Brooker Charlie, Edmondson Amanda, Hughes Liz
Royal Holloway, University of London, United Kingdom.
University of Huddersfield, United Kingdom.
J Forensic Leg Med. 2019 May;64:45-48. doi: 10.1016/j.jflm.2019.04.001. Epub 2019 Apr 11.
A new strategy for sexual assault and abuse services was published by NHS England earlier this year. It called for better coordination of services along the Sexual Assault Referral Centre (SARC) pathway following a sexual assault including mental health services for children, young people and adults. Previous research has highlighted the fact that up to two-thirds of those attending SARCs either have a history of mental health problems or are being currently treated for one. The NHS England commissioning guidance for SARCs calls for clear pathways between SARCs and different types of mental health services including: Community mental health teams (CMHTs); child and adolescent mental health services (CAMHS) or crisis teams (CTs). In this survey of Mental Health Trusts, using freedom of information requests (FOIs) we found that very few mental health services had formally negotiated pathways with SARCs however there were several examples of good practice which it is important to report. We conclude that there is an important role for CCG and NHS England commissioners and the Care Quality Commission (CQC) in improving the relationships between SARCs and Mental Health Services.
今年早些时候，英国国民医疗服务体系（NHS）英格兰地区发布了一项针对性侵犯和虐待服务的新策略。该策略呼吁，在性侵犯事件发生后，应更好地协调沿性侵犯转介中心（SARC）路径提供的服务，包括为儿童、青少年和成年人提供心理健康服务。此前的研究强调，前往性侵犯转介中心的人中有多达三分之二要么有心理健康问题史，要么目前正在接受心理健康治疗。NHS英格兰地区针对性侵犯转介中心的委托指南要求，在性侵犯转介中心与不同类型的心理健康服务机构之间建立清晰的路径，这些机构包括：社区心理健康团队（CMHTs）；儿童和青少年心理健康服务机构（CAMHS）或危机干预团队（CTs）。在本次针对心理健康信托机构的调查中，我们通过信息自由请求（FOIs）发现，很少有心理健康服务机构与性侵犯转介中心进行过正式的路径协商，不过也有一些良好做法的案例，值得报告。我们得出结论，临床委托小组（CCG）、NHS英格兰地区的委托机构以及护理质量委员会（CQC）在改善性侵犯转介中心与心理健康服务机构之间的关系方面可发挥重要作用。
