Systems and Processes that Enable Progress for Older Forensic Mental Health Patients

IF 1.3 4区 医学 Q3 CRIMINOLOGY & PENOLOGY
Kate Walker, V. Furtado, J. Yates, T. Dening, B. Völlm, Chris Griffiths
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引用次数: 0

Abstract

Abstract Older forensic mental health patients have complex needs and requirements; service provision is required to address mental health, offending risk and issues associated with aging (geriatric care). This study aimed to identify the systems and processes that enable valued progress (in terms of quality of life, health, wellbeing, recovery and reduced risk) for older forensic mental health patients. Interviews were conducted with 48 members of staff working with these patients in secure hospitals or the community. Thematic analysis was used to analyze the data. Four overarching themes were identified regarding what facilitated or acted as a barrier in relation to quality of life, health, wellbeing and recovery. Multidisciplinary input, an individualized approach and implementing holistic and needs-led care was found to facilitate progress. However, lack of resources, excluding the patients in care planning, gaps in expertise and knowledge, and a lack of specialized units that could address mental health, forensic and elderly needs were found to be barriers. Extensive, multilevel and wide-ranging support is required specifically for older forensic mental health patients. Joint working is required between older adult and forensic mental health services incorporating geriatric medicine expertise in order to implement co-produced care and treatment plans.
使老年法医心理健康患者取得进展的系统和过程
老年法医精神卫生患者有复杂的需求和要求;需要提供服务,以解决心理健康、犯罪风险和与老龄化有关的问题(老年保健)。本研究旨在确定能够为老年法医精神健康患者带来有价值的进步(在生活质量、健康、福祉、康复和降低风险方面)的系统和过程。在安全的医院或社区与这些病人打交道的48名工作人员进行了访谈。采用主题分析法对数据进行分析。在生活质量、健康、福祉和康复方面,确定了四个总体主题,说明了是什么促成了或成为了什么障碍。发现多学科投入、个性化方法和实施整体和需求导向的护理有助于促进进展。然而,缺乏资源(不包括护理计划中的病人)、专业知识和知识方面的差距以及缺乏能够满足心理健康、法医和老年人需求的专门单位,被认为是障碍。需要特别为老年法医精神健康患者提供广泛、多层次和广泛的支持。老年人和法医精神卫生服务机构需要联合开展工作,纳入老年医学专业知识,以便执行共同制定的护理和治疗计划。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.80
自引率
7.10%
发文量
24
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