危机干预小组警察送来的患者的精神状况

Psychiatric disposition of patients brought in by crisis intervention team police officers.

作者信息

Strauss Gordon, Glenn Mark, Reddi Padma, Afaq Irfan, Podolskaya Anna, Rybakova Tatyana, Saeed Osman, Shah Vital, Singh Baljit, Skinner Andrew, El-Mallakh Rif S

机构信息

Department of Psychiatry and Behavioral Sciences, University of Louisville School of Medicine, Louisville, Kenfucky, USA.

出版信息

Community Ment Health J. 2005 Apr;41(2):223-8. doi: 10.1007/s10597-005-2658-5.

DOI:10.1007/s10597-005-2658-5

PMID:15974500

Abstract

BACKGROUND

As part of an effort to improve police interactions with mentally ill citizens, and improve mental health care delivery to subjects in acute distress, the University of Louisville, in conjunction with the Louisville Metro Police, established the crisis intervention team (CIT). CIT is composed of uniformed officers who receive extensive training in crisis intervention and psychiatric issues and who are preferentially called to investigate police calls that may involve a mentally ill individual.

METHODS

In an effort to determine the characteristics of the individuals brought to the emergency psychiatric service (EPS) by CIT officers, a comparative (CIT vs. mental inquest warrant [MIW, a citizen-initiated court order to bring someone for psychiatric evaluation because of concerns regarding dangerousness] vs non-CIT/non-MIW), descriptive evaluation was performed.

RESULTS

With the exception of a higher rate of schizophrenic subjects brought in by CIT (43.0% vs. 22.1%, non-CIT, P = .002), the demographics, diagnosis, and disposition of CIT-referred subjects were not different in any way from non-CIT patients. Subjects referred on MIWs were more likely to be admitted to a psychiatric hospital than non-MIW patients (71.6% vs. 34.8%, P < .0001), but CIT-referred hospitalization rates were not different from hospitalization rates of self-referred subjects (20.7% vs. 33.3%, ns).

CONCLUSIONS

CIT officers appear to do a good job at identifying patients in need of psychiatric care.

摘要

背景

作为改善警方与精神病患者互动以及改善对处于急性痛苦中的对象的心理健康护理工作的一部分，路易斯维尔大学与路易斯维尔市警察局合作，成立了危机干预小组（CIT）。CIT由身着制服的警官组成，他们接受了危机干预和精神病学问题方面的广泛培训，并被优先调派去调查可能涉及精神病患者的报警电话。

方法

为了确定由CIT警官送至紧急精神病服务（EPS）的人员的特征，进行了一项比较性（CIT组与精神调查令组[MIW，一种由公民发起的法院命令，因担心某人有危险性而将其带去进行精神病评估]与非CIT/非MIW组）的描述性评估。

结果

除CIT送来的精神分裂症患者比例较高（43.0%对非CIT组的22.1%，P = 0.002）外，CIT转诊对象的人口统计学特征、诊断和处置情况与非CIT患者在任何方面均无差异。通过MIW转诊的对象比非MIW患者更有可能被收治到精神病院（71.6%对34.8%，P < 0.0001），但CIT转诊的住院率与自行转诊对象的住院率没有差异（20.7%对33.3%，无统计学意义）。