关键词: COVID-19 Correctional health care Health services Mental health Prison Substance abuse

Mesh : Humans COVID-19 / epidemiology psychology prevention & control Substance-Related Disorders / epidemiology Prisons Mental Health Services / organization & administration SARS-CoV-2 Prisoners / psychology Pandemics Health Services Accessibility / organization & administration

来  源:   DOI:10.1108/IJOPH-02-2023-0013

Abstract:
OBJECTIVE: Public health experts and advocates have long raised concerns about the pandemic preparedness of prison systems worldwide - an issue that became increasingly salient at the start of the COVID-19 pandemic. People in prison experience poorer health outcomes compared to the general population, making timely access to adequate health services in prison critical for their health and wellbeing. This study aims to identify the extent of the literature on initial changes in mental health and substance use services for people in prison during the COVID-19 pandemic, summarize and synthesize the findings and identify areas in need of further study.
METHODS: The authors conducted a review of the academic literature published internationally in English between 2019 and December 1, 2020 to describe the disruptions and adaptations to mental health and substance use services in prisons during the onset of the COVID-19 pandemic.
RESULTS: The authors found that mental health and substance use services in prisons around the world were widely disrupted due to the COVID-19 pandemic - predominantly consisting of the complete suspension of services, discontinuation of transfers to off-site treatment sites and limitations on service capacity. Adaptations ranged from virtual service delivery and changes to treatment dispensation processes to information sessions on overdose prevention.
CONCLUSIONS: To the best of the authors\' knowledge, this is the first review to examine the nature and extent of the literature on delivery of mental health and substance use services in prisons during the COVID-19 pandemic.
摘要:
目标:公共卫生专家和倡导者长期以来一直对全球监狱系统的大流行准备表示担忧,这一问题在COVID-19大流行开始时变得越来越突出。与普通人群相比,监狱中的人的健康状况较差,在监狱中及时获得适当的卫生服务,这对他们的健康和福祉至关重要。这项研究旨在确定有关COVID-19大流行期间监狱中人员的心理健康和物质使用服务的初步变化的文献范围,总结和综合研究结果,并确定需要进一步研究的领域。
方法:作者对2019年至2020年12月1日以英文发表的国际学术文献进行了回顾,以描述在COVID-19大流行爆发期间监狱对心理健康和物质使用服务的破坏和适应。
结果:作者发现,由于COVID-19大流行,世界各地监狱的精神卫生和物质使用服务受到广泛干扰-主要包括完全暂停服务,停止向场外治疗地点的转移和服务能力的限制。适应的范围从虚拟服务提供和更改到治疗分配流程,再到有关预防过量的信息会议。
结论:据作者所知,这是第一篇研究COVID-19大流行期间在监狱中提供精神卫生和药物使用服务的文献的性质和范围的综述.
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