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病例管理有助于预防患有严重精神疾病的人再次触犯刑事司法。

Case management helps prevent criminal justice recidivism for people with serious mental illness.

作者信息

Leutwyler Heather, Hubbard Erin, Zahnd Elaine

机构信息

Department of Physiological Nursing, University of California, San Francisco , San Francisco, California, USA.

Center for Health Policy Research, University of California, Los Angeles , Los Angeles California, USA.

出版信息

Int J Prison Health. 2017 Sep 11;13(3-4):168-172. doi: 10.1108/IJPH-06-2016-0021.

Abstract

Purpose The purpose of this paper is to discuss how case management can decrease recidivism for people with serious mental illness (SMI) because people with SMI are at high risk for incarceration and recidivism. Design/methodology/approach Examples of successful case management models for formerly incarcerated individuals with SMI found through a secondary analysis of qualitative data and an analysis of the literature are presented. Findings Currently, no international, national, or statewide guidelines exist to ensure that formerly incarcerated individuals with SMI receive case management upon community reentry despite evidence that such services can prevent further criminal justice involvement. Recommendations include establishment of and evaluation of best practices for case management. In addition, the authors recommend additional funding for case management with the goal of greatly increasing the number of individuals with SMI leaving the criminal justice system in their ability to access adequate case management. Originality/value Providing effective case management tailored to the needs of formerly incarcerated people with SMI improves their quality of life and reduces their involvement in the criminal justice system with clear positive outcomes for public safety and public health.

摘要

目的 本文旨在探讨个案管理如何降低严重精神疾病(SMI)患者的再犯率,因为SMI患者面临着较高的监禁和再犯风险。 设计/方法/途径 本文通过对定性数据的二次分析和文献分析,介绍了针对曾被监禁的SMI患者的成功个案管理模式实例。 研究结果 目前,尚无国际、国家或州级指南来确保曾被监禁的SMI患者在重新进入社区时能接受个案管理,尽管有证据表明此类服务可防止他们进一步卷入刑事司法系统。 建议包括确立和评估个案管理的最佳实践。此外,作者建议为个案管理提供更多资金,目标是大幅增加离开刑事司法系统的SMI患者获得充分个案管理的人数。 原创性/价值 为曾被监禁的SMI患者提供符合其需求的有效个案管理,可改善他们的生活质量,减少他们卷入刑事司法系统的情况,对公共安全和公共卫生产生明显的积极影响。

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