对依据第136条被拘留人员的回顾性队列随访研究。
Retrospective cohort follow-up study of individuals detained under Section 136.
作者信息
Burgess Jennifer L, White Sarah-Jane, O'Brien Aileen
机构信息
, BA(Oxon), MBBS, Campus of Ageing and Vitality, Northumberland, Tyne and Wear NHS Foundation Trust, Newcastle upon Tyne, UK, and Institute of Neuroscience, Newcastle University, Newcastle upon Tyne, UK.
, BSc, MSc, MRCPsych, MD, Population Health Research Institute, St George's University of London, London, UK.
出版信息
BJPsych Open. 2017 Nov 9;3(6):281-284. doi: 10.1192/bjpo.bp.117.005694. eCollection 2017 Nov.
BACKGROUND
An original cohort study found that over half of the individuals detained under Section 136 (S136) of the Mental Health Act 1983 were discharged home after assessment, and nearly half were intoxicated.
AIMS
To investigate whether the cohort was followed up by psychiatric services, characterise those repeatedly detained and assess whether substance use was related to these outcomes.
METHOD
Data were retrospectively collected from the notes of 242 individuals, who presented after S136 detention to a place of safety over a 6-month period, and were followed up for 1 year.
RESULTS
After 1 year, 48% were in secondary care. Those with psychosis were the most likely to be admitted. Diagnoses of personality disorder or substance use were associated with multiple detentions; however, few were in contact with secondary services.
CONCLUSIONS
Crisis and long-term care pathways for these groups need to be developed to reduce repeated and unnecessary police detention.
DECLARATION OF INTEREST
None.
COPYRIGHT AND USAGE
© The Royal College of Psychiatrists 2017. This is an open access article distributed under the terms of the Creative Commons Non-Commercial, No Derivatives (CC BY-NC-ND) license.
背景
一项原始队列研究发现，根据1983年《精神健康法》第136条（S136）被拘留的人中，超过一半在评估后被送回家，近一半人处于醉酒状态。
目的
调查该队列是否接受了精神科服务随访，描述那些被反复拘留的人的特征，并评估物质使用是否与这些结果相关。
方法
回顾性收集了242名个体的病历资料，这些个体在S136拘留后于6个月内在一个安全场所就诊，并进行了为期1年的随访。
结果
1年后，48%的人接受二级护理。患有精神病的人最有可能被收治。人格障碍或物质使用的诊断与多次拘留有关；然而，很少有人与二级服务机构有接触。
结论
需要为这些群体制定危机和长期护理途径，以减少反复和不必要的警方拘留。
利益声明
无。
版权和使用
©皇家精神科医学院2017年。这是一篇开放获取文章，根据知识共享非商业性、无衍生作品（CC BY-NC-ND）许可发布。
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