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首页> 外文期刊>BMC Psychiatry >The identification and management of ADHD offenders within the criminal justice system: a consensus statement from the UK Adult ADHD Network and criminal justice agencies
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The identification and management of ADHD offenders within the criminal justice system: a consensus statement from the UK Adult ADHD Network and criminal justice agencies

机译：刑事司法系统中对ADHD罪犯的识别和管理：英国成人ADHD网络和刑事司法机构的共识声明

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The UK Adult ADHD Network (UKAAN) was founded by a group of mental health specialists who have experience delivering clinical services for adults with Attention Deficit Hyperactivity Disorder (ADHD) within the National Health Service (NHS). UKAAN aims to support mental health professionals in the development of services for adults with ADHD by the promotion of assessment and treatment protocols. One method of achieving these aims has been to sponsor conferences and workshops on adult ADHD. This consensus statement is the result of a Forensic Meeting held in November 2009, attended by senior representatives of the Department of Health (DoH), Forensic Mental Health, Prison, Probation, Courts and Metropolitan Police services. The objectives of the meeting were to discuss ways of raising awareness about adult ADHD, and its recognition, assessment, treatment and management within these respective services. Whilst the document draws on the UK experience, with some adaptations it can be used as a template for similar local actions in other countries. It was concluded that bringing together experts in adult ADHD and the Criminal Justice System (CJS) will be vital to raising awareness of the needs of ADHD offenders at every stage of the offender pathway. Joint working and commissioning within the CJS is needed to improve awareness and understanding of ADHD offenders to ensure that individuals are directed to appropriate care and rehabilitation. General Practitioners (GPs), whilst ideally placed for early intervention, should not be relied upon to provide this service as vulnerable offenders often have difficulty accessing primary care services. Moreover once this hurdle has been overcome and ADHD in offenders has been identified, a second challenge will be to provide treatment and ensure continuity of care. Future research must focus on proof of principle studies to demonstrate that identification and treatment confers health gain, safeguards individual's rights, improves engagement in offender rehabilitation programmes, reduces institutional behavioural disturbance and, ultimately, leads to crime reduction. In time this will provide better justice for both offenders and society.
机译：英国成人多动症网络（UKAAN）由一群精神卫生专家建立，他们在国家卫生局（NHS）内为患有注意力缺陷多动障碍（ADHD）的成年人提供临床服务方面具有丰富经验。 UKAAN旨在通过促进评估和治疗方案，支持精神卫生专业人员为成人多动症提供服务。实现这些目标的一种方法是赞助有关成人多动症的会议和讲习班。该共识声明是2009年11月举行的法医会议的结果，卫生部（DoH），法医精神卫生，监狱，缓刑，法院和都市警察部门的高级代表出席了会议。这次会议的目的是讨论提高成人多动症意识的方法，以及在各自服务机构中对其认识，评估，治疗和管理的意识。尽管该文件借鉴了英国的经验，但经过一些修改后，可以用作其他国家类似地方行动的模板。结论是，将成年人多动症和刑事司法系统（CJS）方面的专家召集在一起，对于提高人们对多动症犯罪者在犯罪途径中各个阶段的需求的认识至关重要。需要在CJS内开展联合工作和试运行，以提高对多动症犯罪者的认识和了解，以确保个人得到适当的照料和康复。全科医生虽然理想地可以进行早期干预，但不应依靠该医生来提供这项服务，因为易受伤害的罪犯常常难以获得初级保健服务。此外，一旦克服了这一障碍，并确定了罪犯的多动症，第二个挑战将是提供治疗并确保护理的连续性。未来的研究必须集中在原则研究的证据上，以证明识别和治疗可以带来健康收益，维护个人权利，改善对犯罪者康复计划的参与，减少机构行为上的干扰并最终导致犯罪减少。随着时间的流逝，这将为罪犯和社会提供更好的正义。

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