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首页> 外文期刊>European psychiatry: the journal of the Association of European Psychiatrists >Do community mental health teams caring for severely mentally ill patients adjust treatments and services based on patients' antisocial or criminal behaviours?
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Do community mental health teams caring for severely mentally ill patients adjust treatments and services based on patients' antisocial or criminal behaviours?

机译：照顾严重精神病患者的社区精神卫生小组是否根据患者的反社会或犯罪行为调整治疗和服务？

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BACKGROUND: Antisocial behaviour is common among patients with severe mental illness (SMI) requiring hospitalisation. AIM: To determine whether differential treatments and services are provided to patients with SMI who engage in antisocial behaviour. METHOD: A random sample of 161 inpatients with SMI were recruited from general adult wards and assessed at baseline and two years later. Information on symptoms, aggressive behaviour, substance misuse, and service use was obtained from patients and clinical files. RESULTS: Past antisocial behaviours were not associated with type or intensity of treatments and services. Severity of positive symptoms, aggressive behaviour, and illicit drug use were positively associated with the frequency of CMHT contact, but not with the type of CMHT, type of medication, or other treatments and benefits. CONCLUSIONS: While the frequency of meetings with CMHTs increased with the severity of antisocial behaviours, no specific treatments were provided to patients with SMI engaging in antisocial behaviours.
机译：背景：抗社交行为在需要住院的严重精神疾病（SMI）患者中很常见。目的：确定是否向从事反社会行为的SMI患者提供差别待遇和服务。方法：从普通成人病房中随机抽取161名SMI住院患者，在基线和两年后进行评估。从患者和临床档案中获取有关症状，攻击性行为，滥用药物和使用服务的信息。结果：过去的反社会行为与治疗和服务的类型或强度无关。阳性症状的严重程度，攻击性行为和非法药物使用与CMHT接触的频率呈正相关，但与CMHT的类型，药物的类型或其他治疗和益处无关。结论：虽然与CMHTs会面的频率随着反社会行为的严重性而增加，但没有针对患有SMI的从事反社会行为的患者提供特定的治疗方法。

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