对英国一家高度戒备精神病院员工中神经多样性的普遍性和经历的探索。

IF 1.1 4区 医学 Q3 CRIMINOLOGY & PENOLOGY Criminal Behaviour and Mental Health Pub Date : 2024-11-01 DOI:10.1002/cbm.2360
Freya Walker, Anna Samya Sri, David Murphy
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引用次数: 0

摘要

背景:尽管人们越来越认识到并关注具有神经异质性的员工在行业中的代表性和贡献,但迄今为止,对医疗保健人员中神经异质性的研究还很少,而对法医精神病服务人员中神经异质性的研究更是空白:方法:邀请所有员工填写一份保密的在线自我报告问卷,问卷由封闭式问题和开放式问题组成:五分之一的员工(n=124)做出了回复,但有两名员工没有报告自己的神经异质性状况,因此被排除在外。近 40% 的答卷人称自己患有某种形式的神经发育异常,其中最常见的是注意力缺陷多动障碍 (ADHD),其次是阅读障碍、自闭症和肢体障碍。超过三分之一(36%)的受访者表示,他们选择不向组织透露自己有神经分裂症,约四分之一(23%)的受访者表示没有感受到组织对他们的重视或支持。在作出回复的员工群体中,大多数人都认为员工队伍中的神经多样性有利于患者护理,尽管大多数人并不确定神经异质性对个人而言是优势还是障碍。超过半数的员工在填写调查问卷时认为,员工对神经多样性的认识还不够,因此,加强这方面的培训将是有益的:这项调查表明,我们在认识和了解医院员工的神经多样性方面还存在差距。虽然由于回复率较低,因此在处理患病率数字时应谨慎,但在这项首次针对安全医院员工神经多 样性的调查中,我们的发现表明有相当数量的员工患有神经多 样性,而且他们和组织都有可能没有对这种情况进行优化。下一步工作应包括制定和评估战略,探索如何提高对员工的认可度并为其提供相关支持,以及发现员工的神经异质性可能为患者的护理和治疗提供信息并优化护理和治疗的方式。
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An exploration into the prevalence and experience of neurodiversity among staff at a UK high-secure psychiatric hospital.

Background: Whilst there is increasing recognition and interest in how staff who have neurodivergence are represented and contribute to industry, to date, there has been very little exploration of neurodivergence among healthcare staff and none with those working in forensic psychiatric services.

Aims: To estimate the prevalence of neurodivergence among staff working in a UK high-secure psychiatric hospital and explore their experiences.

Methods: All staff were invited to complete a confidential online self-report questionnaire consisting of both closed and open questions.

Results: A fifth of the staff responded (n = 124), but two did not report their neurodivergent status, so were excluded. Nearly 40% of responders reported having some form of neurodivergence, with Attention Deficit Hyperactivity Disorder (ADHD) being the most common, followed by dyslexia, autism and dyspraxia. Over a third (36%) of those reporting neurodivergence said that they had chosen not to disclose this to the organisation and around a quarter (23%) reported not feeling valued or supported by the organisation. Of the staff cohort who responded, most expressed the view that neurodiversity in the workforce is beneficial to patient care, despite the majority being unsure whether neurodivergence is an advantage or a barrier for the individual themselves. Over half of staff completing the survey felt there was not enough awareness of neurodiversity among staff and that more training on the subject would be beneficial.

Conclusion: This survey suggests gaps in our recognition and understanding of neurodivergence among hospital staff. Although the prevalence figure should be treated with caution, given the low response rate, in this first survey of neurodivergence among staff in a secure hospital, our findings suggest substantial numbers of staff with neurodivergence and the likelihood that neither they nor the organisation are optimising this situation. The further steps should include the development and evaluation of strategies exploring ways of improving recognition and relevant support for staff, as well as discovering ways in which neurodivergence in staff might inform and optimise care and treatment for patients.

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来源期刊
CiteScore
1.60
自引率
0.00%
发文量
40
期刊介绍: Criminal Behaviour & Mental Health – CBMH – aims to publish original material on any aspect of the relationship between mental state and criminal behaviour. Thus, we are interested in mental mechanisms associated with offending, regardless of whether the individual concerned has a mental disorder or not. We are interested in factors that influence such relationships, and particularly welcome studies about pathways into and out of crime. These will include studies of normal and abnormal development, of mental disorder and how that may lead to offending for a subgroup of sufferers, together with information about factors which mediate such a relationship.
期刊最新文献
Addiction behind bars: Swiss symposium insights. Exploration of a virtual reality exercise to help train police with responding to mental health crises in the community. Barriers to discharge: A retrospective study of factors associated with stays of longer than 2 years in a French secure hospital unit. An exploration into the prevalence and experience of neurodiversity among staff at a UK high-secure psychiatric hospital. Low sense of mattering in society and delinquency among young people: An initial investigation.
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