ABSTRACT In Singapore, there are Psychiatric Housing Units located within correctional facilities that play an important role in the treatment and rehabilitation of inmates with mental disorders. These units are staffed by forensic psychiatrists, nurses and allied health practitioners. However, the daily attendance rate for classes in the male unit is only about 70%, out of which 15% of inmates are absent from classes without a valid reason. Our quality improvement project sought to increase the daily attendance rate. We followed WHO guidelines for quality improvement, determined the root cause of poor attendance, and devised five Plan–Do–Study–Act cycles over 12 weeks from February to May 2019. A brief survey of inmates in the unit was done to gather their opinions about the rehabilitation programme. We focused on inmates who were absent from classes without valid reasons and sought to persuade them to attend using motivational interviewing within the structure of individualised care plans. Following the implementation of our strategies, the attendance rate rose to 85%. However, without continued efforts to incorporate the strategies into standard operations, attendance rates were unsustainable. This is one of the few quality improvement projects to be done outside of the traditional hospital setting.

中文翻译：

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改善国家监狱男性精神病院的囚犯出勤率

摘要 在新加坡，惩教设施内设有精神病院，在精神障碍囚犯的治疗和康复中发挥重要作用。这些单位由法医精神病学家、护士和专职医疗人员组成。然而，男性单元每天的上课出勤率只有70%左右，其中15%的犯人无故旷课。我们的质量改进项目旨在提高每日出勤率。我们遵循了世卫组织的质量改进指南，确定了出勤率低的根本原因，并在 2019 年 2 月至 5 月的 12 周内制定了五个“计划-做-研究-行动”周期。对该单位的囚犯进行了简短调查以收集他们的意见关于康复计划。我们专注于无正当理由缺课的囚犯，并试图在个性化护理计划的结构内通过动机访谈说服他们参加。随着我们的策略的实施，出席率上升到85%。但是，如果不继续努力将这些策略纳入标准操作，则出勤率是不可持续的。这是在传统医院环境之外完成的少数质量改进项目之一。出勤率是不可持续的。这是在传统医院环境之外完成的少数质量改进项目之一。出勤率是不可持续的。这是在传统医院环境之外完成的少数质量改进项目之一。