ror.org/0161xgx34
Résumés
Résumé
Objectif L’objectif du présent article est de fournir un survol de l’organisation des services de santé mentale forensique dans le monde. En particulier, nous avons tenté de répondre à la question suivante : « Quelles caractéristiques systémiques doivent être considérées dans la structure et l’organisation des services de santé mentale forensique ? »
Méthodes Pour ce faire, nous avons synthétisé l’information publiquement accessible qui décrit l’organisation des systèmes de psychiatrie légale dans le monde, identifiée à travers Academic Search Complete (EBSCO), ProQuest Central, Scopus, PsycInfo, Google Scholar et Google. Nous identifions les principes directeurs de l’organisation des services de psychiatrie légale et les indices potentiel de mesure de qualité des services.
Résultats Cette recension sert de tremplin à l’élaboration de meilleures pratiques d’organisation des services de psychiatrie légale. Selon ces lignes directrices, un système de santé mentale forensique efficace inclurait les éléments suivants : un continuum complet de services hiérarchisés, l’intégration de services dans le système, l’adéquation des services aux besoins des personnes, l’adhésion aux principes de droits de la personne, la réponse à la diversité de la population et l’utilisation des meilleures données disponibles pour effectuer des changements systémiques.
Conclusion Bien que tous ces principes soient importants, nous détaillons comment les trois premiers (continuum, intégration et adéquation des services) peuvent s’appliquer à l’organisation des services de santé mentale forensique et proposons un continuum de services de santé mentale forensique hiérarchisés et intégrés.
Mots-clés :
- psychiatrie légale,
- services médico-légaux,
- troubles mentaux,
- criminalité,
- organisation des services
Abstract
Objective The objective of this paper is to provide an overview of the provision and organization of forensic mental health services around the world. In particular, we attempt to address the following question: What system-level characteristics are important to consider in relation to the organization and structure of forensic mental health services?
Methods To do so, we synthesize publicly accessible information, identified through Academic Search Complete (EBSCO), ProQuest Central, Scopus, PsycInfo, Google Scholar and Google, to describe how forensic systems are organized throughout the world. We examine the fundamental principles in the organization of services and examine potential quality indicators.
Results This review is a steppingstone for the identification of best practices. Based on these fundamental principles, an efficient forensic mental health system would include the following elements: providing a comprehensive and balanced continuum of services; integrating services within and between systems; matching services to individual need; adhering to human rights; responding to population diversity; and using the best available evidence to make system-wide improvements.
Conclusion Though all of these system-level principles are important, we focus on how the first three (service continuum, system integration, and service matching) may be applied to the organization of forensic mental health services.
Keywords:
- forensic psychiatry,
- mental disorder,
- severe mental illness,
- criminal justice involvement,
- service provision
Parties annexes
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