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首页> 外文期刊>Behavioral sciences & the law >Transfers to civil psychiatric inpatient services from a maximum security forensic hospital
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Transfers to civil psychiatric inpatient services from a maximum security forensic hospital

机译：从最高安全的法医医院转移到民事精神科住院服务

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Objective To examine inpatients discharged from a forensic psychiatric hospital to a civil hospital at the completion of their correctional sentence. Method Extract information from a patient database. Results About 20% of the discharges from the New York State forensic hospital that serves mentally ill state prison inmates, Central New York Psychiatric Center (CNYPC), are transferred to a civil psychiatric hospital; the remainder are returned to a correctional setting. Although their diagnoses, Global Assessment of Functioning scores, and number of prior inpatient admissions are similar, CNYPC transfers stay 1~(1/2) times as long in their civil hospital admission as other civil hospital admissions. If total inpatient hospitalization before release to the community at large is considered (CNYPC plus the subsequent civil hospital), the stay is about 2~(1/2) times as long. Fifty-two percent of the CNYPC transfers had been incarcerated for violent offenses and 28% are re-hospitalized within 12 months after release from the civil hospital. Discussion Longer lengths of stay in the civil hospital for these CNYPC transfers do not seem to be related to psychiatric functioning. Instead, it may be related to being harder to place in a community setting. All these CNYPC transfers have prison histories, many have a violent offense history, and all have been geographically remote from their home communities for a long time periods. As a result, the social support networks of CNYPC transfers may be weaker than those of other civil inpatients. The families and neighborhood agencies of CNYPC transfers are probably less willing to accept them on their return than those of other civil patients. Enhanced discharge planning and support services targeted specially for correctional transfers to a civil psychiatric inpatient environment should be considered. These type of service may reduce inpatient length of stay and thereby allow the inpatient resources to be used by other patients.
机译：目的检查惩教完成后从法医精神病医院出院到民用医院的住院病人。方法从患者数据库中提取信息。结果纽约中央法医中心（CNYPC）为患有精神病的州监狱囚犯提供服务的纽约州法医医院约有20％的出院被转移到一家民用精神病医院。其余的将返回到校正设置。尽管他们的诊断，功能评估总分和以前的住院病人数量相似，但CNYPC病历在民用医院住院期间的住院时间是其他民用医院住院期间的1〜（1/2）倍。如果考虑在全面释放之前（CNYPC加随后的民用医院）住院的总住院时间，那么住院时间大约是住院时间的2〜（1/2）倍。 CNYPC转移中有52％因暴力犯罪而被监禁，而28％在从民用医院被释放后的12个月内被重新住院。讨论这些CNYPC转移在公立医院住院的时间更长似乎与精神功能无关。取而代之的是，这可能与在社区环境中放置广告更加困难有关。所有这些CNYPC的转移都有监狱的历史，许多都有暴力犯罪的历史，并且在很长一段时间内都远离他们的家乡。结果，CNYPC转移支付的社会支持网络可能比其他民用住院患者的社会支持网络薄弱。与其他民事患者相比，CNYPC转移支付的家庭和邻里机构可能不愿接受这些转移支付。应该考虑将出院计划和支持服务改进为专门用于向精神科住院病人环境中的矫正转移。这些服务类型可以减少住院时间，从而使住院资源可供其他患者使用。

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