我国基层政府公务员心理健康的维护与调适

近年来,基层政府公务员的心理健康问题受到了社会各界的广泛关注。作为特殊的群体,基层政府公务员既要具有完成本职工作的基本素质和综合能力,更要具备良好的心理承受能力和调适能力。我国基层政府公务员心理健康的维护与调适,需要统筹政府部门、社会力量、公务员自身等多方面因素,多管齐下,协力而为。一要保持经济持续发展,夯实基层政府发展的物质基础;二要深化体制机制改革,构建基层政府公务员保障体系;三要强化理念信念教育,营造基层政府良好的内在氛围;四要优化行政生态环境,创设和谐有序的外部环境。     

国家赔偿之精神损害赔偿制度研究

精神损害赔偿制度作为国家赔偿制度的重要组成部分,其完善程度直接影响该制度的实际运行效果。修订后的国家赔偿法,对精神损害赔偿的规定较为原则,缺乏配套精神损害赔偿的法律制度,国家精神损害赔偿制度在适用中面临诸多困境,亟需予以完善。     

Cone‐beam Computed Tomography for Analyzing Variations in Inferior Alveolar Canal Location in Adults in Relation to Age and Sex*

Abstract: Previous studies have indicated that the relative position of the inferior alveolar canal and its mental and mandibular foramina in adults vary with age and show sexual dimorphism. Conceivably, these purported differences could be of forensic value for determining identity of human remains. This study was designed to determine the influence of age and sex on the relative position of inferior alveolar canal and its foramina in cone‐beam computed tomography (CBCT) studies of adults. Existing CBCT studies of the maxillofacial region from dentate adult patients selected at random and ranging in age from 18 to 80 years (110 women and 55 men) were acquired, and the location of the inferior alveolar canal was assessed at three points: the mandibular foramen in axial view, the inferior alveolar canal in coronal view, and the mental foramen in coronal view. Measurements were also expressed for the mental foramen as the percentile position from the nearest superior bony crest to the inferior border; corresponding position of the mandibular foramen from the anterior to the posterior border of the mandibular ramus; and for the inferior alveolar canal at the level of first permanent molar from the nearest buccal bony surface to the lingual surface and from the superior alveolar crest to the inferior border. Regression analyses were performed on the variables with regard to the effects of age and sex. Most analyses resulted in no statistical significance (p < 0.05). A few of the sex‐specific traits demonstrated near‐statistically significant effects; however, these characterizations generally resulted in a 1% or less change per age decade. Overall, the results demonstrated that the relative location of the inferior alveolar canal and associated foramina in adults remain fairly constant without regard to age and sex.     

Sexual offenders with serious mental illness: prevention, risk, and clinical concerns

Individuals with serious and persistent mental illness who have also engaged in illegal sexual behavior present a unique challenge for our legal and clinical systems. Frequently, these individuals may engage in problematic sexual behaviors which result in hospitalization rather than incarceration, and an overburdened and resource-deficient public community mental health system is ill-equipped to address the seriousness of these sexual behaviors. We have a rather limited understanding of how prevention programs, intervention strategies, and risk assessment would work with this population. Here we evaluate data from a sample of 245 inpatient psychiatric sexual offenders in a forensic mental health setting and compare these with what information has already been presented in some of the literature. Through an examination of seriously mentally ill sexual offenders and their clinical presentation, legal history, and risk management concerns, we illustrate a variety of tertiary prevention needs. Future directions in the area of prevention and risk management for seriously mentally ill sexual offenders are also discussed.     

Crisis intervention team officer dispatch, assessment, and disposition: Interactions with individuals with severe mental illness

The Crisis Intervention Team (CIT) model is a specialized police response program for people in a mental illness crisis. We analyzed 2174 CIT officers' reports from one community, which were completed during a five year period. These officers' reports described interactions with people presumed to be in a mental illness crisis. We used hierarchical logistic and multinomial regression analyses to compare transport to treatment to either transport to jail or no transport by how the calls were dispatched. The results revealed that both dispatch codes and officers' on-scene assessments influenced transport decisions. Specifically, calls dispatched as suspected suicide were more likely to be transported to treatment than calls dispatched as mental disturbance. Furthermore, calls dispatched as calls for assistance, disturbance, suspicious person, assault, suspicion of a crime, and to meet a citizen were all less likely than mental disturbance calls to result in transportation to treatment. Officer assessments of the use of substances, being off medications, signs and symptoms of mental or physical illness, and violence to self or others were associated with the likelihood of being transported to treatment. These results build on previous work that demonstrated differences in transport decisions between CIT trained and non-CIT trained officers.     

精神损伤伤害因素参与度的意义及研究进展

在司法精神病鉴定中,经常涉及对被鉴定人造成伤害的事件参与度的评估问题。伤害因素参与度反映了加害方对受害人造成伤害程度的大小,是加害方就有关伤害的结局承担应有责任的量化指标。伤害因素参与度是法庭判决依据中迫切需要的证据。我国目前尚无公认的、操作性强的、可客观反映伤害事件参与程度大小的量化工具。本文复习了国内外对精神损伤伤害因素参与度的研究进展。对精神损伤伤害因素参与度的概念、内涵、相关评估方法进行了概述,并分析了伤害因素参与度评估中存在的问题及今后的研究趋势。     

WAIS-RC简式与成人智残评定量表在精神伤残评定中的应用

目的 考察中国修订版韦氏成人智力量表(WAIS-RC)简式与成人智残评定量表在精神伤残评定中的适用性.方法 对台州学院司法鉴定所2009年7月-2011年3月进行精神伤残鉴定的案例,用WAIS-RC简式和成人智残评定量表分别评定并与专家鉴定意见进行比较,用SPSS11.5进行统计分析.结果 WAIS-RC简式、成人智残...     

维护居民精神健康的社会学思考

我国新时期居民的精神健康问题形势严峻,根据制约的社会性因素,从社会学的视角,需要面向全体居民实施全民健心工程。即实施以维护居民心理健康为直接目的,以全方位优化社会心理环境、全面开展心理健康教育与心理素质培育、建构社会心理支持机制、完善精神卫生服务体系、发动全体居民参与为途径的系统工程。     

CONSULTANT CONDUCT IN ANTICIPATION OF A CHILD CUSTODY EVALUATION: ETHICAL AND SOCIAL DILEMMAS AND THE NEED FOR NEUTRAL PARENT EDUCATION

Mental health professionals are being retained with increasing frequency as “custody consultants” to prepare a parent for a child custody evaluation. While this practice may serve a legitimate function, no ethical guidelines clearly govern the conduct of a consultant in such circumstances. This lack of guidance has led to professional disagreement regarding the ethical implications of the practice. This ethical ambiguity is accompanied by social concern regarding the high cost of custody consulting, which has the practical effect of denying consulting services to low‐income or self‐represented litigants. This Note will describe the growing practice of custody consulting and the ethical and social unease currently associated with the practice. This Note will then propose that mandatory parent education programs be developed for parents preparing to undergo a custody evaluation. This type of educational program would provide many of the benefits of custody consulting in an ethically neutral fashion and would ensure that all parents have access to the benefits of this growing practice.     

A Multilevel Framework for Effective Interagency Collaboration in Mental Health

The difficulty of coordinating service provision in interagency programs is a challenge for many working in public policy. We reflect on lessons learned through evaluating two inter‐agency supported housing programs for people with mental illness and propose a framework outlining components needed for well co‐ordinated service provision. We specify collaborative mechanisms at the policy, agency, service and client level. The key component is the role of an ‘integration coordinator': a person who is able to facilitate relationships and ensure effective information flows. Relationships need to be actively maintained to meet the inevitable challenges that will arise in complex interagency systems. The framework is relevant to policymakers across the public sector, including mental health, drug and alcohol, aged care, and policing.