Brooker Charlie, Tocque Karen, Kennedy Angela, Brown Martin
Royal Holloway, University of London, United Kingdom.
Glyndwr University, United Kingdom.
J Forensic Leg Med. 2016 Oct;43:97-101. doi: 10.1016/j.jflm.2016.07.011. Epub 2016 Aug 1.
Research in Sexual Assault Referral Centres has shown that 40% of those attending are known to mental health services. The question we posed in this study was to what extent do mental health services know about this group? This was a pertinent question to ask as in 2008 the Department of Health (DH) amended the Care Programme Approach (CPA) to include a question on sexual abuse/violence as part of the overall assessment.
To assess the extent to which Mental health Trusts were implementing DH guidance on the CPA in relation to assessment of sexual violence and abuse.
The impetus for 'asking the question' first established in 2008 with the establishment of eight pilot training programmes, has been lost. It is clear that Trusts are not training adequate number of staff nor are they returning useable data to HSCIC. If 40% of people attending SARCs are known to mental health services we suspect that few staff in mental health trusts known much about such a referral. Research shows convincingly that sexual violence and abuse plays a clear role in the aetiology of mental health disorders. A history of such violence/abuse should be always established (or otherwise).
对性侵犯转诊中心的研究表明，前来就诊的患者中有40%为心理健康服务机构所熟知。我们在本研究中提出的问题是，心理健康服务机构对这一群体的了解程度如何？提出这个问题很有必要，因为2008年卫生部（DH）修订了护理计划方法（CPA），将关于性虐待/暴力的问题纳入整体评估的一部分。
评估心理健康信托机构在实施卫生部关于CPA中与性暴力和性虐待评估相关指导方面的程度。
2008年随着八个试点培训项目的设立而首次确立的“询问该问题”的动力已经丧失。很明显，信托机构没有培训足够数量的工作人员，也没有向HSCIC返回可用数据。如果已知40%前往性侵犯转诊中心的人是心理健康服务机构所熟知的，我们怀疑心理健康信托机构中很少有工作人员对这类转诊情况了解很多。研究有力地表明，性暴力和性虐待在心理健康障碍的病因中起着明确作用。应该始终确定（或排除）此类暴力/虐待的历史。
