Morris Nathaniel P, West Sara G
Dr. Morris is Chief Resident, Psychiatry, Stanford University School of Medicine, Stanford, CA. Dr. West is Assistant Professor, Psychiatry, Case Western Reserve University School of Medicine, Cleveland, OH, and a Staff Psychiatrist at Heartland Behavioral Healthcare in Massillon, OH.
J Am Acad Psychiatry Law. 2020 Jun;48(2):251-258. doi: 10.29158/JAAPL.003921-20. Epub 2020 Feb 12.
Incarcerated individuals have high rates of mental disorders and substance use disorders compared with the general population, yet correctional facilities in the United States have difficulty recruiting mental health professionals. This has led to shortages in the availability of clinicians who can provide psychiatric care in these settings. During training and in practice, mental health professionals may develop misconceptions about correctional psychiatry that deter them from the field. This article examines common misconceptions about working in correctional psychiatry, including that correctional psychiatry provides unnecessary care to criminals, supports mass incarceration, is dangerous work, represents a less respectable subspecialty, and excludes clinicians from teaching and research opportunities. This article seeks to provide a resource for mental health professionals considering working with incarcerated patients.
与普通人群相比,被监禁者患精神障碍和物质使用障碍的比例较高,但美国的惩教机构在招聘心理健康专业人员方面存在困难。这导致在这些场所能够提供精神病护理的临床医生短缺。在培训和实践过程中,心理健康专业人员可能会对惩教精神病学产生误解,从而阻碍他们进入该领域。本文探讨了关于从事惩教精神病学工作的常见误解,包括惩教精神病学为罪犯提供不必要的护理、支持大规模监禁、是危险的工作、是一个不太受尊重的亚专业,以及将临床医生排除在教学和研究机会之外。本文旨在为考虑与被监禁患者合作的心理健康专业人员提供参考资源。