Bloom Joseph D, Novosad David
Dr. Bloom is Clinical Professor, Department of Psychiatry, University of Arizona College of Medicine-Phoenix, Phoenix, AZ. Dr. Novosad is Staff Psychiatrist at the Atlanta VA Medical Center, Atlanta, GA.
J Am Acad Psychiatry Law. 2017 Dec;45(4):447-451.
This article focuses on the development of a Forensic Mental Health Services Census (FMHSC), proposed to differentiate between five different patient populations institutionalized in state facilities. The FMHSC would comprise patients who are civilly committed for mental illness or sexual dangerousness, those found incompetent to stand trial, those committed after a verdict of not guilty by reason of insanity, and those voluntarily committed. The census would be performed by state mental health authorities for each of these populations within the particular jurisdiction and then would be reported to a national coordinating organization. These data are important because of the large number of persons involved and the significant resources devoted to the management and treatment of each involuntary group. The census is necessary for clinical, research, and policy purposes, to provide more rational management of these populations, both within and across jurisdictions.
本文重点关注法医精神卫生服务普查（FMHSC）的开展，该普查旨在区分在州立机构中收容的五种不同患者群体。FMHSC将包括因精神疾病或性危险而被民事收容的患者、被认定无受审能力的患者、因精神错乱而被判定无罪后被收容的患者以及自愿被收容的患者。普查将由特定司法辖区内的州精神卫生当局针对这些人群中的每一类进行，然后上报给一个国家协调组织。这些数据之所以重要，是因为涉及的人数众多，且为管理和治疗每类非自愿群体投入了大量资源。出于临床、研究和政策目的，进行普查很有必要，以便在各司法辖区内及跨辖区对这些人群进行更合理的管理。
