• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>The British journal of psychiatry : >Pressures to adhere to treatment (‘leverage’) in English mental healthcare
【24h】

Pressures to adhere to treatment (‘leverage’) in English mental healthcare

机译：在英语精神保健中坚持治疗（“杠杆”）的压力

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background Coercion has usually been equated with legal detention. Non-statutory pressures to adhere to treatment, a€?leveragea€?, have been identified as widespread in US public mental healthcare. It is not clear if this is so outside the USA. Aims To measure rates of different non-statutory pressures in distinct clinical populations in England, to test their associations with patient characteristics and compare them with US rates. Method Data were collected by a structured interview conducted by independent researchers supplemented by data extraction from case notes. Results We recruited a sample of 417 participants from four differing clinical populations. Lifetime experience of leverage was reported in 35% of the sample, 63% in substance misusers, 33% and 30% in the psychosis samples and 15% in the non-psychosis sample. Leverage was associated with repeated hospitalisations, substance misuse diagnosis and lower insight as measured by the Insight and Treatment Attitudes Questionnaire. Housing leverage was the most frequent form (24%). Levels were markedly lower than those reported in the USA. Conclusions Non-statutory pressure to adhere to treatment (leverage) is common in English mental healthcare but has received little clinical or research attention. Urgent attention is needed to understand its variation and place in community practice.
机译：背景强制通常被视为合法拘留。在美国公共精神卫生保健中，普遍存在坚持治疗的非法定压力，即“杠杆”。目前尚不清楚在美国以外是否如此。目的：测量英格兰不同临床人群中不同法定压力的比率，以检验其与患者特征的关联，并将其与美国比率进行比较。方法通过独立研究人员进行的结构化访谈收集数据，并从案例记录中提取数据。结果我们从四个不同的临床人群中收集了417名参与者的样本。据报告，在35％的样本，滥用药物的63％，精神病样本的33％和30％以及非精神病样本的15％中，有终身使用杠杆的经历。杠杆作用与反复住院，药物滥用诊断和较低的洞察力有关，这由洞察力和治疗态度问卷调查得出。住房杠杆是最常见的形式（24％）。该水平明显低于美国报道的水平。结论坚持治疗（杠杆）的非法定压力在英国精神卫生保健中很常见，但很少受到临床或研究关注。需要紧急关注以了解其在社区实践中的变化和位置。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号