Timar Jasvant, Buurman Evi, Westen Koen, Delespaul Philippe
Reinier van Arkel, s-Hertogenbosch, Netherlands.
GGZ Breburg, Breda, Netherlands.
Front Psychol. 2024 Aug 27;15:1420565. doi: 10.3389/fpsyg.2024.1420565. eCollection 2024.
This study investigates the differences in treatment perspectives of prison guards and mental health practitioners within a Psychiatric Prison Unit (PPU).
This qualitative study uses questionnaires and focus groups to explore the relationships between prison guards ( = 4) and mental health professionals ( = 6) working at the Psychiatric Prison Unit in Zwolle, the Netherlands. Two questionnaires (the Recovery Attitude Questionnaire and the Recovery Knowledge Inventory) were completed by the participants. A selected subsample based on diverging beliefs concerning treatment perspectives was recruited for additional focus groups. The dialogues were transcribed and coded into a comprehensive scheme. Responses were analyzed to describe perceptions and attitudes of respondents towards forensic care.
This study identified three main themes: policy, communication, and person-dependent factors. Understaffing and high turnover rates in the correctional facility led to prioritization of safety concerns over treatment objectives. Guards and mental health professionals had different communication styles which hindered the alignment of treatment goals. Person-dependent factors, including personality traits and individual attributes, were significant in shaping collaborative interactions.
This study reveals agreement in the viewpoints between prison guards and mental health professionals but highlights the complex challenges in providing effective treatment within the confines of a correctional facility. These challenges are influenced by policy dynamics, communication limitations, and individual-specific factors.
本研究调查了精神病监狱单元（PPU）中狱警和心理健康从业者在治疗观点上的差异。
这项定性研究使用问卷和焦点小组来探索在荷兰兹沃勒的精神病监狱单元工作的狱警（n = 4）和心理健康专业人员（n = 6）之间的关系。参与者完成了两份问卷（康复态度问卷和康复知识量表）。基于对治疗观点的不同信念，选取了一个子样本参加额外的焦点小组。对话被转录并编码成一个综合方案。对回答进行分析，以描述受访者对法医护理的看法和态度。
本研究确定了三个主要主题：政策、沟通和个人相关因素。惩教设施人员不足和高离职率导致安全问题优先于治疗目标。狱警和心理健康专业人员有不同的沟通方式，这阻碍了治疗目标的一致。个人相关因素，包括性格特征和个人属性，在塑造协作互动方面具有重要意义。
本研究揭示了狱警和心理健康专业人员在观点上的一致性，但突出了在惩教设施范围内提供有效治疗的复杂挑战。这些挑战受到政策动态、沟通限制和个人特定因素的影响。
