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首页> 外文期刊>Medicine, science, and the law >Involuntary treatment of psychiatric inpatients certified under the Saskatchewan Mental Health Services Act in a secure forensic psychiatric treatment center
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Involuntary treatment of psychiatric inpatients certified under the Saskatchewan Mental Health Services Act in a secure forensic psychiatric treatment center

机译：在安全的法医精神病治疗中心，根据《萨斯喀彻温省精神卫生服务法》认证的精神病患者的非自愿治疗

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A psychiatric patient prisoner is certified and treated involuntarily under the Saskatchewan Mental Health Services Act at the Regional Psychiatric Center if he/she is mentally ill, incapable of making treatment decision and is likely to cause harm to self or others. This retrospective study examined the treatment of certified patients during a 12-year period (1996 to 2007). A total of 112 patients were treated using 263 certifications during 163 separate hospital admissions. Fifty of all the certified patients (44.6%) required more than one certification, and out of these, 72% required another certification within three months of the first certification. Among those certified, schizophrenia and related psychosis (65.2%, n=73), substance use disorder (50%, n=56) and antisocial personality disorder (58%, n=65) were the most common discharge diagnoses and antipsychotics, the most frequent discharge medications. Global Assessment of Functioning score of patients improved significantly (p<.05) from 43.6 at admission to 50.4 at discharge. This functional improvement may suggest a beneficial use of certification by keeping patients in treatment. This benefit may be enhanced if the statutory duration of certification can be increased to account for the length of time required for the adequate resolution of symptoms and to reduce the need for repeat certification.
机译：如果精神病患者患有精神疾病，无法做出治疗决定并可能对自身或他人造成伤害，则根据《萨斯喀彻温省精神卫生服务法》在地区精神病中心对他/她进行自愿认证和治疗。这项回顾性研究检查了在12年期间（1996年至2007年）内合格患者的治疗情况。在163次单独的住院期间，共使用263项证书对112名患者进行了治疗。在所有获得认证的患者中，有五十名（44.6％）需要一份以上的认证，其中有72％的患者在首次认证后的三个月内需要另一项认证。在那些获得认证的患者中，精神分裂症和相关精神病（65.2％，n = 73），物质使用障碍（50％，n = 56）和反社会人格障碍（58％，n = 65）是最常见的出院诊断和抗精神病药物，最频繁的出院药物。患者的功能评分总体评估从入院时的43.6改善到出院时的50.4，显着提高（p <.05）。这种功能上的改善可能表明可以通过让患者接受治疗来有益地使用认证。如果可以增加法定的认证持续时间，以解决充分缓解症状所需的时间长度，并减少重复认证的需求，则可以提高此好处。

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