Cameron Colin, Khalifa Najat, Bickle Andrew, Safdar Hira, Hassan Tariq
Correctional Service Canada/Government of Canada, FRCPC, National Senior Psychiatrist, Ottawa, Ontario, Canada.
MD, Associate Professor in Forensic Psychiatry, Queen's University Department of Psychiatry, Providence Care Hospital, Kingston, Ontario, Canada.
BJPsych Int. 2021 May;18(2):42-46. doi: 10.1192/bji.2020.56.
The unique challenges of the correctional healthcare environment are well-documented. Access to community-equivalent care, voluntary informed consent of offenders with mental disorder, violence risk, suicide risk, medication misuse, and clinical seclusion, confinement and segregation are just a few of the challenges faced by correctional psychiatric services. This paper shares experiences for dealing with the ongoing challenges for psychiatrists working in the field. It provides an overview of the current state of mental healthcare in the federal correctional system in Canada, the legislative framework and initiatives aimed at addressing the healthcare needs of federal inmates.
惩教医疗环境面临的独特挑战已有充分记录。获得等同于社区的护理、患有精神障碍罪犯的自愿知情同意、暴力风险、自杀风险、药物滥用以及临床隔离、监禁和隔离等，只是惩教精神科服务面临的部分挑战。本文分享了应对该领域精神科医生持续面临挑战的经验。它概述了加拿大联邦惩教系统中精神卫生保健的现状、旨在满足联邦囚犯医疗需求的立法框架和举措。
