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1.
Jenny Yiend Jemma C. Chambers Tom Burns Helen Doll Seena Fazel Asha Kaur 《心理学、犯罪与法律》2013,19(3):277-292
Abstract Measuring change resulting from healthcare interventions is critical to evaluating their usefulness. The choice of outcome measure is an important part of such evaluations and is driven by assumptions about what is likely to change and how best to capture this. Despite its importance, forensic mental health has paid little attention to determining which are the best measures of outcome. This study used a panel of relevant professionals to (i) assess the relative importance of different areas of potential outcome measurement and (ii) evaluate specific instruments used currently as outcome measures in forensic mental health research. Although a wide range of potential outcomes were endorsed as appropriate, few corresponding instruments have been used consistently. Only three psychiatric instruments deemed by our panel as feasible, relevant and psychometrically adequate have been used in five or more studies (the Beck Depression Inventory; the Brief Psychiatric Rating Scale, and the Symptom Checklist-90–Revised). Significant measurement gaps were noted in areas such as social and emotional functioning. Although instruments exist that could capture most areas, none were sufficiently developed for routine use as outcomes. Further research to develop robust, sensitive and diverse outcome measures is needed. This is an essential precursor to extending the evidence base for forensic mental health interventions. 相似文献
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我国2013年5月实施的《精神卫生法》以“精神卫生法”命名,这一称谓无法涵盖该法的全部规范、立法目的,容易将该法的社会法性质误解成行政法,还可能影响法的实施,与其他国家立法称谓的变化趋势相脱节.因此,基于明确立法目的,保护精神障碍者基本权利的社会法性质,顺应当今全体国民的精神健康追求,以及我国加入的国际人权公约等因素,我国现行“精神卫生法”宜正名为“精神健康法”. 相似文献
4.
The present study examined mental health risk associated with lifetime occurrence of spouse violence against mother among 303 10 to 12 year-old inner-city children. Maternal report data showed a 30% prevalence rate for lifetime occurrence of spouse violence in this sample. Results of correlational analyses indicated that violence against mother was associated with several other historical risk factors including divorce, parental drinking problems, and incarceration of father. Multiple regression analyses controlling for the effects of demographic and historical risk factors that correlated with violence against mother revealed that violence accounted for significant unique variance in girls' self-reports of conduct problems, but did not account for unique variance in boys' symptomatology. Implications of these results for understanding the effects of violence against mother on children and for the development of empirically based interventions for children in those families are discussed. 相似文献
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This article examines the effect of exposure to criminal violence on fear of crime and mental health in Mexico, a country that has experienced a dramatic rise in violent events resulting from the operation of drug trafficking organizations (DTOs). Data are drawn from more than 30,000 respondents to a national longitudinal survey of Mexican households. We use fixed‐effects models which allow us to control for time‐invariant individual and municipal characteristics affecting both exposure to violence and mental health. The results indicate a substantial increase in fear and psychological distress for individuals living in communities that suffered a rise in the local homicide rate even when exposure to other forms of victimization and more personal experiences with crime are taken into account. Because DTO killings occur in response to factors external to a specific neighborhood, they generate fear and psychological distress at a larger geographical scale. They also seem to create a generalized sense of insecurity, leading to increased fear of other types of crimes. We examine the effect of large surges in homicide and the presence of military and paramilitary groups combatting DTOs as these conditions may approximate those in conflict zones elsewhere in the world. We also explore differences in the relative sensitivity to homicide rates between sociodemographic groups. 相似文献
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Ashley C. T. Jones MS Alexandra Repke PhD Ashley B. Batastini PhD Donald Sacco PhD Eric R. Dahlen PhD Richard S. Mohn PhD 《Journal of forensic sciences》2023,68(3):962-971
Gender stereotypes may negatively affect perceptions of women professionals' credibility, including forensic experts. This study investigated the impact of behavior-based and appearance-based factors on women expert witness's credibility. Jury-eligible adults were shown one of 16 conditions depicting a woman expert which varied based on combinations of three primary independent variables: (1) attire, (2) cosmetic use, and (3) posture. Expert attractiveness and participants' sexist attitudes served as covariates. Results revealed that women experts were seen as marginally more credible when wearing a skirt suit with a closed posture stance than when wearing a pant suit with a closed posture. Secondary analyses indicated expert attractiveness and participant sexist attitudes accounted for the most variability in credibility scores. Credibility of women expert witnesses may be impacted by irrelevant peripheral cues. Findings can inform discussions aimed at mitigating extraneous factors that inadvertently undermine the reception of women expert witness testimony. 相似文献
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张健 《西南政法大学学报》2007,9(6):100-108
随着世界各国反贪机构的建立,"谁来监督监督者"的问题已经成为各国政府和社会公众广泛关注的焦点。我国香港特别行政区廉政公署的外部社会监督制度和澳大利亚新南威尔士廉政公署的外部专门监督制度是解决上述难题的两种典型实践例证,二者各具特色,对于完善我国的人民监督员制度具有重要的借鉴和参考价值。 相似文献
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信用评级机构在次贷产品评级中,丧失独立公正,其根本原因在于其"发行方付费"的收费模式。在"发行方付费"模式下,信用评级机构丧失了"投资者付费"模式下的声誉资本约束。危机后的改革并没有触动"发行方付费"模式。审视资本市场中的信用评级机构,发现其具有中介机构和准监管机构的性质,信用评级报告不再是一种媒体观点而是一种专家意见。因此,信用评级机构与发行方之间应是承揽合同关系,信用评级机构对投资者负有信赖义务,承担专家责任。 相似文献
9.
Adrian Hayes Jane Senior Tom Fahy Jenny Shaw 《The journal of forensic psychiatry & psychology》2014,25(4):371-379
Screening for mental health problems on reception into custody has been criticised. However, there have been few studies on care pathways through custody as a result of screening identification. We aimed to identify what actions were taken as a result of screening positive for suicidal ideation and mental health problems. Case records for 2166 prisoners newly received into five prisons in England and documented contact with health care professionals in the following month were examined by hand over a four-month period. Altogether, 3% of prisoners were screened as having current suicidal ideas, of whom 30% had no contact with mental health services or risk assessment documentation. Another 21% of new receptions received psychotropic medication, for whom over 60% received no primary mental health assessment, and only 36% received psychotropic medication in prison. Care pathways need to be defined, and screening needs to be delivered as originally intended by initial screen for life-threatening matters, followed by a later, comprehensive assessment of health needs. 相似文献
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To examine the ability of two forensic units, one high secure and one medium secure, to meet the NICE (National Institute for Health and Care Excellence) standards of care for diabetes. We applied the National Diabetes Audit programme, which uses as standards the NICE guidelines, to assess the quality of care provided for patients in two forensic units. Of the 500 patients, 200 in high secure and 300 in medium secure, 88 (17.6%) had type 2 diabetes. None had Type 1 diabetes. Of those with Type 2 diabetes, the care of 74 (84%) met all 8 NICE recommended standards. Glucose levels were lower in the medium/low secure unit compared to the higher security environment. Whilst achievement of process-based outcomes was higher than those reported nationally, achieving clinical outcomes was more challenging. High-quality diabetic care can be provided for patients in forensic units. Benchmarking physical health outcomes against national criteria in mental health inpatients is a potential method of improving outcomes. 相似文献
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One of the five overarching principles of the Mental Health Act: Code of Practice is to provide patients with care and treatment which is least restrictive whilst encouraging recovery and promoting independence. However, there is limited research which explores the application of these principles within a medium secure unit. The aims of the research were to explore what are patient’s experiences of least restrictive practices and to what extent do they perceive that least restrictive practices maximise their independence and recovery. Semi-structured interviews were carried out with 12 male inpatients within a medium secure unit. Five themes were evident: Positive Changes, Perceived Lack of Transparency, Social Isolation, Institutionalisation and Normality. It was found that patient’s perceived that there was lack of shared understanding between staff and patients of what is considered least restrictive. Patient recovery was promoted through positive risk-taking, the reduction in the use of seclusion and through the promotion of meaningful activities that resembled life in the community. Nevertheless, patients perceived that there was a lack of opportunities to socialise with patients from other wards. Due to the security level of the hospital patients perceived that independence was not achievable. 相似文献
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Although representative payeeship is prevalent among people with mental illness and shows promise to positively influence
clinically relevant outcomes, research also suggests this legal mechanism could be implemented in ways that are problematic.
The current study examined whether family representative payeeship was associated with elevated risk of family violence perpetrated
by persons with severe mental illness (SMI). Data were collected every 4 months for 1 year in structured interviews with N
= 245 persons with SMI who received disability benefits. Multivariate analyses showed that substance abuse, history of violence,
frequency of family contact, and family representative payeeship were associated with elevated odds of family violence. Analyses
also showed family contact and family representative payeeship had a cumulative effect on increasing the predicted probability
of family violence (controlling for covariates such as violence history and substance abuse). The data shed light on the potential
for family representative payeeship to be associated with increased risk of interpersonal conflict and violence in SMI. 相似文献
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公安民警心理健康状况及其对策 总被引:2,自引:0,他引:2
警察是一种压力密集型职业,因而公安民警的心理健康状况不容乐观。当务之急要采取有效措施,缓解民警的心理压力,开展民警心理保健,提高民警的心理健康水平。从六个方面提出了解决问题的思路和方法。 相似文献
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Barbara Kahn Philip O'Donnell Jamie Wernsman Lynn Bushell Antoinette Kavanaugh 《Family Court Review》2007,45(3):486-500
Recent research documenting the magnitude of mental health needs among juveniles has intensified calls for interventions that both address clinical needs and decrease recidivism. This article first examines research supporting the movement toward community mental health treatment for juveniles and argues that effective legal advocacy requires interdisciplinary coordination to identify and address mental health needs. Next, we present one jurisdiction's model for increasing access to community‐based mental health services and discuss how attorneys can apply the model to achieve this end. 相似文献
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《社会福利与家庭法律杂志》2012,34(2):117-133
The Mental Capacity Act 2005 (MCA) authorises substitute decision‐making in England and Wales, in relation to ‘acts in connection with care or treatment’, for a person lacking the capacity to make an autonomous decision, if it is both necessary and in his or her ‘best interests’ to do so. The approach adopted by the MCA is consistent with the common law, but widens both the scope and procedures of a ‘best interests’ determination to allow for a general model of substitute decision‐making in everyday health and social care. However, by decontextualising substitute decision‐making, the MCA's procedures relating to ‘best interests’ may prove to be problematic in three ways: first, by failing to adequately resolve certain ethical dilemmas that pervade this area; second, by reducing applied substitute decision‐making to a series of compulsory generalised instructions; and, finally, by necessitating deliberation but offering little practical guidance to the process of determination. Whilst the codification of five statutory principles in the MCA is designed to foster the empowerment of vulnerable adults, the realisation of these procedural and conceptual problems may have a negative impact on the implementation of the Act. 相似文献
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《Justice Quarterly》2012,29(2):314-336
This article considers the continued relevance of law enforcement and social worker roles to probation officer practice, a central motif in community corrections scholarship. It also considers how these traditional functions are integrated into community-oriented supervision practices, increasingly emphasized in policy circles. Using Latent Class Analysis of data from a national community corrections survey, a four-class typology of probation officers was developed, based on their supervision practices. While classes vary according to the intensity of supervision, particularly in the engagement of third parties (family, community, and the police), there are no classes that correspond either to law enforcers or to social workers. Rather, officer classes are all “synthetic”—combining law enforcement and social work functions together in the same strategy. The analysis identifies a number of predictors of membership in more intensive supervision classes. These relate to ideological orientations, caseload characteristics, officer demographics, and agency progressiveness. 相似文献
17.
Seventy-one Chinese social workers and 74 Chinese police officers residing in Hong Kong were surveyed on their gender-role attitudes, endorsement of wife abuse myths, and definitions of wife abuse. Results showed that compared to social workers, police officers held more conservative gender-role attitudes, endorsed more myths about wife abuse, and adopted more restrictive definitions of physical and psychological wife abuse. Hierarchical regression analyses showed that definitions of wife abuse were related to different predictors for these two groups of professionals. Among social workers, egalitarian gender-role attitudes were a significant predictor of broad definitions of physical wife abuse, but no significant predictor was found for psychological wife abuse. Among police officers, significant predictors of definitions of physical wife abuse included marital status, educational attainment, and endorsement of wife abuse myths; gender-role attitudes were the only significant predictor of definitions of psychological wife abuse. 相似文献
18.
韩丹 《西南政法大学学报》2011,(4):110-118
吸毒人群的戒毒问题是一个世界性难题,是一个多元干预手段环环相扣的综合性问题,因此,对吸毒人群戒毒的干预、康复和矫治工作,关键是将关沙酮社区维持治疗(生理)、人格重塑、提升吸毒人群拒绝毒品的自我效能感(心理)、家庭治疗(家庭支持)和社区戒毒、帮教(禁毒社会工作者帮扶)相结合,使每个环节无缝连接,才有可能从根本上帮助吸毒人群戒除毒瘾。因此,本研究就是要对“生理——心理——社会”的综合性干预模式的可行性、有效性进行评估。本研究基于笔者在南京市关沙酮维持治疗中心完成的300份问卷调查和南京市秦淮区187位社区戒毒人员的问卷调查;基于对14位秦淮区禁毒社工,10位戒毒人员家属的个案访谈而开展。 相似文献
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Michelle Renee Schilders James R.P. Ogloff 《The journal of forensic psychiatry & psychology》2014,25(4):480-494
The point-of-reception into prison is a critical juncture as it provides early opportunities to identify mental illness and initiate treatment. Although large numbers of mentally ill prisoners are received into prison each day, research investigating mental health screening outcomes at the point-of-reception is limited. This study aimed to address this gap by examining reception screening outcomes for all prisoners received into an Australian prison during 2009 (n?=?4229). Overall, 19% of all prisoners were mentally ill, and another 20% had a history of psychiatric illness that required ongoing care. Mentally ill prisoners had a higher risk of suicide or self-harm and required more observation than other prisoners. At reception, no mentally ill prisoners were transferred to the state’s forensic hospital and few were transferred to the prison’s mental health unit, or provided support service referrals. These findings highlight that outcomes made at the point-of-reception are heavily influenced by the availability of prison mental health resources. 相似文献