Lille Neurosciences and Cognition, Lille University Hospital, University of Lille, and National Institute of Health and Medical Research, U1172, Lille, France (Fovet, Amad, Horn, Thomas); Public Health France, Saint Maurice, France (Chan-Chee).
Psychiatr Serv. 2020 Aug 1;71(8):824-828. doi: 10.1176/appi.ps.201900497. Epub 2020 Apr 8.
No study has assessed utilization of hospital-level mental health care for French prisoners. In particular, the impact of (UHSAs; "specially equipped hospital units"), the full-time inpatient psychiatric wards for inmates created in 2010, remains unknown. The aim of this study was to describe the overall patterns of psychiatric hospitalization for detained people in France during 2016.
The study was conducted by using a national psychiatric hospital discharge database. The authors identified incarcerated people who were hospitalized in UHSAs, general psychiatric hospitals, maximum-security (UMDs; "units for difficult patients"), and day treatment hospitals for inmates known as (SMPRs; "regional medical-psychological services"), from January 1 to December 31, 2016.
In 2016, 4,392 incarcerated patients (7,027 admissions) were hospitalized (92% males). Overall, 1,944 patients were hospitalized in UHSAs, 1,787 in general psychiatric hospitals, 97 in UMDs, and 1,465 in SMPRs. That year, 815 patients (19%) were admitted to at least two different facilities. The mean cumulative length of stay per patient was 86.7 days (95% confidence interval=80.1-93.3; median=27 days), with longer durations of stay in UMDs and SMPRs than in UHSAs and general psychiatric hospitals.
Despite the recent creation of UHSAs, the hospitalization of inmates in general psychiatric hospitals remains frequent in France. Future research should consider the value of further developing UHSAs.
目前尚无研究评估法国囚犯对医院级别的精神卫生保健的利用情况。特别是，2010 年创建的全职住院精神病病房（UHSAs）的影响仍不清楚。本研究的目的是描述 2016 年法国被拘留者的整体精神病住院情况。
本研究采用了国家精神病医院出院数据库。作者从 2016 年 1 月 1 日至 12 月 31 日确定了在 UHSAs、普通精神病院、最高安全级别（UMD；“困难病人单位”）和为囚犯设立的日间治疗医院（SMPR；“区域医疗-心理服务”）住院的被监禁者。
2016 年，有 4392 名被监禁者（7027 人次）住院（92%为男性）。总体而言，有 1944 名患者在 UHSAs 住院，1787 名在普通精神病院住院，97 名在 UMD 住院，1465 名在 SMPR 住院。当年，有 815 名患者（19%）入住至少两个不同的医疗机构。每位患者的平均累计住院天数为 86.7 天（95%置信区间为 80.1-93.3；中位数为 27 天），UMD 和 SMPR 的住院时间长于 UHSAs 和普通精神病院。
尽管最近创建了 UHSAs，但法国囚犯在普通精神病院的住院治疗仍然很常见。未来的研究应考虑进一步发展 UHSAs 的价值。
