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Forensic mental health

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https://www.readbyqxmd.com/read/29234515/measuring-relational-security-in-forensic-mental-health-services
#1
REVIEW
Verity Chester, Regi T Alexander, Wendy Morgan
Aims and method Relational security is an important component of care and risk assessment in mental health services, but the utility of available measures remains under-researched. This study analysed the psychometric properties of two relational security tools, the See Think Act (STA) scale and the Relational Security Explorer (RSE). Results The STA scale had good internal consistency and could highlight differences between occupational groups, whereas the RSE did not perform well as a psychometric measure...
December 2017: BJPsych Bulletin
https://www.readbyqxmd.com/read/29206080/understanding-forensic-psychiatry-in-healthcare-practices-and-collaboration-between-legal-nurse-consultants-and-physicians
#2
Daphne K Sharpe, Jasmine K Hall, Sochima Ochije, Rahn K Bailey
In 2000, the Institute of Medicine stunned many professionals with their published report that noted the vast number of deaths that occur each year in hospitals across the United States which reach as many as 98,000. Therefore, it comes as no surprise that the healthcare arena faces litigious issues regularly, with some specialties budgets being significantly impacted by the cost of maintaining liability insurance. Legal Nurse Consultants and forensic physicians working in tandem but who work independently from treating clinicians can carry out forensic independent medical examinations (IME)...
January 1, 2017: Medico-legal Journal
https://www.readbyqxmd.com/read/29203502/characteristics-of-nps-use-in-patients-admitted-to-acute-psychiatric-services-in-southeast-scotland-a-retrospective-cross-sectional-analysis-following-public-health-interventions
#3
Kyle H Bennett, Helen M Hare, Robert M Waller, Helen L Alderson, Stephen Lawrie
OBJECTIVES: Assess the impact of selective prohibition and seizure of novel psychoactive substances (NPS) supply on NPS use prevalence within psychiatric admissions and evaluate demographic characteristics of current NPS users. DESIGN: A 6-month retrospective cross-sectional analysis of discharge letters between 1 October 2015 and 31 March 2016. SETTING: General psychiatry inpatients and intensive home treatment team (IHTT) community patients at a psychiatric hospital in a Scottish city...
December 3, 2017: BMJ Open
https://www.readbyqxmd.com/read/29191142/forensic-experts-indigent-defendants-and-the-constitution
#4
Paul S Appelbaum
Over 30 years ago, the U.S. Supreme Court held that indigent defendants raising psychiatric issues are entitled to the assistance of a mental health expert. However, the exact dimensions of that assistance, and whether the expert must be assigned exclusively to assist the defense, have been in contention ever since. In its recent decision in McWilliams v. Dunn, the Court underscored that the state-funded expert must be available to consult with the defense, not merely to evaluate the defendant, but declined to opine on whether the defense is entitled to its own expert for the purpose...
December 1, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29172557/expanding-the-early-and-late-starter-model-of-criminal-justice-involvement-for-forensic-mental-health-clients
#5
Anne G Crocker, Michael S Martin, Marichelle C Leclair, Tonia L Nicholls, Michael C Seto
The early and late starter model provides one of the most enduring frameworks for understanding the developmental course and severity of violence and criminality among individuals with severe mental illness. We expanded the model to account for differences in the age of onset of criminal behavior and added a group with no prior contact with the justice or mental health systems. We sampled 1,800 men and women found Not Criminally Responsible on account of Mental Disorder in 3 Canadian provinces. Using a retrospective file-based study, we explored differences in criminal, health, demographic, and social functioning characteristics, processing through the forensic psychiatric system and recidivism outcomes of 5 groups...
November 27, 2017: Law and Human Behavior
https://www.readbyqxmd.com/read/29093938/forensic-psychiatric-service-provision-in-pakistan-and-its-challenges
#6
Tariq Hassan, Asad Tamizuddin Nizami, M Selim Asmer
In the Islamic Republic of Pakistan the law relating to people who are mentally ill, until 2001, was set out by the Lunacy Act of 1912, which was inherited from the British colonial occupiers. In 2001 the Mental Health Ordinance 2001 took its place but only for this federal law to be superseded in April 2010 with the 18th constitutional amendment. As part of that amendment, provinces have become responsible for (psychiatric) healthcare, including mental health legislation. Forensic psychiatry is practised in Pakistan but is very much in its infancy; it needs to develop and learn from more experienced countries in Europe and North America...
May 2017: BJPsych International
https://www.readbyqxmd.com/read/29083114/wise-program-analysis-evaluating-the-first-15%C3%A2-months-of-progress-in-a-novel-treatment-diversion-program-for-women
#7
Kelly L Coffman, Swati Shivale, Glenn Egan, Victoria Roberts, Peter Ash
Like other counties across the nation, Fulton County, GA, has seen a significant increase in the number of arrests of people with serious mental illness. While Fulton County has accountability courts, some defendants with mental illness are not able to take advantage of these options due to their mental illness rendering them incompetent to understand the expectations required by these courts. The WISE (Women's Initiative for Success with Early Intervention) pilot project created a pathway for incompetent women to be diverted out of jail and into mental health treatment that was faster than the traditional evaluation for competency to stand trial pathway...
October 30, 2017: Behavioral Sciences & the Law
https://www.readbyqxmd.com/read/29052283/characteristics-of-alleged-homicide-offenders-with-and-without-schizophrenia-in-sichuan-china
#8
Xiacan Chen, Xueli Zhang, Stephen C P Wong, Min Yang, Di Kong, Junmei Hu
BACKGROUND: Little is known about the characteristics of people with and without schizophrenia who have been charged with homicide in China. AIMS AND RESEARCH QUESTION: Our research question was what differences are there between alleged homicide offenders with and without psychosis? METHOD: All archival records of alleged homicide cases referred for assessment to the West China Forensic Central Medical Service during 1998-2006 were retrieved...
October 19, 2017: Criminal Behaviour and Mental Health: CBMH
https://www.readbyqxmd.com/read/29052262/diversion-evaluations-a-specialized-forensic-examination
#9
Virginia Barber-Rioja, Merrill Rotter, Faith Schombs
Diversion programs screen justice-involved individuals for the presence of psychiatric disorders, and after negotiations take place with attorneys and treatment providers, these programs link participants with community-based treatment programs in lieu of incarceration. As the number of diversion programs, including mental health courts, continues to rapidly grow, so does the need for "diversion evaluations". Diversion evaluations are a type of forensic mental health assessment (FMHA) conducted to assist the courts in making decisions regarding diversion eligibility...
October 19, 2017: Behavioral Sciences & the Law
https://www.readbyqxmd.com/read/29048767/risk-assessment-and-subsequent-nursing-interventions-in-a-forensic-mental-health-inpatient-setting-associations-and-impact-on-aggressive-behaviour
#10
Tessa Maguire, Michael Daffern, Steven J Bowe, Brian McKenna
AIM AND OBJECTIVES: To examine associations between risk of aggression and nursing interventions designed to prevent aggression. BACKGROUND: There is scarce empirical research exploring the nature and effectiveness of interventions designed to prevent inpatient aggression. Some strategies may be effective when patients are escalating, whereas others may be effective when aggression is imminent. Research examining level of risk for aggression and selection and effectiveness of interventions and impact on aggression is necessary...
October 19, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28963298/cross-sector-user-and-provider-perceptions-on-experiences-of-shared-care-clozapine-a-qualitative-study
#11
Camilla Sowerby, Denise Taylor
OBJECTIVES: (1) To explore individual perceptions on experiences of people receiving and/or delivering a shared-care clozapine serviceand (2) to gain an understanding of effectiveness and acceptability of shared-care clozapine. DESIGN: Interpretative phenomenological analysis guided the delivery and analysis of a semistructured interview and focus group study designed to explore participant experience of shared-care clozapine. Ethical approval 13/EM/0286 was gained in July 2013 from East Midlands-Nottingham 1 REC...
September 28, 2017: BMJ Open
https://www.readbyqxmd.com/read/28962684/rights-laws-and-tensions-a-comparative-analysis-of-the-convention-on-the-rights-of-persons-with-disabilities-and-the-who-resource-book-on-mental-health-human-rights-and-legislation
#12
Richard M Duffy, Brendan D Kelly
BACKGROUND: Good mental health legislation is essential for ensuring high quality mental health care and protecting human rights. Many countries are attempting to bring mental health legislation in line with the UN - Convention on the Rights of Persons with Disability (UN-CRPD). The UN-CRPD requires policy-makers to rethink the 'medical model' of mental illness and existing laws. It also challenges WHO guidelines on drafting mental health law, described in the WHO Resource Book on Mental Health, Human Rights and Legislation (WHO-RB)...
September 2017: International Journal of Law and Psychiatry
https://www.readbyqxmd.com/read/28960741/prolonged-use-of-seclusion-and-mechanical-restraint-in-mental-health-services-a-statewide-retrospective-cohort-study
#13
Brian McKenna, Samantha McEvedy, Tessa Maguire, Jo Ryan, Trentham Furness
Seclusion and mechanical restraint are restrictive interventions that should be used only as a last resort and for the shortest possible time, yet little is known about duration of use in the broader context. Adult area mental health services throughout Victoria, Australia, were asked to complete a report form for prolonged episodes of seclusion (>8 hours) and mechanical restraint (>1 hour). The present, retrospective cohort study aimed to understand the individual (age, sex, type of service, duration of intervention) and contextual factors associated with prolonged use of restrictive interventions...
October 2017: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/28960740/predicting-aggressive-behaviour-in-acute-forensic-mental-health-units-a-re-examination-of-the-dynamic-appraisal-of-situational-aggression-s-predictive-validity
#14
Tessa Maguire, Michael Daffern, Steven J Bowe, Brian McKenna
In the present study, we explored the predictive validity of the Dynamic Appraisal of Situational Aggression (DASA) assessment tool in male (n = 30) and female (n = 30) patients admitted to the acute units of a forensic mental health hospital. We also tested the psychometric properties of the original DASA bands and novel risk bands. The first 60 days of each patient's file was reviewed to identify daily DASA scores and subsequent risk-related nursing interventions and aggressive behaviour within the following 24 hours...
October 2017: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/28960738/de-escalation-techniques-used-and-reasons-for-seclusion-and-restraint-in-a-forensic-psychiatric-hospital
#15
Satu Kuivalainen, Katri Vehviläinen-Julkunen, Olavi Louheranta, Anu Putkonen, Eila Repo-Tiihonen, Jari Tiihonen
In Finland, the Mental Health Act determines the legal basis for seclusion and restraint. Restrictive measures are implemented to manage challenging situations and should be used as a last resort in psychiatric inpatient care. In the present study, we examined the reasons for seclusion and restraint, as well as whether any de-escalation techniques were used to help patients calm down. Seclusion and restraint files from a 4-year period (1 June 2009-31 May 2013) were retrospectively investigated and analysed by content analysis...
October 2017: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/28954582/serial-murder-an-unusual-stereotype
#16
Mandar R Sane, Anand B Mugadlimath, Jamebaseer M Farooqui, Anand B Janagond, Pradeep K Mishra
Serial murders attract attention from the media, mental health experts, academia, and the general public. We present a case of serial murders that took place in a limited area and which caused public anxiety and anguish in central India. All the victims were homeless beggars, who were bludgeoned to death (crush injury). Individual murders were initially investigated by different police stations; fortunately, since they sent all the bodies to a common autopsy centre, a forensic pathologist was able to link all the cases, the first person to do so...
January 1, 2017: Medico-legal Journal
https://www.readbyqxmd.com/read/28950809/quality-of-life-in-dementia-sufferers-diet-and-exercise-in-an-evaluatory-role
#17
Pasquale Ricci, Francesco Massoni, Lidia Ricci, Emanuela Onofri, Giuseppe Donato, Serafino Ricci
Among the myriad of factors modulating quality of life (QoL) assessments estimated in patients presenting a variety of cognitive impairments (People With Dementia - PWD), the distinctive and critical influence of diet and exercise cannot be overestimated. The present study reviews the evi-dence to confirm the association between these health-endowering agents and cognitive perfor-mance in PWD, as well as providing a correlation between MMSE (Mini Mental State Examination) scores and available anthropometric data...
September 25, 2017: Current Alzheimer Research
https://www.readbyqxmd.com/read/28943186/making-visible-the-invisible-aboriginal-forensic-mental-health
#18
Michael Wright, Sophie Davison, Edward Petch
No abstract text is available yet for this article.
September 21, 2017: Lancet Psychiatry
https://www.readbyqxmd.com/read/28936813/-clinical-and-sociodemographic-characteristics-that-affect-the-recommendation-for-assignment-of-a-legal-representative-in-patients-with-bipolar-disorder
#19
Erhan Akıncı, Fatih Öncü, Can Ger, Mustafa Sabuncuoğlu, Anıl Kırmızı, Nezih Eradamlar
OBJECTIVE: In this study, we aimed to evaluate the clinical and sociodemographic characteristics of patients with bipolar disorder who had been sent to the Forensic Psychiatry Unit by the court in order to determine factors that affected the decision to appoint a legal representative. METHODS: The reports of health council, follow-up outpatient, and hospitalization files of a total of 78 patients with bipolar disorder who had been sent to the Department of Forensic Psychiatry Outpatient Clinic of Bakirköy Mental Health and Neurological Diseases Education and Research Hospital between 1st June 2009-31st December 2011 were examined...
2017: Türk Psikiyatri Dergisi, Turkish Journal of Psychiatry
https://www.readbyqxmd.com/read/28904814/factors-impacting-perceived-safety-among-staff-working-on-mental-health-wards
#20
Alina Haines, Andrew Brown, Rhiannah McCabe, Michelle Rogerson, Richard Whittington
BACKGROUND: Safety at work is a core issue for mental health staff working on in-patient units. At present, there is a limited theoretical base regarding which factors may affect staff perceptions of safety. AIMS: This study attempted to identify which factors affect perceived staff safety working on in-patient mental health wards. METHOD: A cross-sectional design was employed across 101 forensic and non-forensic mental health wards, over seven National Health Service trusts nationally...
September 2017: BJPsych Open
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