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Screening for mental disorder using the UK national offender assessment system

机译:使用英国国家罪犯评估系统筛查精神障碍

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Probation officers have large caseloads with high levels of psychiatric morbidity but receive minimal training in recognising/managing mental health problems. In the UK, there is no national screening procedure for mental illness among offenders that is considered effective. This study's aim was to develop a screening system for mental/personality disorders using the Offender Assessment System. Seven screens for mental disorder were developed using items from assessments on 574 prisoners: alcohol misuse, drug dependence, antisocial personality disorder, psychopathy, learning difficulties, psychosis and severe mood disturbance. Internal validation showed that the screens performed well across accuracy estimates. Prevalence of mental disorders identified with the screens in test and validation samples was similar. However, the psychopathy and severe mood disturbance screens may be more effective in screening for true negatives. The screens are an economical method for prioritising mental health needs of the UK prison and probation population using routinely collected data.
机译:缓刑官员的病案量很大,精神病发病率很高,但在识别/处理精神健康问题方面接受的培训最少。在英国,没有针对犯罪者的全国性筛查程序被认为是有效的。这项研究的目的是开发使用犯罪者评估系统的精神/人格障碍筛查系统。使用来自574名囚犯的评估项目开发了七个针对精神障碍的筛查项目:滥用酒精,药物依赖,反社会人格障碍,精神病,学习困难,精神病和严重的情绪障碍。内部验证表明,该屏幕在所有准确性估算中均表现良好。在测试和验证样本中通过筛查确定的精神障碍患病率相似。但是,精神病和严重的情绪障碍筛查可能更有效地筛查真正的阴性。屏幕是一种经济的方法,可以使用常规收集的数据来优先考虑英国监狱和缓刑人群的心理健康需求。

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