Violence Prevention Climate in Civil and Forensic Mental Health Settings: Common Goal, Different Views?

IF 1.3 4区 医学 Q3 CRIMINOLOGY & PENOLOGY
Marie-Hélène Goulet, Marjolie Latulippe, Pierre Pariseau-Legault, N. Hallett, A. Crocker
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Abstract

Abstract This study aimed to explore staff and patients’ views on the violence prevention climate in civil and forensic mental health settings. We conducted a cross-sectional survey of 110 inpatients and 198 staff members from three civil mental health hospitals (including two forensic units) and one forensic mental health hospital in Canada. Staff and patients’ perceptions of the violence prevention climate on civil and forensic mental health units were measured using the modified violence prevention climate scale, French version (VPC-M-FR). Multiple analyses of variance (ANOVAs) were performed to assess differences in the VPC-M-FR total and subscale scores (staff action, patient action, therapeutic environment) between patients and staff, settings (civil vs. forensic), restrictive practices (presence vs. absence of seclusion or restraints), incidents of violence during hospitalization (presence vs. absence), and victimization (presence vs. absence). In both settings, patients’ views of the violence prevention climate were significantly more positive than those of the staff. Staff in forensic mental health settings had a more positive perception of the violence prevention climate than those in civil mental health units. The results contribute to a better understanding of the violence prevention climate among staff and patients and will guide future interventions within civil and forensic settings.
民事和司法心理健康环境中的暴力预防氛围:共同目标,不同观点?
摘要本研究旨在探讨民事和司法精神卫生机构工作人员和患者对预防暴力氛围的看法。我们对加拿大三家民事精神卫生医院(包括两家法医单位)和一家法医精神卫生医院的110名住院病人和198名工作人员进行了横断面调查。工作人员和病人对民事和法医精神卫生单位的预防暴力气氛的看法采用修改后的预防暴力气氛量表,法语版(VPC-M-FR)进行测量。采用多元方差分析(ANOVAs)来评估患者和工作人员之间的VPC-M-FR总分和子量表得分(工作人员行为、患者行为、治疗环境)、环境(民事与司法)、限制性做法(存在与不存在隔离或约束)、住院期间的暴力事件(存在与缺席)和受害(存在与缺席)的差异。在这两种情况下,患者对预防暴力气氛的看法明显比工作人员更积极。法医精神卫生机构的工作人员对预防暴力气氛的看法比民事精神卫生机构的工作人员更为积极。研究结果有助于更好地了解工作人员和病人之间的预防暴力气氛,并将指导今后在民事和法医环境中采取干预措施。
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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