Wayne State University School of Social Work, Center for Behavioral Justice, Detroit, MI, USA.
School of Social Work, Michigan State University, East Lansing, MI, USA.
J Correct Health Care. 2020 Apr;26(2):168-182. doi: 10.1177/1078345820920703.
Identification of serious mental illness (SMI) among those entering jail is the first step in diversion or appropriate services in jail. Although best practices guidelines for identifying SMI exist, many jails do not employ these standards. Researchers describe identification of SMI in the "practice as usual" and compare/contrast the results with a validated screening instrument for 2,961 individuals across eight jails. Overall, 20% scored positive on the screening instrument, and staff identification yielded an additional 16%. While the instrument was consistent in identifying the proportion of persons with SMI across each county (16% to 22%), the proportion identified by jail staff varied greatly (3% to 33%). Moreover, referral to-and receipt of-subsequent services for the staff-identified individuals varied greatly, leading to recommendations for improved processes.
在进入监狱的人群中识别严重精神疾病（SMI）是在监狱中进行转移或提供适当服务的第一步。虽然存在识别 SMI 的最佳实践指南，但许多监狱并未采用这些标准。研究人员在“常规实践”中描述了 SMI 的识别，并将结果与针对八个监狱的 2961 个人的经过验证的筛选工具进行了比较/对比。总体而言，20%的人在筛选工具上呈阳性，而工作人员的识别又增加了 16%。虽然该工具在确定每个县（16%至 22%）具有 SMI 的人的比例方面是一致的，但监狱工作人员识别的比例差异很大（3%至 33%）。此外，工作人员识别的个人接受后续服务的情况也存在很大差异，因此需要改进流程。
