Linhorst D M, Turner M A
School of Social Service, St. Louis University, 3550 Lindell Boulevard, St. Louis, MO 63103, USA.
Health Soc Work. 1999 Feb;24(1):18-26. doi: 10.1093/hsw/24.1.18.
This article explores the increased role of state-operated public psychiatric hospitals in treating forensic patients. Patients with a forensic legal status have a mental illness and are involved with the criminal justice system. Using data from Missouri's forensic system, the article compares the characteristics of voluntary hospital patients with those of the largest hospitalized group of forensic patients--those found not guilty by reason of insanity (NGRI). Overall, NGRI patients tended to be higher functioning, less likely to have committed assaultive acts, and more likely to have substance abuse and personality disorder diagnoses. The article explores the treatment needs of forensic patients who reside in public psychiatric hospitals and discusses the effect of the strong presence of forensic patients in public psychiatric hospitals on social work practice, including clinical work with forensic patients, social work administration, and social work advocacy.
本文探讨了国有公立精神病医院在治疗法医鉴定患者方面日益增加的作用。具有法医法律身份的患者患有精神疾病且与刑事司法系统有关联。本文利用密苏里州法医系统的数据，将自愿住院患者的特征与最大的法医鉴定住院患者群体——因精神错乱而被判无罪（NGRI）的患者的特征进行了比较。总体而言，因精神错乱而被判无罪的患者功能往往更高，实施攻击性行为的可能性较小，更有可能被诊断为药物滥用和人格障碍。本文探讨了住在公立精神病医院的法医鉴定患者的治疗需求，并讨论了法医鉴定患者在公立精神病医院的大量存在对社会工作实践的影响，包括与法医鉴定患者的临床工作、社会工作管理以及社会工作宣传。
