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首页> 外文期刊>Psychiatric rehabilitation journal >Co-Occurring Mental Illness, Substance Use Disorders, and Antisocial Personality Disorder Among Clients of Forensic Mental Health Services
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Co-Occurring Mental Illness, Substance Use Disorders, and Antisocial Personality Disorder Among Clients of Forensic Mental Health Services

机译：法医心理健康服务客户中同时发生的心理疾病，物质使用障碍和反社会人格障碍

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Objective: Despite the number of studies investigating co-occurring disorders, and more recently, co-occurring disorders and criminal offending, few studies have considered samples from forensic mental health services. The present study was conducted to investigate the relationship between mental illness, substance use disorders, antisocial personality disorder, and offending. Method: The prevalence of co-occurring disorders was investigated in 130 male offenders who had contact with the statewide forensic mental health service in Victoria, Australia. Offense histories and severity of offending were compared among participants diagnosed with a single mental illness (or no mental illness), co-occurring mental illness and substance use, and co-occurring disorders plus antisocial personality disorder. Results: The majority of participants had co-occurring mental and substance use disorders; a significant minority met the criteria for antisocial personality disorder. Participants with co-occurring mental illness and substance use disorders, and those who had an additional diagnosis of antisocial personality disorder, were responsible for more serious and frequent offending than those with mental illness alone. Conclusions and Implications for Practice: Forensic mental health services must take into account the effect that co-occurring disorders have on clients' functioning and offending. Those who work with people with psychiatric disabilities and co-occurring substance use disorders must ensure that the substance disorders are addressed to help ensure recovery from the mental illness and to reduce the likelihood of offending.
机译：目的：尽管有很多研究共同发生的疾病的研究，而且最近有关于共同发生的疾病和犯罪的研究，但很少有研究考虑过法医精神卫生服务的样本。本研究旨在调查精神疾病，药物滥用，反社会人格障碍和犯罪之间的关系。方法：在澳大利亚维多利亚州与全州法医精神卫生服务机构接触的130名男性罪犯中，调查了同时发生疾病的患病率。比较了被诊断患有单一精神疾病（或无精神疾病），并发精神疾病和药物滥用，并发疾病加上反社会人格障碍的参与者的犯罪历史和犯罪严重程度。结果：大多数参与者同时发生精神和物质使用障碍;少数人符合反社会人格障碍的标准。与同时患有精神疾病和物质使用障碍的参与者，以及那些另外诊断出反社会人格障碍的参与者相比，单独患有精神疾病的参与者所造成的后果更为严重和频繁。结论和实践意义：法医精神卫生服务必须考虑到同时发生的疾病对服务对象的功能和冒犯的影响。与精神病患者和同时发生的物质使用失调症患者一起工作的人必须确保解决该物质失调症，以帮助确保从精神疾病中康复并减少犯罪的可能性。

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