The authors are with the Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut.
Psychiatr Serv. 2017 Oct 1;68(10):994-996. doi: 10.1176/appi.ps.201700313. Epub 2017 Sep 1.
In first-episode psychosis there is a heightened risk of aggression and subsequent criminal justice involvement. This column reviews the evidence pointing to these heightened risks and highlights opportunities, using a sequential intercept model, for collaboration between mental health services and existing diversionary programs, particularly for patients whose behavior has already brought them to the attention of the criminal justice system. Coordinating efforts in these areas across criminal justice and clinical spheres can decrease the caseload burden on the criminal justice system and optimize clinical and legal outcomes for this population.
首发精神病患者有更高的攻击性和随后的刑事司法参与风险。本专栏回顾了指向这些更高风险的证据，并利用序贯拦截模型突出了精神卫生服务和现有转移项目之间合作的机会，特别是对于那些行为已经引起刑事司法系统注意的患者。在刑事司法和临床领域协调这些领域的工作可以减轻刑事司法系统的案件负担，并优化该人群的临床和法律结果。
