Best David, Noble Alison, Stark Margaret, Marshall E Jane
National Addiction Centre, Maudsley Hospital/Institute of Psychiatry, London, UK.
Crim Behav Ment Health. 2002;12(3):230-5. doi: 10.1002/cbm.499.
Many drunken detainees are not receiving alcohol treatment, so the forensic medical examiner (FME) might be the only healthcare professional they see. This paper explores the possibility of British FMEs delivering brief alcohol interventions in custody suites.
Twenty-five FMEs and 15 police officers were interviewed, using semi-structured interviews and a snowball sampling approach.
The main concerns expressed by FMEs regarding brief alcohol interventions were around role legitimacy, the suitability of the location and the state of the detainee. Several FMEs suggested that all drinkers would benefit from some intervention, especially young binge drinkers, drink drivers and those detained for domestic violence.
These findings suggest that FMEs generally require a clearer understanding of the effectiveness of brief interventions, and the wider public health implications of such 'low demand' alcohol interventions.
许多醉酒被拘留者未接受酒精治疗,因此法医可能是他们见到的唯一医疗保健专业人员。本文探讨了英国法医在拘留室提供简短酒精干预措施的可能性。
采用半结构化访谈和滚雪球抽样方法,对25名法医和15名警察进行了访谈。
法医对简短酒精干预措施主要关注的问题包括角色合法性、地点适宜性和被拘留者的状态。几位法医表示,所有饮酒者都将从某种干预措施中受益,尤其是年轻的酗酒者、酒后驾车者和因家庭暴力被拘留者。
这些研究结果表明,法医通常需要更清楚地了解简短干预措施的有效性,以及此类“低需求”酒精干预措施对更广泛公共卫生的影响。