Payne-James J J, Green P G, Green N, McLachlan G M C, Munro M H W M, Moore T C B
Cameron Centre for Forensic Medical Sciences, Queen Mary, University of London, London, United Kingdom.
J Forensic Leg Med. 2010 Jan;17(1):11-7. doi: 10.1016/j.jflm.2007.10.011. Epub 2008 Feb 12.
Little is known about the general healthcare needs of detainees in police custody. The aims of this study were to: determine the level of general health issues, diseases and/or pathology for detainees in police custody, and to determine how well those general health issues, diseases and/or pathology are being managed. This was done by a detailed analysis of healthcare issues of a cohort of detainees and reviewing intended and prescribed medication needs with current medication availability. In August 2007, a prospective detailed, anonymised, structured questionnaire survey was undertaken of 201 detainees in police custody in London, UK. Of these 83.6% consented to participate in the study. 85.1% of subjects were male; mean age was 33.9 years; 70.8% had English as a first language; 13.7% were of no fixed abode; 70.2% were registered with a general practitioner (primary care physician); 25% were already in contact with other healthcare teams; 7.1% had previously been sectioned under the Mental Health Act 1983; 16.7% had previously intentionally self-injured; 33.9% were dependent on heroin, 33.9% on crack cocaine; 25% on alcohol, 16.6% on benzodiazepines and 63.1% on cigarettes. 56% of subjects had active medical conditions; of those with active medical conditions 74% were prescribed medication for those medical conditions; only 3/70 had their medication available. 28/70 were not taking medication regularly, and many were not taking it at all. Three subjects who had deep vein thromboses were not taking their prescribed anticoagulants and six subjects with severe mental health issues were not taking their anti-psychotic medication. Mental health issues and depression predominated, but there was a very large range of mixed diseases and pathology. Asthma, epilepsy, diabetes, deep vein thrombosis, pulmonary embolism, hepatitis, and hypertension were all represented. The study has achieved its aims and has also shown that--in part because of the chaotic lifestyle of many detainees--appropriate care was not being rendered, thereby, putting both detainee, and potentially others coming into contact with them, at risk.
人们对被警方拘留者的一般医疗保健需求知之甚少。本研究的目的是：确定被警方拘留者的一般健康问题、疾病和/或病理状况的水平，并确定这些一般健康问题、疾病和/或病理状况的管理情况如何。这是通过对一组被拘留者的医疗保健问题进行详细分析，并结合当前可用药物审查预期和规定的药物需求来完成的。2007年8月，对英国伦敦201名被警方拘留者进行了一项前瞻性的详细、匿名、结构化问卷调查。其中83.6%的人同意参与该研究。85.1%的受试者为男性；平均年龄为33.9岁；70.8%的人以英语为第一语言；13.7%的人无固定住所；70.2%的人在全科医生（初级保健医生）处注册；25%的人已经与其他医疗团队有接触；7.1%的人曾根据1983年《精神健康法》被强制收治；16.7%的人曾故意自我伤害；33.9%的人依赖海洛因，33.9%的人依赖快克可卡因；25%的人依赖酒精，16.6%的人依赖苯二氮卓类药物，63.1%的人吸烟。56%的受试者有现存的医疗状况；在有现存医疗状况的人中，74%的人针对这些医疗状况开了药；只有3/70的人有他们的药物。28/70的人没有按时服药，许多人根本没有服药。三名患有深静脉血栓形成的受试者没有服用他们规定的抗凝剂，六名有严重心理健康问题的受试者没有服用他们的抗精神病药物。心理健康问题和抑郁症占主导地位，但也存在非常多的混合疾病和病理状况。哮喘、癫痫、糖尿病、深静脉血栓形成、肺栓塞、肝炎和高血压都有出现。该研究实现了其目标，并且还表明——部分原因是许多被拘留者的生活方式混乱——没有提供适当的护理，从而使被拘留者以及可能与他们接触的其他人都处于危险之中。
