PDF(Sci-hub)
Abstract：
There is a paucity of research on forensic psychiatry patients from Nunavut, including no published data concerning the prevalence and characterisation of patients in this territory. The lack of basic information hinders the evaluation of services and establishing best practices. The current paper aims to characterise forensic psychiatry patients from Nunavut and further the understanding of the challenges in organising forensic psychiatry healthcare in Nunavut. A retrospective chart review design was used to examine individuals from Nunavut who are engaged with the Ontario forensic psychiatry system. The sample included all Unfit to Stand Trial (26.7%) and Not Criminally Responsible (73.3%) patients (N = 15) under the jurisdiction of the Nunavut Review Board in a one-year period. The average distance between the patient\'s place of residence in Nunavut and the Ontario facilities was 2,517 km. Overall, 26.7% were living in Nunavut, 60.0% remained in Ontario, and 13.3% resided in Alberta. Results are presented for sociodemographics, forensic status, personal and familial history, psychiatric and criminal history, diagnoses, index offence characteristics, treatment, assessment tools, and aggression. The prevalence and many characteristics of forensic psychiatry patients from Nunavut differ from the rest of Canada and have important implications for the delivery of services.
摘要：
关于努纳武特法医精神病患者的研究很少，包括没有发表的有关该地区患者患病率和特征的数据。缺乏基本信息阻碍了对服务的评估和建立最佳做法。本文旨在描述努纳武特地区的法医精神病学患者的特征，并进一步了解在努纳武特地区组织法医精神病学医疗保健方面的挑战。回顾性图表审查设计用于检查来自Nunavut的参与安大略省法医精神病学系统的个人。样本包括Nunavut审查委员会在一年内管辖的所有不适合接受审判（26.7％）和无刑事责任（73.3％）的患者（N=15）。患者在努纳武特的居住地与安大略省设施之间的平均距离为2,517公里。总的来说,26.7%的人居住在努纳武特，60.0%留在安大略省，13.3％居住在艾伯塔省。结果是针对社会人口统计学，法医状态,个人和家族史，精神病和犯罪史,诊断,指数进攻特征，治疗,评估工具，和侵略。来自努纳武特地区的法医精神病学患者的患病率和许多特征与加拿大其他地区不同，对提供服务具有重要意义。
