Centre for Addiction and Mental Health, Toronto, Ontario, Canada.
Can J Psychiatry. 2012 Jul;57(7):414-21. doi: 10.1177/070674371205700704.
To describe pathways taken to care by a sample of patients in a secure forensic unit who have been found not criminally responsible or unfit to stand trial, and to investigate the pathways taken by patients within 3 ethnoracial subgroups of origin: European, African or Caribbean, and Other.
Fifty patients from secure forensic units were interviewed using the Encounter Form developed for pathways mapping undertaken in the World Health Organization field trials. Differences in the types of caregivers seen, the total number of caregivers seen, and the time taken to reach forensic psychiatric services were compared across the 3 ethnoracial groupings.
Most people committed their index offence after they had already had contact with general mental health services. Few significant differences were observed in the pathways to secure forensic units across the European, African-Caribbean, and Other ethnoracial groups.
These findings suggest that improvements in general mental health services may be a key to decreasing the use of forensic psychiatric services. Further research is required to explore factors that may predict and prevent offending. Larger studies are needed to examine ethnoracial differences in pathways to care.
描述被发现无刑事责任能力或不适宜受审的某一安全法医病房样本患者的护理途径，并调查来自欧洲、非洲-加勒比和其他三个种族亚组的患者的护理途径。
使用为世界卫生组织现场试验中的路径图制定的接触表，对来自安全法医病房的 50 名患者进行访谈。比较了 3 个种族亚组之间看到的护理人员类型、看到的护理人员总数以及到达法医精神病服务的时间的差异。
大多数人在已经接触过一般心理健康服务后犯下了他们的首要罪行。在欧洲、非洲-加勒比和其他种族亚组之间，在进入安全法医病房的途径方面几乎没有观察到显著差异。
这些发现表明，改善一般心理健康服务可能是减少法医精神病服务使用的关键。需要进一步研究以探索可能预测和预防犯罪的因素。需要更大的研究来检查护理途径中的种族差异。
