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爱尔兰法医精神卫生服务使用者融入社区后的住房偏好

Housing preferences of Irish forensic mental health service users on moving into the community.

作者信息

Sweeney Patricia, Rani Shetty Shobha

机构信息

Author Affiliations: 1Dublin City Council; 2National Forensic Mental Health Service Ireland.

出版信息

J Forensic Nurs. 2013 Oct-Dec;9(4):235-42. doi: 10.1097/JFN.0b013e31829e92f7.

Abstract

Housing is one of the important services required by forensic mental health service users on reintegration into the community. In the Republic of Ireland, a recent amendment to Section 13 of the Criminal Law Insanity Act (2006) has given the prospect of conditional discharge, which has increased the need for housing among Irish forensic mental health service users. This article reports findings of a qualitative descriptive study aimed to explore the housing preferences of these service users. While identifying and capturing their views, the study also identified the strengths and weaknesses of current housing services from a service user perspective. Data were collected from nine service users using semistructured interviews. Colaizzi's (1978) approach was used to analyze the data. Three themes that emerged from the analysis are as follows: (a) living choices; (b) future considerations; and (c) service users' expectations. Although concerns were raised regarding legislation and policy, service users strongly preferred normal independent living and recommended continued community support, gradual discharge, and community hostels. Findings suggest that service users' expectations may be fulfilled with effective collaboration between forensic mental health service and housing services. This is the first study to be carried out in Ireland that adds a new dimension to the literature on housing policy and service users' perspectives.

摘要

住房是法医精神卫生服务使用者重新融入社区所需的重要服务之一。在爱尔兰共和国,最近对《刑法(精神错乱)法》(2006年)第13条的修订带来了有条件出院的可能性,这增加了爱尔兰法医精神卫生服务使用者对住房的需求。本文报告了一项定性描述性研究的结果,该研究旨在探索这些服务使用者的住房偏好。在识别和获取他们的观点时,该研究还从服务使用者的角度确定了当前住房服务的优缺点。通过半结构化访谈从九名服务使用者那里收集了数据。采用了科莱齐(1978年)的方法来分析数据。分析得出的三个主题如下:(a)生活选择;(b)未来考量;以及(c)服务使用者的期望。尽管对立法和政策存在担忧,但服务使用者强烈倾向于正常的独立生活,并建议持续的社区支持、逐步出院和社区旅社。研究结果表明,通过法医精神卫生服务与住房服务之间的有效合作,可能会满足服务使用者的期望。这是在爱尔兰进行的第一项研究,为住房政策和服务使用者观点的文献增添了新的维度。

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