Mollard Elizabeth, Brage Hudson Diane
Bryan College of Health Sciences, Lincoln, Nebraska.
University of Nebraska Medical Center, College of Nursing-Lincoln Division, Lincoln, Nebraska, USA.
Perspect Psychiatr Care. 2016 Jul;52(3):224-30. doi: 10.1111/ppc.12122. Epub 2015 May 18.
Incarcerated women are a vulnerable and unique population of special concern to nurses as they have high rates of mental illness. In this article, the authors discuss how trauma exposure contributes to mental illness in incarcerated women through abuse, socioeconomic factors, and the prison environment, how this trauma exposure manifests in the inmate survivor, and the related implications for practice.
A history of trauma and victimization is related to complex mental health issues which affect the majority of justice-involved women. The correctional environment can exacerbate these issues.
Nursing implications include discussion of the trauma-informed care model. The authors recommend a model of trauma-informed care named "the 4 Es" that can guide nurses in preparing a trauma-informed correctional environment and discuss the importance of nurse-led policy change in finding alternatives to incarceration for women with mental illness.
被监禁女性是护士特别关注的一个脆弱且独特的群体，因为她们患精神疾病的比例很高。在本文中，作者讨论了创伤暴露如何通过虐待、社会经济因素和监狱环境导致被监禁女性患精神疾病，这种创伤暴露在囚犯幸存者身上如何表现，以及对实践的相关影响。
创伤和受害史与复杂的心理健康问题有关，这些问题影响了大多数涉及司法系统的女性。惩教环境会加剧这些问题。
护理方面的意义包括对创伤知情护理模式的讨论。作者推荐一种名为“4E”的创伤知情护理模式，该模式可以指导护士营造一个创伤知情的惩教环境，并讨论由护士主导的政策变革在为患有精神疾病的女性寻找替代监禁措施方面的重要性。
