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出狱后的援助与治疗连续性:一个亟待解决的紧迫问题。加泰罗尼亚监狱所采用的模式。

Asistencial and therapeutic continuity after release from prison: an urgent problem that requires solutions. The model applied in Catalonian prisons.

作者信息

Turu E, Barnés I, Marco A

机构信息

Prison Health Programme. Institut Català de la Salut. Barcelona.

出版信息

Rev Esp Sanid Penit. 2019;21(3):153-160.

PMID:32083278
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7093756/
Abstract

Deficits in health after being released are common, even with a higher risk of death. In these cases, the main cause of death is the use of heroin and other opioids, but there are more causes of death and most are potentially preventable. The most vulnerable groups to the increase of post-release morbidity and mortality are the drug users, the mentally ill and the foreign inmates from countries with few economic resources. It is urgent to implement interventions that optimize access to health devices after the prison release, avoid interruptions in the continuity of care and treatment prescribed in prison and reduce morbidity and mortality. To achieve this, it is necessary to coordinate the effective form of care inside and outside the prison and apply support measures. We present the project implemented in the prisons of Catalonia, which the "nurse of liaison" has used as a key figure in the process. We also present the internal and external procedure used to facilitate the transfer of sanitary and therapeutic information, to link released patients to health devices and to ensure that they are received in a timely and appropriate manner.

摘要

获释后的健康缺陷很常见,甚至死亡风险更高。在这些情况下,主要死因是海洛因和其他阿片类药物的使用,但死亡原因更多,而且大多数是可以预防的。释放后发病率和死亡率增加的最脆弱群体是吸毒者、精神病患者以及来自经济资源匮乏国家的外国囚犯。迫切需要实施干预措施,优化出狱后获得医疗设备的机会,避免监狱中规定的护理和治疗的连续性中断,并降低发病率和死亡率。要做到这一点,有必要协调监狱内外有效的护理形式并应用支持措施。我们介绍了在加泰罗尼亚监狱实施的项目,“联络护士”在该过程中发挥了关键作用。我们还介绍了用于促进卫生和治疗信息传递、将出院患者与医疗设备联系起来并确保他们及时、妥善接收的内部和外部程序。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee68/7093756/7e69d24185ce/2013-6463-sanipe-21-03-153-gf2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee68/7093756/27edf07b4a50/2013-6463-sanipe-21-03-153-gf1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee68/7093756/7e69d24185ce/2013-6463-sanipe-21-03-153-gf2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee68/7093756/27edf07b4a50/2013-6463-sanipe-21-03-153-gf1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee68/7093756/7e69d24185ce/2013-6463-sanipe-21-03-153-gf2.jpg

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本文引用的文献

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Front Psychiatry. 2018 Nov 2;9:549. doi: 10.3389/fpsyt.2018.00549. eCollection 2018.
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Incidence and risk factors for mortality after release from prison in Australia: a prospective cohort study.
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Sci Rep. 2023 Sep 25;13(1):16012. doi: 10.1038/s41598-023-42701-1.
澳大利亚囚犯出狱后死亡率的发生率和危险因素:一项前瞻性队列研究。
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Modifiable risk factors for external cause mortality after release from prison: a nested case-control study.出狱后因外部原因导致死亡的可改变风险因素:巢式病例对照研究。
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Mortality Rates and Cause of Death Among Former Prison Inmates in North Carolina.北卡罗来纳州前囚犯的死亡率和死因
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