Mikkelsen E J
Psychiatr Q. 1980 Fall;52(3):190-200. doi: 10.1007/BF01071736.
One hundred admissions to a hospital for the criminally insane are reviewed. Within this sample 20% were referrals from psychiatric hospitals and 30% were transferred from prison. The remainder were referred from the courts for evaluations. In 44 cases this was for an evaluation of competency to stand trial and in 6 cases the referrals were for evaluation prior to sentencing. An analysis of the subgroups and individual cases indicates that mentally ill patients are often referred to facilities for the criminally insane because the appropriate wards do not exist within the mental health system. This exposes them to a criminal population and results in negative social labelling. A large proportion of those referred from prisons have consciously manipulated their transfer in order to do "soft time". This also confers on them future advantage by virtue of being labelled more mental than criminal. The majority of those referred for competency evaluations could easily have been assessed in a non-inpatient setting. In these cases the referral appeared to be a covent request for treatment or a legal maneuver. Methods for solving these problems are briefly discussed.
对一家收治刑事精神病患者的医院的100例入院病例进行了回顾。在这个样本中，20%是来自精神病医院的转诊，30%是从监狱转来的。其余的是由法院转来进行评估的。在44例中，这是为了评估受审能力，在6例中，转诊是为了在量刑前进行评估。对亚组和个别病例的分析表明，精神病患者经常被转诊到刑事精神病患者机构，因为心理健康系统中没有合适的病房。这使他们接触到犯罪人群，并导致负面的社会标签。从监狱转来的很大一部分人有意识地操纵了他们的转移，以便度过“轻松时光”。这也使他们因被贴上更多精神问题而非犯罪问题的标签而在未来获得优势。大多数被转诊进行能力评估的人很容易在非住院环境中得到评估。在这些情况下，转诊似乎是对治疗的常规请求或一种法律策略。文中简要讨论了解决这些问题的方法。
