Crocker Anne G, Nicholls Tonia L, Seto Michael C, Roy Laurence, Leclair Marichelle C, Brink Johann, Simpson Alexander I F, Côté Gilles
Department of Psychiatry, McGill University and Douglas Mental Health University Institute Research Center , Montreal , Quebec , Canada.
Department of Psychiatry, University of British Columbia and BC Mental Health and Substance Use Services , Coquitlam , British Columbia , Canada.
Int J Forensic Ment Health. 2015 Jul 3;14(3):205-217. doi: 10.1080/14999013.2015.1073197. Epub 2015 Oct 6.
This paper is based on the report following the National Research Agenda Meeting on Mental Health, Justice, and Safety held in Montreal on November 19, 2014, which convened academics; health, social, and legal professionals; and people with lived experience of mental illness from across Canada. The goal was to identify research priorities addressing relevant knowledge gaps and research strategies that can translate into public policy action and improvements in evidence-based services. Participants identified key challenges: (1) inadequate identification and response to needs by civil mental health services and frontline law enforcement, (2) limited specialized resources in forensic and correctional settings, (3) fragmented care and gaps between systems, (4) limited resources for adequate community reintegration, and (5) poor knowledge transfer strategies as obstacles to evidence-based policies. Knowledge gaps were identified in epidemiology and risk reduction, frontline training and programs, forensic and correctional practices, organizations and institutions, knowledge transfer, and rehabilitation. Finally, participants identified potential sources of support to conduct real time research with regard to data collection and sharing. The findings represent a roadmap for how forensic mental health systems can best proceed to address current challenges through research and practice initiatives, drawing from lived, clinical and research experiences of a multidisciplinary group of experts.
本文基于2014年11月19日在蒙特利尔举行的心理健康、司法与安全问题全国研究议程会议之后的报告,该会议召集了来自加拿大各地的学者、健康、社会和法律专业人士以及有精神疾病生活经历的人。目标是确定解决相关知识空白的研究重点以及可转化为公共政策行动和循证服务改进的研究策略。参与者确定了关键挑战:(1)民事心理健康服务和一线执法部门对需求的识别和应对不足;(2)法医和惩教环境中的专业资源有限;(3)护理碎片化以及系统之间存在差距;(4)用于适当社区重新融入的资源有限;(5)知识转移策略不佳是循证政策的障碍。在流行病学和风险降低、一线培训与项目、法医和惩教实践、组织和机构、知识转移以及康复方面发现了知识空白。最后,参与者确定了在数据收集和共享方面进行实时研究的潜在支持来源。这些发现代表了一份路线图,说明法医心理健康系统如何通过研究和实践举措,借鉴多学科专家团队的生活、临床和研究经验,最好地应对当前挑战。