Ruzich Dawn, Reichert Jessica, Lurigio Arthur J
WestCare Foundation, 1100 Cermak Road, Suite B414, Chicago, IL 60608, United States.
Research and Evaluation Center, Illinois Criminal Justice Information Authority, 300 West Adams Street, Suite 200, Chicago, IL 60606, United States.
Int J Law Psychiatry. 2014 Sep-Oct;37(5):455-63. doi: 10.1016/j.ijlp.2014.02.018. Epub 2014 Mar 12.
This study examined the nature and extent of probable posttraumatic stress disorder (PTSD) among men in a substance abuse treatment program in a large urban jail. Specifically, it explored the prevalence of probable PTSD and other psychiatric problems among jail detainees, the types of trauma detainees experienced during different phases of their lives, and how those experiences might have contributed to the development of probable PTSD. Results showed that psychiatric problems were quite serious; nearly one-quarter of the sample reported previous psychiatric hospitalization, and nearly 10% were being currently treated with psychiatric medication. In addition, 21% of the sample met the criteria for probable PTSD, a rate five times greater than that in the general population. The current study suggests that the presence of probable PTSD among male detainees should be incorporated into the creation and implementation of jail-based behavioral healthcare services, including screening, assessment, and clinical interventions. Furthermore, in-custody drug treatment programs should adopt trauma-informed strategies for all program participants as the expected standard of care.
本研究调查了一所大型城市监狱中接受药物滥用治疗项目的男性中可能存在的创伤后应激障碍（PTSD）的性质和程度。具体而言，研究探讨了监狱被拘留者中可能患PTSD及其他精神问题的患病率、被拘留者在其生命不同阶段所经历的创伤类型，以及这些经历可能如何导致了可能患PTSD。结果显示，精神问题相当严重；近四分之一的样本报告曾有过精神科住院治疗，近10%的人目前正在接受精神科药物治疗。此外，21%的样本符合可能患PTSD的标准，这一比例是普通人群的五倍。当前研究表明，男性被拘留者中可能存在的PTSD应纳入基于监狱的行为医疗服务的创建和实施过程中，包括筛查、评估和临床干预。此外，羁押期间的药物治疗项目应为所有项目参与者采用创伤知情策略，作为预期的护理标准。
