a Centre for Disability Research and Policy, Faculty of Health Sciences, The University of Sydney , Sydney , Australia.
b Menzies Centre for Health Policy, The University of Sydney , Sydney , Australia , and.
J Ment Health. 2019 Apr;28(2):189-197. doi: 10.1080/09638237.2018.1466029. Epub 2018 Apr 28.
Despite significant need for mental health services targeting the requirements of inmates transitioning into the community there is little research about successful recovery-oriented or person-centred transition programs.
This systematic narrative review brings together existing evidence to inform policymakers and practitioners about current practice in transition support, and barriers and facilitators of effective practice.
We carried out a systematic narrative review of recovery-oriented or person-centred mental health support programs supporting transition from incarceration to the community. Results were obtained from a systematic search of Medline, PubMed and Scopus databases.
We found 23 papers which met the paper inclusion criteria along with four other papers which were identified incidentally.
Identified barriers to the implementation of effective transition support programs are: administrative problems leading to ineffective in-reach into correctional facilities or untimely support, lack of support for immediate needs meaning that inmates deprioritise their mental health needs, a lack of ongoing program resources and poor communication between correctional facilities and mental health services. Enablers for transition reflect the inverse of these barriers, alongside other successful strategies including medical home models, regionalised programs, programs which target connections with primary care, nurse-led patient-centred health programs and peer support initiatives.
尽管针对囚犯过渡到社区的需求有很大的心理健康服务需求，但几乎没有关于成功的以康复为导向或以患者为中心的过渡项目的研究。
本系统叙述性综述汇集了现有证据，为政策制定者和实践者提供有关过渡支持的当前实践、有效实践的障碍和促进因素的信息。
我们对以康复为导向或以患者为中心的心理健康支持计划进行了系统的叙述性综述，这些计划支持从监禁过渡到社区。结果是从 Medline、PubMed 和 Scopus 数据库的系统搜索中获得的。
我们发现了 23 篇符合论文纳入标准的论文，以及另外 4 篇偶然发现的论文。
确定有效过渡支持计划实施的障碍是：行政问题导致对惩教设施的无效外联或支持不及时，对即时需求的支持不足，导致囚犯优先考虑他们的心理健康需求，缺乏持续的项目资源以及惩教设施和心理健康服务之间沟通不畅。过渡的促进因素反映了这些障碍的反面，以及其他成功的策略，包括医疗之家模式、区域化计划、针对与初级保健联系的计划、护士主导的以患者为中心的健康计划和同伴支持计划。
