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首页> 外文期刊>The journal of forensic psychiatry & psychology >A systematic review of effective therapeutic interventions and management strategies for challenging behaviour in women in forensic mental health settings
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A systematic review of effective therapeutic interventions and management strategies for challenging behaviour in women in forensic mental health settings

机译：对法医卫生环境妇女挑战性行为的有效治疗干预措施和管理策略的系统综述

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摘要

Women in secure forensic mental health care require therapy and care that is responsive to their specific needs. Despite the policy recognition that women require a distinct service, evidence based practice is not available for this population. This review was undertaken in response to a clinical need within a medium secure unit in Glasgow that was experiencing high levels of challenging behaviour, in a female ward. The review aimed to identify effective strategies or interventions for the management of challenging behaviour in women in secure services and, therefore, improve practice and patient care. A synthesis of the findings from the 11 identified studies revealed variability in the approaches used to support women in forensic services, including: behavioural programmes; organisational change with a focus on staff training and support; medication; ECT and mechanical restraint. The challenging behaviours assessed included self-harm; physical and verbal aggression; suicide attempts and arson/fire setting. The majority of articles suggested some improvement in aspects of challenging behaviour, however this was limited by the lack of control groups and small sample sizes. Further investigation is required to find out whether interventions identified in this review can sustain a reduction in challenging behaviours in the long-term.
机译：妇女在安全的法医精神保健需要治疗和护理，这对他们的特定需求敏感。尽管妇女需要务实的政策认识，但妇女需要独特的服务，因此基于证据的做法不适用于这一人口。本综述是为了回应格拉斯哥中的中等安全机组内的临床需求，在一个女性病房中经历了高水平的挑战性行为。审查旨在确定在安全服务中持有挑战性行为的有效策略或干预，因此，改善实践和患者护理。来自11所确定的研究的结果的合成揭示了用于支持法医服务中妇女的方法的可变性，包括：行为计划;组织变革，重点是员工培训和支持;药物;和机械束缚。评估的具有挑战性的行为包括自我危害;身体和口头侵略;自杀企图和纵火/火灾设置。大多数文章都提出了挑战性行为方面的一些改善，但这受到缺乏对照组和小样本尺寸的限制。需要进一步调查来了解本综述中确定的干预措施是否可以长期维持挑战性行为的减少。

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