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首页> 外文期刊>The journal of forensic psychiatry & psychology >Short-term outcomes for forensic patients receiving an absolute discharge under the Canadian Criminal Code
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Short-term outcomes for forensic patients receiving an absolute discharge under the Canadian Criminal Code

机译：用于在加拿大刑法下获得绝对卸货的法医患者的短期结果

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摘要

There is insufficient knowledge regarding outcomes among persons who are no longer supervised by the forensic mental health system, and consequently little data to inform public perception regarding the risk of harm posed by such persons. We performed a retrospective case audit and one-year follow-up of all patients receiving an absolute discharge from compulsory forensic care in the years 2013 and 2014 (N = 60) and report on the prevalence of outcomes concerning mental health deterioration, treatment non-compliance, hospital readmission, substance use and recidivism. In the year following absolute discharge, rates of medication non-compliance, hospital readmission and violence increased significantly (odds ratios = 3.51-10.41). Discharged patients who engaged in violence or reoffending (n = 10) were characterized by greater substance use problems, and were less likely to be rated as low risk on the HCR-20. A comparison to a matched sample of community-dwelling but not absolutely discharged patients revealed that those not yet discharged experienced more symptoms of mental illness and greater problems with treatment compliance and social support. The low base rate of serious violence among absolutely discharged patients suggests that the decision-making model employed by the review board in our jurisdiction is a reasonably accurate and balanced one.
机译：对于不再受法医精神卫生系统监督的人的结果，没有足够的知识，因此，几乎没有数据让公众了解这些人造成伤害的风险。我们对2013年和2014年（N=60）接受强制法医护理绝对出院的所有患者进行了回顾性病例审计和一年随访，并报告了与心理健康恶化、治疗不合规、再次住院、药物使用和再犯有关的结果的流行率。在绝对出院后的一年中，药物不合规、再次住院和暴力的发生率显著增加（优势比=3.51-10.41）。参与暴力或再次犯罪（n=10）的出院患者的特点是更严重的物质使用问题，在HCR-20上被评为低风险的可能性较小。与居住在社区但尚未完全出院的患者的匹配样本进行比较发现，尚未出院的患者经历了更多的精神疾病症状，在治疗依从性和社会支持方面存在更大的问题。绝对出院患者中严重暴力的基本发生率较低，这表明我们管辖范围内的审查委员会采用的决策模式是合理准确和平衡的。

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