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Safety Fears Held by Caregivers about Relatives with Psychiatric Disorders

机译：护理人员关于与精神疾病的亲属持有的安全恐惧

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摘要

In this period of post-deinstitutionalization, much of the care for people with severe psychiatric disorders (PD) is provided by their families. A primary stressor for caregivers is fears regarding their own safety and that of others, which has been virtually unexplored. To fill this gap, factors in three domains were assessed: (1) relatives with PD, (2) family caregivers, and (3) interactions with each other. This investigation was a secondary analysis of data obtained from a national survey of caregivers of adults with mental illness conducted by the National Alliance for Caregiving. A subsample of 1,505 was used in the present study. Fear of harm was positively associated with the following factors: relatives with PD—serious mental health problem, alcohol and substance abuse, receipt of crisis mental health treatment, history of arrest; interaction—greater difficulty getting relative to take medications as prescribed; and fear that relative would be hurt by others or die by suicide. Social workers need to be cognizant of risk of potential violence against caregivers and ensure the safety of these family members, even if they may not be their primary clients. The article includes recommendations for family inclusion in the treatment of people with PD.
机译：在脱替原代表化的这一时期，对患有严重精神病疾病（PD）的人的大部分护理由他们的家庭提供。护理人员的主要压力乐队是对自己的安全和他人的安全性的担忧，这几乎是未开发的。为了填补这种差距，评估了三个域中的因素：（1）与PD，（2）家庭护理人员的亲属，（3）互相相互作用。本调查是对来自国家公理联盟的成年人护理人员的国家调查获得的数据进行了次要分析。本研究中使用了1,505的子样本。害怕危害与以下因素呈积极相关：亲属与PD严重的心理健康问题，酒精和药物滥用，收到危机心理健康治疗，逮捕史;相互作用的相互作用更难以服用饲养的药物;并且担心其他人会受到他人的伤害或通过自杀而死亡。社会工作者需要认识到潜在暴力的风险，并确保这些家庭成员的安全，即使它们可能不是他们的主要客户。本文包括在患有PD的人们治疗人们的家庭纳入的建议。

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