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Clinical Interventions in State Psychiatric Hospitals: Safety and Logistical Considerations
Journal of Forensic Psychology Practice Pub Date : 2020-11-06 , DOI: 10.1080/24732850.2020.1843105
Laura Grossi 1, 2 , Lawrence Osborn 1, 2 , Kendall Joplin 3 , Brendan O’Connor 4
Affiliation  

ABSTRACT

Adaptations are frequently made by hospital administrators, clinicians, and other staff to accommodate for the changing populations of state psychiatric hospitals in the United States. For example, many mental health treatments, including evidence-based treatments, have been adapted for use with forensic patients and in forensic settings. Specialized ethical guidance has also been developed for working with forensic patients. However, there is a gap in the literature regarding the logistics of safely conducting therapeutic interventions and assessments in environments that were not designed for forensic populations, or individuals with intellectual and developmental disabilities as primary diagnoses. Further, most training programs for mental health clinicians do not include specialized training for working in inpatient psychiatric settings, including state psychiatric hospitals, and so it often falls to training sites to provide that foundational knowledge. The current manuscript describes the context and practical challenges mental health clinicians across disciplines may face in providing services to clients in inpatient settings. Recommendations for maximizing safety of all persons, while simultaneously attempting to protect the privacy of the patient in the course of clinical interventions, and maintain the integrity of clinical interventions administered in inpatient settings, are also discussed. Recommendations are based on a review of the literature and the professional experiences of the interdisciplinary research team in several state hospitals across the United States. The target audience of this manuscript includes clinicians and trainees who are new to working in inpatient psychiatric settings, and seasoned clinicians adjusting to the changing demographics of state psychiatric hospitals.



中文翻译:

国立精神病医院的临床干预:安全和后勤考虑

摘要

医院管理人员,临床医生和其他人员经常进行调整,以适应美国州立精神病医院不断变化的人口。例如,许多精神健康治疗,包括基于证据的治疗,已经适应于法医患者和法医环境。还针对法医患者制定了专门的道德指导。但是,关于在并非为法医人群或智力和发育障碍者为主要诊断对象的环境中安全进行治疗干预和评估的后勤工作,文献方面存在空白。此外,大多数针对精神卫生临床医生的培训计划并不包括针对住院精神病患者的专门培训,包括州立精神病医院,因此通常需要在培训场所提供基础知识。本手稿描述了跨学科的精神卫生临床医生在为住院患者提供服务方面可能面临的背景和实际挑战。还讨论了有关在确保人人安全的同时在临床干预过程中尝试保护患者隐私并保持住院环境中临床干预措施完整性的建议。建议基于对美国多家州立医院跨学科研究团队的文献资料和专业经验的回顾。

更新日期:2020-11-06
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