治疗法庭和其他专业法庭为退伍军人开具精神病药物处方的模式。

IF 1.3 4区 医学 Q3 PSYCHIATRY
Jack Tsai, Nicholaus J Christian, Dorota Szymkowiak
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引用次数: 0

摘要

精神科药物可以作为解决涉及刑事司法(CJI)的退伍军人行为健康问题的重要工具。本研究使用了美国退伍军人事务部(VA)退伍军人司法外展项目在 2019 年至 2020 年期间收集的 12790 名参与刑事司法调查的退伍军人的全国数据,比较了进入退伍军人治疗法庭(n = 6975)、其他专业法庭(SC;n = 414)或无专业法庭(n = 5401)的退伍军人的精神科药物处方模式。对不同类别的药物进行了研究,包括抗抑郁药、兴奋剂、抗精神病药、苯二氮卓类药物和治疗药物使用障碍的药物。结果显示,在所有样本中,有 60.2% 的人在加入退伍军人司法外展计划后的 1 年内服用过精神科药物。退伍军人治疗法庭组、其他 SC 组和非 SC 组在开具精神科药物的总体情况上没有明显差异,但在某些精神科药物类别上存在一些差异。此外,在无 SC 组别中,约有 7.8% 的退伍军人在被开具精神病药物处方时没有精神病诊断。年龄较轻、非西班牙裔白人、已婚、有退伍军人事务部认定的伤残等级、有精神和/或药物使用障碍诊断、使用退伍军人事务部医疗服务较多的退伍军人更有可能被处方精神科药物。这些发现共同说明了精神科药物在法院和服务于CJI退伍军人的项目中的重要作用,以及退伍军人服务参与和精神科处方之间的重要联系。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Patterns of Psychiatric Medication Prescriptions for Veterans in Treatment Courts and Other Specialty Courts.

Psychiatric medications can serve as important tools for addressing behavioral health issues among criminal justice-involved (CJI) veterans. This study used national data on 12,790 CJI veterans in the U.S. Department of Veterans Affairs (VA) Veterans Justice Outreach program from 2019 to 2020 to compare patterns of psychiatric medication prescriptions among veterans who entered a veterans treatment court (n = 6975), another specialty court (SC; n = 414), or no-SC (n = 5401). Different classes of medications were examined, including antidepressants, stimulants, antipsychotics, benzodiazepines, and medications for substance use disorders. The results showed that 60.2% of the total sample was prescribed a psychiatric medication within 1 year of entering the Veterans Justice Outreach program. There was no significant difference in overall psychiatric prescribing among veterans treatment court, other SC, and no-SC groups, but there were a few differences in certain classes of psychiatric medications. Moreover, about 7.8% of veterans who were in the no-SC group and were prescribed psychiatric medications did not have a psychiatric diagnosis. Veterans who were younger, non-Hispanic white, married, with a VA service-connected disability rating, had a diagnosis of mental and/or substance use disorder, and used more VA health care services were more likely to have been prescribed psychiatric medication. Together, these findings illustrate the essential role of psychiatric medications in courts and programs that serve CJI veterans, as well as the important link between VA service engagement and psychiatric prescriptions.

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来源期刊
CiteScore
2.30
自引率
10.50%
发文量
159
审稿时长
>12 weeks
期刊介绍: Journal of Psychiatric Practice® seizes the day with its emphasis on the three Rs — readability, reliability, and relevance. Featuring an eye-catching style, the journal combines clinically applicable reviews, case studies, and articles on treatment advances with practical and informative tips for treating patients. Mental health professionals will want access to this review journal — for sharpening their clinical skills, discovering the best in treatment, and navigating this rapidly changing field. Journal of Psychiatric Practice combines clinically applicable reviews, case studies, and articles on treatment advances with informative "how to" tips for surviving in a managed care environment.
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