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首页> 外文期刊>The Australian and New Zealand journal of psychiatry >Psychiatric disorders and unmet needs in Australian police cells.
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Psychiatric disorders and unmet needs in Australian police cells.

机译：精神病和澳大利亚警察牢房的需求未得到满足。

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OBJECTIVE: To determine the prevalence of current psychiatric disorders and unmet needs in a sample of police cell detainees in Victoria. METHOD: A cross-sectional descriptive study was conducted, including data linkage with the Victoria Police database and the Victorian Psychiatric Case Register. In Melbourne, Australia, 150 detainees were recruited from two busy metropolitan police stations. Outcome measures included estimated rates of psychiatric disorders, using the Structured Clinical Interview for DSM-IV-TR, and individual needs, using the Camberwell Assessment of Need - Forensic Version. RESULTS: One quarter (n = 32, 25.4%) of detainees had a prior admission to a psychiatric hospital, and three quarters met current criteria for a diagnosable mental disorder. The most common disorders were substance dependence (n = 81, 54%) and mood disorders (n = 60, 40%). A third met diagnostic criteria for both a mental illness and a substance use disorder. The odds of being classified with mood (OR = 10.1), anxiety (OR = 2.2), psychotic (OR = 15.4) and substance use disorders (OR = 26.3) were all significantly higher in the current sample as compared with the general population. Detainees with a mental illness identified significantly more needs and significantly more unmet needs (e.g. psychological distress) than those who did not rate as having a current mental illness. CONCLUSIONS: There remains a pressing need to evaluate standardized screening tools for mental illnesses in police cells to provide timely access to assessment and treatment services. The need for functional interagency collaborations are highlighted and discussed.
机译：目的：确定维多利亚州警察牢房中被拘留者样本中当前精神病的患病率和未满足的需求。方法：进行了横断面描述性研究，包括与维多利亚州警察数据库和维多利亚州精神病案件登记簿的数据链接。在澳大利亚墨尔本，从两个繁忙的大都市警察局招募了150名被拘留者。结果测量包括使用DSM-IV-TR的结构化临床访谈估计的精神疾病发生率，以及使用Camberwell需求评估-法医版评估的个人需求。结果：四分之一（n = 32，25.4％）的被拘留者曾先后入过精神病医院，四分之三符合当前可诊断的精神障碍标准。最常见的疾病是物质依赖（n = 81，54％）和情绪障碍（n = 60，40％）。三分之一符合精神疾病和药物滥用障碍的诊断标准。与一般人群相比，当前样本中根据情绪（OR = 10.1），焦虑（OR = 2.2），精神病（OR = 15.4）和药物滥用（OR = 26.3）分类的几率均显着更高。与没有被评定为患有当前精神疾病的被拘留者相比，患有精神疾病的被拘留者发现了更多的需求和未满足的需求（例如心理困扰）。结论：迫切需要评估警察牢房中精神疾病的标准化筛查工具，以便及时获得评估和治疗服务。强调并讨论了职能部门间协作的需求。

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