英国范围内针对智障和/或自闭症成人的社区法医服务调查。

IF 3.9 3区 医学 Q1 PSYCHIATRY BJPsych Open Pub Date : 2024-08-20 DOI:10.1192/bjo.2024.734
Iain McKinnon, Ellen Whitehouse, Melissa Harris, Vlad Ciausu, Jane McCarthy, Rory Sheehan
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引用次数: 0

摘要

背景:目的:描述英国为智障和/或自闭症患者设立的专业法医社区团队:方法:向英国提供成人精神健康和/或智障服务的各信托机构/健康委员会的代表发送一份在线调查。问题涉及社区法医专家服务的可用性、结构和活动。对定量数据进行了总结,并通过卡方检验(Chi-squared tests)检验了专家法医团队与护理之间的关联。对自由文本调查回复进行了主题分析,以了解为这一群体提供社区法医精神健康服务所面临的挑战:在 78 个符合条件的信托机构/卫生委员会中,共有 49 个(63%)做出了回复,其中 25 个(51%)拥有法医社区专家团队。这些团队有的隶属于单一的信托机构/卫生局(13 个),有的则分布在更大的区域范围内(12 个)。法医社区专家团队的存在与更好地获得犯罪相关干预(χ2 = 15.1002,P < 0.005)和共同制定患者护理计划(χ2 = 7.8726,P = 0.005)有关。受访者对社区服务的可用性、专业性和认知质量的评价差异很大。安全和普通住院病床的可用性、委托和法律障碍也是提供适当护理的重大挑战:结论:社区法医专科团队的覆盖面并不普遍。有迹象表明,此类团队与护理流程的改善有关,但仍需进一步开展工作,以确定长期结果和最佳护理模式。
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A UK-wide survey of community forensic services for adults with intellectual disability and/or autism.

Background: Specialist forensic community teams for people with intellectual disability and/or autism have been developed, but little is known about their extent and delivery.

Aims: To describe specialist forensic community teams for people with intellectual disability and/or autism across the UK.

Method: An online survey was sent to representatives of each UK Trust/Health Board providing adult mental health and/or intellectual disability services. Questions covered the availability, structure and activities of specialist community forensic services. Quantitative data were summarised and associations between access to specialist forensic teams and care were tested with Chi-squared tests. Thematic analysis of free-text survey responses was used to understand the challenges of providing community forensic mental health services for this group.

Results: A total of 49 out of 78 (63%) eligible Trusts/Health Boards responded, of which 25 (51%) had access to a specialist forensic community team. Teams operated either as part of a single Trust/Board (n = 13) or over a larger regional footprint (n = 12). The availability of specialist forensic community teams was associated with better access to offence-related interventions (χ2 = 15.1002, P < 0.005) and co-production of patient care plans (χ2 = 7.8726, P = 0.005). Respondents reported a wide variation in availability, expertise and perceived quality of community services. The availability of secure and generic in-patient beds, commissioning and legal barriers were also significant challenges in providing appropriate care.

Conclusions: Coverage of specialist community forensic teams is not universal. There are indications that such teams are associated with improved care processes, but further work is needed to establish longer-term outcomes and the optimal model of care.

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来源期刊
BJPsych Open
BJPsych Open Medicine-Psychiatry and Mental Health
CiteScore
6.30
自引率
3.70%
发文量
610
审稿时长
16 weeks
期刊介绍: Announcing the launch of BJPsych Open, an exciting new open access online journal for the publication of all methodologically sound research in all fields of psychiatry and disciplines related to mental health. BJPsych Open will maintain the highest scientific, peer review, and ethical standards of the BJPsych, ensure rapid publication for authors whilst sharing research with no cost to the reader in the spirit of maximising dissemination and public engagement. Cascade submission from BJPsych to BJPsych Open is a new option for authors whose first priority is rapid online publication with the prestigious BJPsych brand. Authors will also retain copyright to their works under a creative commons license.
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