.