Clinical outcomes in a prison telepsychiatry clinic

Clinical outcomes in a prison telepsychiatry clinic
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DOI:
10.1258/1357633011936688
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发表时间:
2001-01-01
影响因子:
4.7
通讯作者:
Cook, DJ
Cook, DJ
中科院分区:
医学3区
文献类型:
--
作者:
Zaylor, C;Nelson, EL;Cook, DJ

文献摘要

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从用户的角度来看,监狱远程精神病学服务的有效性进行了评估。45名囚犯(41名男性,4名女性)完成了症状评定量表-90-修订版(SCL-90-R)的三次,一次在远程咨询之前,两次在治疗期间。精神科医生在每次远程会诊后完成临床总体印象量表-严重程度指数(CGI)。49%的囚犯年龄在30岁以下,24%在30至39岁之间,27%在40岁以上。囚犯的平均SCL-90-R分数随着时间的推移而下降,表明精神痛苦较少。精神科医生报告称,根据CGI评估,患者随时间推移有所改善。远程心理治疗是向监狱人口提供心理健康服务的一种有效手段。
The effectiveness of a prison telepsychiatry service was evaluated from a user perspective. Forty-five inmates (41 male, 4 female) completed the Symptom Rating Checklist-90-Revised (SCL-90-R) on three occasions, once before the teleconsultation and twice during treatment. The psychiatrist completed the Clinical Global Impression Scale-Severity Index (CGI) after each teleconsultation. Forty-nine per cent of inmates were aged under 30 years, 24% were aged between 30 and 39 years, while 27% were aged over 40 years. The inmates' mean SCL-90-R scores decreased over time, indicating less psychiatric distress. The psychiatrist reported patient improvement over time as assessed by the CGI. Telepsychiatry is an effective means of delivering mental health services to the prison population.