Suppr超能文献

在英国伦敦的 9088 名低等法院出庭者中,存在严重精神疾病、常见精神障碍和神经发育障碍。

Severe mental illness, common mental disorders, and neurodevelopmental conditions amongst 9088 lower court attendees in London, UK.

机构信息

Institute of Health and Social Care, London South Bank University, London, UK.

University of Auckland, New Zealand & Visiting Senior Lecturer, King's College London, London, UK.

出版信息

BMC Psychiatry. 2022 Aug 12;22(1):551. doi: 10.1186/s12888-022-04150-4.

Abstract

BACKGROUND

Court Mental Health Liaison and Diversion Services (CMHLDS) have developed in some countries as a response to the over-representation of mental illness and other vulnerabilities amongst defendants presenting to criminal justice (or correctional) systems. This study examined the characteristics and rates of mental disorder of 9088 defendants referred to CMHLDS.

METHOD

The study analysed service level data, obtained from the National Health Service's mental health data set, to examine characteristics relating to gender, ethnicity and comorbidity of common mental and neurodevelopmental disorders at five CMHLDS across London between September 2015 and April 2017.

RESULTS

The sample included 7186 males (79.1%) and 1719 females (18.9%), the gender of 183 (2%) were not recorded. Of those referred, 6616 (72.8%) presented with an identifiable mental disorder and 503 (5.5%) with a neurodevelopmental disorder (NDD). Significantly higher rates of schizophrenia were reported amongst Black defendants (n = 681; 37.2%) and Asian defendants (n = 315; 29%), while higher rates of depression were found amongst White defendants (n = 1007; 22.1%). Substance misuse was reported amongst 2813 defendants (31%), and alcohol misuse amongst 2111 (23.2%), with significantly high rates of substance and alcohol misuse amongst defendants presenting with schizophrenia or personality disorder.

CONCLUSIONS

This is one of the largest studies to examine mental health needs and vulnerabilities amongst defendants presenting to CMHLDS. It will enable an improved understanding of the required service designs and resources required to manage the healthcare pathways for people attending CMHLDS.

摘要

背景

法庭心理健康联络和转介服务(CMHLDS)在一些国家发展起来,作为对刑事司法(或矫正)系统中出现的精神疾病和其他弱势群体过多的回应。本研究调查了转介至 CMHLDS 的 9088 名被告的精神障碍特征和发生率。

方法

该研究分析了服务水平数据,这些数据来自国家卫生服务中心的心理健康数据集,以检查 2015 年 9 月至 2017 年 4 月期间在伦敦五个 CMHLDS 中与性别、族裔和常见精神和神经发育障碍共病相关的特征。

结果

样本包括 7186 名男性(79.1%)和 1719 名女性(18.9%),183 名(2%)的性别未记录。在转介的人群中,有 6616 人(72.8%)患有可识别的精神障碍,503 人(5.5%)患有神经发育障碍(NDD)。黑人被告(n=681;37.2%)和亚裔被告(n=315;29%)报告的精神分裂症发病率明显较高,而白人被告(n=1007;22.1%)报告的抑郁症发病率较高。2813 名被告(31%)报告有物质滥用,2111 名被告(23.2%)报告有酒精滥用,在出现精神分裂症或人格障碍的被告中,物质和酒精滥用的比率明显较高。

结论

这是一项对转介至 CMHLDS 的被告的心理健康需求和脆弱性进行检查的最大规模研究之一。它将使人们更好地了解管理参加 CMHLDS 的人员的医疗保健途径所需的服务设计和资源。

相似文献

2
Evaluation of a liaison and diversion Court Mental Health Service for defendants with neurodevelopmental disorders.
Res Dev Disabil. 2021 Dec;119:104103. doi: 10.1016/j.ridd.2021.104103. Epub 2021 Oct 7.
3
A realist evaluation of an enhanced court-based liaison and diversion service for defendants with neurodevelopmental disorders.
Crim Behav Ment Health. 2024 Apr;34(2):117-133. doi: 10.1002/cbm.2315. Epub 2023 Nov 6.
4
Prevalence of mental disorders in defendants at criminal court.
BJPsych Open. 2022 May 12;8(3):e92. doi: 10.1192/bjo.2022.63.
5
A women's worker in court: a more appropriate service for women defendants with mental health issues?
Perspect Public Health. 2010 Mar;130(2):91-6. doi: 10.1177/1757913909360455.
6
Mental disorder amongst defendants in Liverpool Magistrates' Court.
Med Sci Law. 1994 Oct;34(4):279-83. doi: 10.1177/002580249403400402.
7
Prevalence and detection of serious psychiatric disorder in defendants attending court.
Lancet. 1999 Mar 27;353(9158):1053-6. doi: 10.1016/S0140-6736(98)08094-5.
8
Liaison and diversion services in South East London: Referral patterns over a 25-year period.
Med Leg J. 2021 Sep;89(3):166-172. doi: 10.1177/00258172211010558. Epub 2021 Jul 4.
9
Prisoners with neurodevelopmental difficulties: Vulnerabilities for mental illness and self-harm.
Crim Behav Ment Health. 2019 Dec;29(5-6):308-320. doi: 10.1002/cbm.2132.

引用本文的文献

本文引用的文献

1
Mental health services are failing the criminal justice system.
BMJ. 2022 Jan 26;376:e069776. doi: 10.1136/bmj-2021-069776.
2
Evaluation of a liaison and diversion Court Mental Health Service for defendants with neurodevelopmental disorders.
Res Dev Disabil. 2021 Dec;119:104103. doi: 10.1016/j.ridd.2021.104103. Epub 2021 Oct 7.
3
Liaison and diversion services in South East London: Referral patterns over a 25-year period.
Med Leg J. 2021 Sep;89(3):166-172. doi: 10.1177/00258172211010558. Epub 2021 Jul 4.
4
The prevalence of mental illness and unmet needs of police custody detainees.
Crim Behav Ment Health. 2021 Apr;31(2):80-95. doi: 10.1002/cbm.2193. Epub 2021 Apr 5.
5
Differences between homeless and non-homeless people in a matched sample referred for mental health reasons in police custody.
Int J Soc Psychiatry. 2020 Sep;66(6):576-583. doi: 10.1177/0020764020920904. Epub 2020 May 21.
6
Alternatives to custodial remand for women in the criminal justice system: A multi-sector approach.
Crim Behav Ment Health. 2020 Jun;30(2-3):68-78. doi: 10.1002/cbm.2144. Epub 2020 Mar 25.
7
Prisoners with neurodevelopmental difficulties: Vulnerabilities for mental illness and self-harm.
Crim Behav Ment Health. 2019 Dec;29(5-6):308-320. doi: 10.1002/cbm.2132.
9
Mental health in the criminal justice system: A pathways approach to service and research design.
Crim Behav Ment Health. 2019 Aug;29(4):207-217. doi: 10.1002/cbm.2128. Epub 2019 Sep 2.
10
Modernising Fitness to Plead.
Med Sci Law. 2019 Jul;59(3):131-134. doi: 10.1177/0025802419863937.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验