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[安全与家庭紧急情况的精神科干预措施]

[Security and home emergency psychiatric interventions].

作者信息

Pochard F, Robin M, Regel I, Mauriac F, Waddington A, Kannas S

机构信息

Equipe Rapide d'Intervention Crise (ERIC), Plaisir.

出版信息

Encephale. 1998 Jul-Aug;24(4):324-9.

PMID:9809237
Abstract

Sectorisation of cares leads professionals to a confrontation with violent home patients. These interventions need a maximal security for professionals. Emergency Mobile Crisis Team (ERIC) has more than 6,000 crisis home interventions' experience. The aim of this study was to assess violent situations during a 42 months experience. We present 70 situations of danger for professionals, and their consequences. Difficulties lead to procedural safety measures, which are presented. Prevention of violence during intervention needs an acute preparation, a clear evaluation of context, and passive or active securisation measures. Occurrence of acting-out is low, but situations considered as dangerous are frequent. We propose some pragmatic issues to increase security in crisis home interventions.

摘要

护理部门化使专业人员面临与暴力居家患者的对抗。这些干预措施需要为专业人员提供最大程度的安全保障。紧急移动危机应对小组(ERIC)拥有超过6000次危机居家干预的经验。本研究的目的是评估42个月经验期间的暴力情况。我们呈现了70例对专业人员构成危险的情况及其后果。困难促使出台了程序性安全措施,在此予以介绍。干预期间预防暴力需要进行充分准备、对环境进行明确评估以及采取被动或主动的安全保障措施。暴力行为的发生率较低,但被视为危险的情况却很常见。我们提出了一些务实的问题,以提高危机居家干预中的安全性。

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