对患有精神障碍罪犯进行精神病学评估的教育需求：针对日本指定精神科医生的问卷调查
Need for education of psychiatric evaluation of offenders with mental disorders: A questionnaire survey for Japanese designated psychiatrists.
作者信息
Shiina Akihiro, Niitsu Tomihisa, Iyo Masaomi, Fujii Chiyo
机构信息
Division of Medical Treatment and Rehabilitation, Chiba University Center for Forensic Mental Health, Chiba-shi 2608670, Japan.
Department of Psychiatry, Chiba University Graduate School of Medicine, Chiba-shi 2608670, Japan.
出版信息
World J Psychiatry. 2024 May 19;14(5):726-734. doi: 10.5498/wjp.v14.i5.726.
BACKGROUND
The management of offenders with mental disorders has been a significant concern in forensic psychiatry. In Japan, the introduction of the Medical Treatment and Supervision Act in 2005 addressed the issue. However, numerous psychiatric patients at risk of violence still find themselves subject to the administrative involuntary hospitalization (AIH) scheme, which lacks clarity and updated standards.
AIM
To explore current as well as optimized learning strategies for risk assessment in AIH decision making.
METHODS
We conducted a questionnaire survey among designated psychiatrists to explore their experiences and expectations regarding training methods for psychiatric assessments of offenders with mental disorders.
RESULTS
The findings of this study's survey suggest a prevalent reliance on traditional learning approaches such as oral education and on-the-job training.
CONCLUSION
This underscores the pressing need for structured training protocols in AIH consultations. Moreover, feedback derived from inpatient treatment experiences is identified as a crucial element for enhancing risk assessment skills.
背景
患有精神障碍的罪犯的管理一直是法医精神病学中的一个重大问题。在日本，2005年《医疗治疗和监督法》的出台解决了这一问题。然而，许多有暴力风险的精神病患者仍受行政非自愿住院（AIH）计划的约束，该计划缺乏明确性和更新的标准。
目的
探索当前以及优化后的AIH决策风险评估学习策略。
方法
我们对指定的精神科医生进行了问卷调查，以探讨他们对患有精神障碍罪犯的精神病学评估培训方法的经验和期望。
结果
本研究调查结果表明，普遍依赖传统学习方法，如口头教育和在职培训。
结论
这凸显了AIH咨询中结构化培训方案的迫切需求。此外，住院治疗经验反馈被认为是提高风险评估技能的关键因素。
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