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首页> 美国卫生研究院文献>Taylor Francis Open Select >Admitting offenders with antisocial personality disorder to a medium secure unit: a qualitative examination of multidisciplinary team decision-making
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Admitting offenders with antisocial personality disorder to a medium secure unit: a qualitative examination of multidisciplinary team decision-making

机译：将具有反社会人格障碍的罪犯接纳为中等安全的单位：对多学科团队决策的定性检查

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摘要

This paper reports on the results of a qualitative study funded by the Economic and Social Research Council (ESRC) looking at multidisciplinary team decisions to admit sentenced offenders with antisocial personality disorder to a medium secure unit. The aim of the study was to examine admission decision-making from a multidisciplinary perspective, and to explore the interprofessional dynamics and contextual pressures informing those decisions. The primary method of data collection was 12 semi-structured interviews with a convenience sample of various multidisciplinary staff involved in pre-admission assessment and post-assessment decision-making. Data was then coded according to the dialectic of competitive and cooperative goal seeking within groups. The findings suggest that, whilst both forms of goal seeking inform admission decisions, the presence of significant resource pressures will lead to decisional solidarity among the multidisciplinary team. When minor professional disagreements arise, they are resolved by the group leader, the Responsible Clinician, in order to maximise group productivity. It is argued that the discursive-limiting effect of resource pressures on group decision-making may weaken the morale of certain front line staff, if not undermine institutional purpose.
机译：本文报道了由经济及社会研究理事会（ESRC）资助进行的定性研究的结果，该研究考察了多学科团队的决定，以将具有反社会人格障碍的被判罪犯接纳为中等安全的单位。这项研究的目的是从多学科的角度研究入学决策，并探讨专业间的动态和情境压力来指导这些决策。数据收集的主要方法是进行12次半结构化访谈，其中包括方便的样本，这些样本涉及入学前评估和评估后决策的各种多学科人员。然后根据组内竞争和合作目标寻求的辩证法对数据进行编码。研究结果表明，尽管这两种形式的目标寻求都可以为入学决策提供依据，但巨大的资源压力将导致多学科团队之间的决策团结。当出现较小的专业分歧时，由小组负责人负责的临床医生解决，以最大程度地提高小组的工作效率。有人认为，资源压力对小组决策的话语限制作用可能会削弱某些一线员工的士气，即使这不会破坏机构目的。

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