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高墙之内的精神病学:监狱中的心理健康服务

Psychiatry behind the walls: mental health services in jails and prisons.

作者信息

Osofsky H J

机构信息

Department of Psychiatry, Louisiana State University Medical Center, New Orleans 70112-2822, USA.

出版信息

Bull Menninger Clin. 1996 Fall;60(4):464-79.

PMID:9009375
Abstract

Throughout his professional career, Karl Menninger emphasized the importance of understanding criminal behavior and societal responses to such behavior. He focused on the need for more humane approaches within the criminal justice system. This article focuses on the current needs and anticipated directions for psychiatric services in prisons and jails, including comprehensive systems approaches that can facilitate better treatment and decrease repeat offenses. With the growing number of individuals being incarcerated in jails and prisons, and with higher percentages needing mental health services, it is important that effective mental health services be designed and implemented. Services should provide quality interventions and treatments for the inmates, must take into account and be respectful of the security needs of the facility, and must deal sensitively and thoughtfully with the stresses and factors that contribute to burnout among the professional staff and security officials. In this way, we can achieve part of Karl Menninger's dictum to provide better care for those who are unfortunate enough to have their behavior result in their being incarcerated in jails and prisons.

摘要

在其整个职业生涯中,卡尔·门宁格强调了理解犯罪行为以及社会对这类行为反应的重要性。他着重指出刑事司法系统需要采取更人道的方法。本文关注监狱和看守所中精神科服务的当前需求及预期发展方向,包括能够促进更好治疗并减少累犯的综合系统方法。随着被关押在监狱和看守所中的人数不断增加,且需要心理健康服务的比例更高,设计并实施有效的心理健康服务至关重要。这些服务应为囚犯提供高质量的干预措施和治疗,必须考虑并尊重设施的安全需求,还必须敏感且周全地应对导致专业工作人员和安保人员倦怠的压力及因素。通过这种方式,我们能够实现卡尔·门宁格的部分格言,即更好地照顾那些行为不幸导致其被关押在监狱和看守所中的人。

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