PDF(Pubmed)
Abstract：
BACKGROUND: Prisoners are often associated with mental health and substance use disorders. Coercive measures are widely used in prison settings. The objective of this study was to compare inmates\' perceptions and satisfaction with telepsychiatry versus face-to-face consultation and the effects of telepsychiatry on the use of coercive measures. The sample consisted of 100 male inmates from various backgrounds who had experienced both approaches of services (face to face and telepsychiatry).
METHODS: The data were obtained through an interview where the individuals completed a Demographic Data Questionnaire, a Participant Satisfaction Questionnaire to assess satisfaction with face-to-face psychiatric services, and a Participant Satisfaction Questionnaire to assess their satisfaction with services offered via telepsychiatry. Additionally, calculations of time spent waiting for a face-to-face psychiatric evaluation and time spent in handcuffs and in confined spaces were made before and after the introduction of telepsychiatry.
RESULTS: Statistically significant improvements (all p-values < 0.001) were noted in waiting times, support for relapse prevention, follow up, quality of mental health care, quality of care in the management of psychiatric problems and related medication, behavior of psychiatrists, duration of the assessment, sense of comfort, and confidentiality. Telepsychiatry led to the elimination of time spent in handcuffs and in confined spaces (transport vehicles).
CONCLUSIONS: According to the results of this study, telepsychiatry is an acceptable method of service delivery in correctional facilities and was associated with a reduction of coercive practices.
METHODS: The data were obtained through an interview where the individuals completed a Demographic Data Questionnaire, a Participant Satisfaction Questionnaire to assess satisfaction with face-to-face psychiatric services, and a Participant Satisfaction Questionnaire to assess their satisfaction with services offered via telepsychiatry. Additionally, calculations of time spent waiting for a face-to-face psychiatric evaluation and time spent in handcuffs and in confined spaces were made before and after the introduction of telepsychiatry.
RESULTS: Statistically significant improvements (all p-values < 0.001) were noted in waiting times, support for relapse prevention, follow up, quality of mental health care, quality of care in the management of psychiatric problems and related medication, behavior of psychiatrists, duration of the assessment, sense of comfort, and confidentiality. Telepsychiatry led to the elimination of time spent in handcuffs and in confined spaces (transport vehicles).
CONCLUSIONS: According to the results of this study, telepsychiatry is an acceptable method of service delivery in correctional facilities and was associated with a reduction of coercive practices.
摘要：
背景：囚犯通常与心理健康和物质使用障碍有关。强制性措施在监狱环境中广泛使用。这项研究的目的是比较囚犯对心灵感应和面对面咨询的看法和满意度，以及心灵感应对使用强制措施的影响。样本包括100名来自不同背景的男性囚犯，他们经历了两种服务方式（面对面和心灵感应）。
方法：数据是通过访谈获得的，其中个体完成了人口数据问卷，参与者满意度问卷，用于评估对面对面精神科服务的满意度，和参与者满意度问卷，以评估他们对通过远程心理服务提供的服务的满意度。此外,在引入心灵感应术之前和之后，计算了等待面对面精神病学评估的时间以及在手铐和密闭空间中花费的时间。
结果：在等待时间中发现了统计学上的显着改善（所有p值<0.001），支持预防复发，跟进,精神卫生保健的质量，精神问题和相关药物管理中的护理质量，精神病医生的行为，评估的持续时间，舒适感,和保密。Telepsychiatry消除了在手铐和密闭空间（运输车辆）中花费的时间。
结论：根据本研究的结果，远程医疗是惩教机构提供服务的一种可接受的方法，与减少强制性做法有关。
方法：数据是通过访谈获得的，其中个体完成了人口数据问卷，参与者满意度问卷，用于评估对面对面精神科服务的满意度，和参与者满意度问卷，以评估他们对通过远程心理服务提供的服务的满意度。此外,在引入心灵感应术之前和之后，计算了等待面对面精神病学评估的时间以及在手铐和密闭空间中花费的时间。
结果：在等待时间中发现了统计学上的显着改善（所有p值<0.001），支持预防复发，跟进,精神卫生保健的质量，精神问题和相关药物管理中的护理质量，精神病医生的行为，评估的持续时间，舒适感,和保密。Telepsychiatry消除了在手铐和密闭空间（运输车辆）中花费的时间。
结论：根据本研究的结果，远程医疗是惩教机构提供服务的一种可接受的方法，与减少强制性做法有关。
