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住院医师对预预约分流计划的看法。

Resident perspectives on a pre-booking diversion program.

作者信息

McClelland Evan, Shefner Ruth T, Johnson Josephine, Anderson Evan D

机构信息

Perelman School of Medicine at the University of Pennsylvania, 3620 Hamilton Walk, Philadelphia, Pennsylvania 19104, United States.

Columbia University Mailman School of Public Health, Department of Sociomedical Sciences, 722 W 168 Street, New York, NY, United States.

出版信息

Contemp Drug Probl. 2024 Jun;51(2):129-141. doi: 10.1177/00914509241246083. Epub 2024 Apr 24.

Abstract

Numerous cities are experimenting with pre-booking diversion programs that allow police officers to divert community members to supportive services in instances that would otherwise result in arrest and prosecution. These programs aim to decrease harmful involvement with the criminal justice system while reducing crime and public disorder. Although previous research has explored the experiences of people receiving diversion referrals and of police officers initiating them, none have examined the perspectives of community members who can offer crucial insights into planning, evaluation, and implementation barriers. We administered a survey to 293 people living in four police districts where the Philadelphia Police Department operates a pre-booking diversion program. The survey explored residents' perspectives on the program as well as their broader views on associated issues like decriminalization of substance use, sex work, and minor theft. Bivariate χ2 tests and multivariate logistic regression examined differences in responses between subgroups. Perspectives were diverse and varied based on demographic attributes of the respondents as well as on district level attributes, like crime patterns. Most surveyed community members perceived pre-booking diversion to be a valuable tool for improving the experiences and outcomes of policing. However, residents living in areas with more crime and with more public disorder held significantly less positive perspectives. Their skepticism may reflect the possibility that pre-booking diversion and similar reforms are necessary but not sufficient to transforming individual health and public safety in some areas.

摘要

许多城市正在试验预登记分流项目,该项目允许警察在一些原本会导致逮捕和起诉的情况下,将社区成员转介到支持性服务机构。这些项目旨在减少与刑事司法系统的有害接触,同时减少犯罪和公共秩序混乱。尽管此前的研究探讨了接受分流转介的人和发起转介的警察的经历,但没有人研究过社区成员的观点,而他们的观点对于规划、评估和实施障碍能提供至关重要的见解。我们对居住在费城警察局开展预登记分流项目的四个警区的293人进行了一项调查。该调查探讨了居民对该项目的看法,以及他们对诸如物质使用、性工作和轻微盗窃非刑罪化等相关问题的更广泛观点。双变量χ2检验和多变量逻辑回归分析了不同亚组之间的反应差异。观点因受访者的人口统计学特征以及地区层面的特征(如犯罪模式)而异。大多数接受调查的社区成员认为预登记分流是改善治安体验和结果的一项有价值的工具。然而,生活在犯罪率较高和公共秩序较混乱地区的居民的积极看法明显较少。他们的怀疑可能反映出这样一种可能性,即预登记分流和类似改革对于在某些地区改变个人健康和公共安全而言是必要的,但并不充分。

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