精神卫生服务提供者对涉及刑事司法的严重精神疾病患者的态度。
Mental Health Providers' Attitudes About Criminal Justice-Involved Clients With Serious Mental Illness.
机构信息
Ms. Bandara, Dr. Daumit, Dr. Kennedy-Hendricks, and Dr. McGinty are with the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore. Dr. Daumit is also with the Department of Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, where Ms. Linden and Ms. Choksy are affiliated.
出版信息
Psychiatr Serv. 2018 Apr 1;69(4):472-475. doi: 10.1176/appi.ps.201700321. Epub 2018 Feb 1.
OBJECTIVE
Community mental health providers' attitudes toward criminal justice-involved clients with serious mental illness were examined.
METHODS
A total of 627 Maryland psychiatric rehabilitation program providers responded to a survey (83% response rate). Measures assessed providers' experience with, positive regard for, and perceptions of similarity, with their clients with serious mental illness. Chi-square tests were used to compare providers' attitudes toward clients with and without criminal justice involvement.
RESULTS
Providers reported lower regard for criminal justice-involved clients than for clients without such involvement. Providers were less likely to report having a great deal of respect for clients with (79%) versus without (95%) criminal justice involvement. On all items that measured providers' perceived similarity with their clients, less than 50% of providers rated themselves as similar, regardless of clients' criminal justice status.
CONCLUSIONS
Future research should explore how providers' attitudes toward criminal justice-involved clients influence service delivery for this group.
目的
调查社区心理健康服务提供者对涉及刑事司法的严重精神疾病患者的态度。
方法
马里兰州精神康复项目的 627 名提供者对一项调查做出了回应（回应率为 83%）。这些措施评估了提供者与严重精神疾病患者的经验、积极看法以及对相似性的看法。卡方检验用于比较有和没有刑事司法参与的患者的提供者的态度。
结果
与没有刑事司法参与的患者相比，提供者对有刑事司法参与的患者的评价较低。与没有刑事司法参与的患者（95%）相比，报告对有刑事司法参与的患者（79%）有极大尊重的提供者较少。在衡量提供者与患者的感知相似性的所有项目中，无论患者的刑事司法状况如何，都不到 50%的提供者将自己评为相似。
结论
未来的研究应该探讨提供者对涉及刑事司法的患者的态度如何影响对这一群体的服务提供。
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