Using Linkage-enhancement Strategies to Bridge Treatment Gap among Inmates and Former Inmates in Correctional Settings with Inadequate Mental Health Care

IF 17.7 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2024-02-01 DOI:10.1353/hpu.2024.a919811

A. Olagunju, O. Akanni, S. Oluwaniyi, A. O. Lawani, M. O. Olutoki, Jeffrey Wang, Olajide O Adelugba, Abdullah H. Alqahtani, John W. Bradford, G. Chaimowitz

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引用次数: 1

Abstract

Abstract: Service linkage and skill enhancement strategies were devised in Nigerian prisons with inadequate mental health resources to support the provision of psycho-legal services, including the assessments, identification, and care of inmates and former inmates with mental illness. Over the study period, 74 individuals, consisting of 64 (86.5%) males with a mean age of 33.25 (SD=11.2) years received care or psycho-legal services through these strategies. Clinically, 49% of the participants were diagnosed with schizophrenia (International Classification of Diseases, Tenth Revision (ICD-10) diagnosis code: F20.0–9), 66.7% had first formal clinical diagnosis of mental illness, and as many as 56.1% of the participants endorsed using psychoactive substances. Most participants (73.0%) were assessed and treated within the prison's general medical services with support from a multidisciplinary team from a regional psychiatric hospital. Of the 50 psycho-legal assessments conducted, eight (10.8%) and 12 (16.2%) participants were not criminally responsible and unfit to stand trial, respectively. We included an action-plan to support the implementation of collaborative care, skill-enhancement, and linkage of services as viable strategies in correctional settings with inadequate mental health care.

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在心理健康护理不足的惩教机构中，利用联系增强策略缩小囚犯和刑满释放人员之间的治疗差距

摘要：在精神卫生资源不足的尼日利亚监狱中设计了服务联系和技能提升策略，以支持提供心理法律服务，包括对患有精神疾病的囚犯和前囚犯进行评估、识别和护理。在研究期间，共有 74 人通过这些策略接受了护理或心理法律服务，其中包括 64 名男性（86.5%），平均年龄为 33.25 岁（SD=11.2）。在临床上，49% 的参与者被诊断为精神分裂症（《国际疾病分类》第十版（ICD-10）诊断代码：F20.0-9），66% 的参与者被诊断为精神分裂症（《国际疾病分类》第十版（ICD-10）诊断代码：F20.0-9）：F20.0-9），66.7%的参与者首次被正式临床诊断为精神疾病，多达 56.1%的参与者认可使用精神活性物质。大多数参与者（73.0%）都在监狱的普通医疗服务部门接受了评估和治疗，并得到了地区精神病医院多学科团队的支持。在进行的 50 次心理法律评估中，分别有 8 名（10.8%）和 12 名（16.2%）参与者不负刑事责任和不适合接受审判。我们制定了一项行动计划，以支持在心理健康护理不足的惩教环境中实施协作护理、技能提升和服务链接等可行策略。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.