澳大利亚一州完整法医患者队列的风险、需求和康复阶段。
The risks, needs and stages of recovery of a complete forensic patient cohort in an Australian state.
机构信息
Custodial Mental Health Service, Justice Health & Forensic Mental Health Network, 1300 Anzac Parade, Malabar, NSW, 2036, Australia.
Justice and Legal Studies, School of Global, Urban and Social Studies, RMIT University, Building 37, Level 4, Melbourne, VIC, 3001, Australia.
出版信息
BMC Psychiatry. 2018 Feb 7;18(1):35. doi: 10.1186/s12888-017-1584-8.
BACKGROUND
Routine outcome measures are increasingly being mandated across mental health services in Australia and overseas. This requirement includes forensic mental health services, but their utility in such specialist services and the inter-relationships between the measures remain unclear. This study sought to characterise the risks, needs and stages of recovery of an entire cohort of forensic patients in one jurisdiction in Australia.
METHODS
Local expert groups, comprising of members of the forensic patient treating teams, were formed to gather information about the status and needs of all forensic patients in the State of New South Wales, Australia. The expert groups provided demographic information and completed three assessment tools concerning the risks, needs and stages of recovery of each forensic patient.
RESULTS
The cohort of 327 forensic patients in NSW appears to be typical of forensic mental health service populations internationally when considering factors such as gender, diagnosis, and index offence. A number of important differences across the three structured tools for forensic patients in different levels of secure service provision are presented. The DUNDRUM Quartet demonstrated interesting findings, particularly in terms of the therapeutic security needs, the treatment completion, and the stages of recovery for the forensic patients in the community. The CANFOR highlighted the level of needs across the forensic patient population, whilst the HCR-20 data showed there was no significant difference in the mean clinical and risk management scores between male forensic patients across levels of security.
CONCLUSIONS
To the authors' knowledge this is the first study of its kind in New South Wales, Australia. We have demonstrated the utility of using a suite of measures to evaluate the risks, needs, and stages of recovery for an entire cohort of forensic patients. The data set helps inform service planning and development, together with providing various avenues for future research.
背景
在澳大利亚和海外的精神卫生服务中，越来越多地要求使用常规结果测量。这一要求包括法医精神卫生服务，但这些服务在这类专业服务中的实用性以及这些措施之间的相互关系仍不清楚。本研究旨在描述澳大利亚一个司法管辖区内所有法医患者群体的风险、需求和康复阶段。
方法
成立了由法医患者治疗团队成员组成的当地专家组，以收集有关澳大利亚新南威尔士州所有法医患者状况和需求的信息。专家组提供了人口统计信息，并完成了三个评估工具，涉及每个法医患者的风险、需求和康复阶段。
结果
新南威尔士州的 327 名法医患者队列在考虑性别、诊断和犯罪指数等因素时，似乎与国际法医精神卫生服务人群典型情况相似。在不同安全服务水平的法医患者的三个结构化工具中，呈现出一些重要的差异。DUNDRUM 四重奏在治疗安全性需求、治疗完成以及社区法医患者的康复阶段方面，提供了有趣的发现。CANFOR 突出了法医患者人群的需求水平，而 HCR-20 数据表明，在安全性水平不同的男性法医患者之间，临床和风险管理评分的平均值没有显著差异。
结论
据作者所知，这是澳大利亚新南威尔士州首例此类研究。我们已经证明了使用一系列措施来评估整个法医患者群体的风险、需求和康复阶段的实用性。该数据集有助于为服务规划和发展提供信息，并为未来的研究提供各种途径。
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