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首页> 外文期刊>European psychiatry: the journal of the Association of European Psychiatrists >An increase in substance misuse rather than other mental disorders has led to increased forensic treatment rates in the Czech Republic.
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An increase in substance misuse rather than other mental disorders has led to increased forensic treatment rates in the Czech Republic.

机译：滥用药物而不是其他精神疾病的现象有所增加，导致捷克共和国的法医治疗率提高。

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摘要

It is suggested that limited access to appropriate care forces psychiatric patients towards forensic treatment or to the prison system. According to our data, the number of prisoners, the number of hospitalized psychiatric patients (from 1987 to 2007), the number of court ordered forensic treatments in the Czech Republic (from 1991 to 2007), and the rate of people in psychiatric and sex offender forensic treatment has remained constant. However, an increase (162%) in number of treatments imposed for abusing illicit drugs did occur during this period. This increase contributed to the correlation between both the number of sentences given for protective treatment and the number of all sentenced persons (Pearson cor. 0.647, p < 0,001) and the number of prisoners (Pearson cor. 0.798, p < 0,001). The analysis of all admissions to a forensic facility from a catchment area of 1,260,318 inhabitants shows no increase in number of admission between 2002 and 2007. The same data prove that the number of patients ordered to psychiatric and sexology treatment remained steady and did not reflect changes in the number of prisoners or number of hospitalized patients. This could be explained by a high number of psychiatric hospitalizations protecting the patients from deteriorating to criminal behaviour.
机译：有人认为，获得适当护理的机会有限，迫使精神病患者接受法医治疗或进入监狱系统。根据我们的数据，在捷克共和国，囚犯的人数，住院的精神病患者的数量（1987年至2007年），法院下令进行法医治疗的人数（1991年至2007年）以及精神病和性行为的发生率罪犯的法医治疗一直保持不变。但是，在此期间，滥用药物的治疗数量确实增加了（162％）。这种增加有助于保护性判刑与所有被判刑人数之间的相关性（Pearson cor。0.647，p <0,001）和囚犯人数（Pearson cor。0.798，p <0,001）。对来自1,260,318个居民区的法医设施的所有入院情况的分析显示，2002年至2007年之间，入院人数没有增加。相同的数据证明，接受精神病学和性学治疗的患者人数保持稳定，没有反映出变化囚犯人数或住院患者人数。可以通过大量的精神科住院治疗来解释这一点，以防止患者恶化为犯罪行为。

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