Jacobs Leah A, Giordano Sequoia N J
School of Social Work, University of Pittsburgh, 2206 Cathedral of Learning, 4200 Fifth Avenue, Pittsburgh, PA, 15260, USA.
School of Social Welfare, University of California, Berkeley, 120 Haviland Hall, #7400, Berkeley, CA, 94720, USA.
Adm Policy Ment Health. 2018 Mar;45(2):265-275. doi: 10.1007/s10488-017-0821-2.
Jails may serve an important public health function by treating individuals with psychiatric problems. However, scholars debate the service qualities that can best achieve this aim. Some suggest the possibility of comprehensive psychiatric services in jails, while others recommend a narrower focus on basic elements of care (assessments, medication management, and crisis intervention). To date, this debate remains uninformed by service recipients. This qualitative study addresses this gap by illuminating patient-inmate perspectives on jail psychiatric services. Patient-inmate experiences indicate that the jail environment is incongruent with the provision of comprehensive psychiatric services. Thus, program administrators would best serve patient-inmates by strengthening basic services and connections to community-based providers who can provide comprehensive and effective care.
监狱通过治疗有精神问题的个体可能发挥重要的公共卫生功能。然而，学者们对能最佳实现这一目标的服务质量存在争议。一些人提出在监狱提供全面精神科服务的可能性，而另一些人则建议更专注于护理的基本要素（评估、药物管理和危机干预）。迄今为止，这场辩论仍未听取服务接受者的意见。这项定性研究通过阐明患者 - 囚犯对监狱精神科服务的看法来填补这一空白。患者 - 囚犯的经历表明，监狱环境与提供全面精神科服务不相符。因此，项目管理人员最好通过加强基本服务以及与能够提供全面有效护理的社区服务提供者建立联系来为患者 - 囚犯提供最佳服务。
