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首页> 外文期刊>Emergency medicine journal: EMJ >From ED overcrowding to jail overcrowding: a cautionary tale of a Serial Inebriate Programme (SIP)
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From ED overcrowding to jail overcrowding: a cautionary tale of a Serial Inebriate Programme (SIP)

机译：从ED过度拥挤到监狱过度拥挤：串行醉酒程序的警示故事（SIP）

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Community-based programmes have been implemented to curtail ED use by individuals with chronic public intoxication. Among these programmes is the Serial Inebriate Programme (SIP), which aims to reduce use of ED and emergency medical services. We present the results of an evaluation of the SIP in Santa Cruz, California, including data on the participants’ police and jail history, information not considered in prior analyses of SIPs.In the present study, we used a retrospective cohort to evaluate the effectiveness of the SIP in Santa Cruz, California from 2013 to 2015. Specifically, we looked at the programme effects on participants’ arrests, nights in jail, use of the local ED and ambulance services after programme adjudication.The median number of visits to the ED for participants before and after adjudication was reduced from 4 to 1, and participants showed a significant decrease in their number of jail bookings following adjudication (?4.5 bookings; p=0.004). However, the average number of nights in jail served by participants after adjudication was 2.1 times the average number of nights spent in jail spent before programme adjudication (58.5 vs 27.6 nights in jail for postadjudication and preadjudication groups, respectively; p=0.009).Our findings suggest that the Santa Cruz SIP had some impact in reducing participants’ use of emergency services, but at the cost of increased jail time. The burdens of placing chronically intoxicated individuals in jail for extended periods of time are not trivial and should not be overlooked when designing and implementing a SIP.
机译：已经实施了基于社区的计划，以减少具有慢性公共毒害的个人使用。在这些计划中，是串行醉酒计划（SIP），旨在减少使用ED和紧急医疗服务。我们展示了加利福尼亚州圣克鲁斯SIP评估的结果，包括参与者警察和监狱历史的数据，在本研究中之前未考虑的信息不考虑，我们使用了回顾性队列来评估效果2013年至2015年加利福尼亚州Santa Cruz的Sip。具体来说，我们研究了对参与者的逮捕，夜间的程序影响，在计划裁决后使用当地ED和救护服务。对ED的访问数量的访问数量对于在裁决下降之前和之后的参与者，从4比1减少，参与者在裁决下的监狱预订数量显着下降（？4.5预订; P = 0.004）。然而，裁决后参与者服务的监狱中的平均夜晚的平均夜晚是在计划审判之前花费的平均夜晚的平均夜晚的平均夜晚（58.5 vs 27.6晚期，分别在监狱和普查群组的监狱中，分别为守则组; P = 0.009）。旅调查结果表明，Santa Cruz SIP对减少参与者使用的应急服务的影响有一些影响，但在增加的徒步时间增加。将长期陶醉个人在监狱中放置长时间的负担并不是微不足道，在设计和实施SIP时不应被忽视。

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