Chester Verity, Völlm Birgit, Tromans Samuel, Kapugama Chaya, Alexander Regi T
Research & Projects Associate, Priory Group, St John's House, Diss and PhD candidate, University of East Anglia, UK.
Professor in Forensic Psychiatry, Institute of Mental Health, University of Nottingham, UK.
BJPsych Open. 2018 Jun 28;4(4):226-234. doi: 10.1192/bjo.2018.24. eCollection 2018 Jul.
In recent years, concerns have been raised that too many patients stay for too long in forensic psychiatric services and that this is a particular problem in those with an intellectual disability.
To compare the characteristics, needs, and care pathways of long-stay patients with and without intellectual disability within forensic psychiatric hospital settings in England.
File reviews and questionnaires were completed for all long-stay patients in high secure and a representative sample of those in medium secure settings in England. Between-group analyses comparing patients with and without intellectual disability are reported.
Of the 401 long-stay patients, the intellectual disability and non-intellectual disability groups were strikingly similar on many sociodemographic, clinical and forensic variables. The intellectual disability group had significantly lower lengths of stay, fewer criminal sections, restriction orders and prison transfers, and higher levels of behavioural incidents and risk assessment scores.
In spite of similar offence histories and higher risk levels, those with intellectual disability appear to be diverted away from the criminal justice system and have shorter lengths of stay. This has implications about the applicability of the Transforming Care programme to this group.
近年来，人们越来越担心有太多患者在法医精神病服务机构停留的时间过长，而且这在智障患者中是一个特别突出的问题。
比较英国法医精神病医院环境中伴有和不伴有智力残疾的长期住院患者的特征、需求和护理途径。
对英格兰高度戒备病房的所有长期住院患者以及中度戒备病房中有代表性的样本完成档案审查和问卷调查。报告了对伴有和不伴有智力残疾患者的组间分析。
在401名长期住院患者中，智力残疾组和非智力残疾组在许多社会人口统计学、临床和法医变量上惊人地相似。智力残疾组的住院时间明显更短，刑事拘押令、限制令和转至监狱的情况更少，行为事件发生率和风险评估得分更高。
尽管有相似的犯罪史和更高的风险水平，但智障患者似乎被转移出刑事司法系统，住院时间更短。这对“转变护理”计划在此群体中的适用性具有启示意义。
