患者对因不坚持接受精神治疗而可能失去子女监护权或探视权的认知。
Patients' perception of possible child custody or visitation loss for nonadherence to psychiatric treatment.
作者信息
Busch Alisa, Redlich Allison D
机构信息
Department of Psychiatry, Harvard Medical School, McLean Hospital, Proctor Bldg., 115 Mill St., Belmont, MA 02478, USA.
出版信息
Psychiatr Serv. 2007 Jul;58(7):999-1002. doi: 10.1176/ps.2007.58.7.999.
OBJECTIVE
This study explored whether parents treated in public mental health settings perceived that they might lose child custody or visitation if they were not adherent to treatment.
METHODS
Interview data were gathered from 1,011 adult outpatients from five community mental health centers located in five states in different U.S. regions.
RESULTS
Among parents with children younger than 16 (N=187), 19% perceived in the past six months that they might lose child custody or visitation if they were not adherent to treatment. Two-thirds of the identified sources of this perception were family, themselves, or individuals outside the treatment, welfare, or legal systems.
CONCLUSIONS
These preliminary data indicate that the perception of possible loss of child custody or visitation for nonadherence to treatment is not uncommon among patients treated in these public mental health settings and that "informal" sources are often the perceived source. Further study regarding the effects of this perception on patient and family outcomes is needed.
目的
本研究探讨了在公共心理健康机构接受治疗的父母是否认为，如果不坚持治疗，他们可能会失去孩子的监护权或探视权。
方法
从美国不同地区五个州的五个社区心理健康中心的1011名成年门诊患者中收集访谈数据。
结果
在有16岁以下子女的父母中（N = 187），19%的人在过去六个月中认为，如果不坚持治疗，他们可能会失去孩子的监护权或探视权。这种认知的三分之二的来源是家庭、他们自己，或治疗、福利或法律系统之外的个人。
结论
这些初步数据表明，在这些公共心理健康机构接受治疗的患者中，因不坚持治疗而可能失去孩子监护权或探视权的认知并不罕见，而且“非正式”来源往往是这种认知的源头。需要进一步研究这种认知对患者和家庭结局的影响。
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