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Forensic mental health

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https://www.readbyqxmd.com/read/28421573/-forensic-flexible-assertive-community-treatment-client-characteristics-and-treatment-outcomes
#1
L Neijmeijer, J Verwoerd, M van Vugt, C Place, H Kroon
BACKGROUND: (Flexible) Assertive community treatment ((f)act) is applied increasingly to forensic psychiatric clients. However, evidence about the effectiveness of forensic (f)act is scanty. AIM: To investigate to what extent (subgroups of) clients receiving care from forensic (f)act teams show, after a year, changes in their social and psychological functioning and are subjected to fewer justicial outcome measures. METHOD: Between 2009 and 2011, eight forensic (f)act teams collected, at two measurement moments separated by an average of 12 months, data relating to client characteristics and outcomes of care...
2017: Tijdschrift Voor Psychiatrie
https://www.readbyqxmd.com/read/28401045/differences-between-british-and-japanese-perspectives-on-forensic-mental-health-systems-a-preliminary-study
#2
Akihiro Shiina, Aika Tomoto, Soichiro Omiya, Aiko Sato, Masaomi Iyo, Yoshito Igarashi
AIM: To clarify the differences in views on forensic mental health (FMH) systems between the United Kingdom and Japan. METHODS: We conducted a series of semi-structured interviews with six leading forensic psychiatrists. Based on a discussion by the research team, we created an interview form. After we finished conducting all the interviews, we qualitatively analyzed their content. RESULTS: In the United Kingdom the core domain of FMH was risk assessment and management; however, in Japan, the core domain of FMH was psychiatric testimony...
March 22, 2017: World Journal of Psychiatry
https://www.readbyqxmd.com/read/28337845/nurses-attitudes-towards-the-use-of-prn-psychotropic-medications-in-acute-and-forensic-mental-health-settings
#3
Lesley Barr, Dianne Wynaden, Karen Heslop
Many countries now have national mental health policies and guidelines to decrease or eliminate the use of seclusion and restraint yet the use of Pro Re Nata (PRN) medications has received less practice evaluation. This research aimed to identify mental health nurses' attitudes towards the use of PRN medications with mental health consumers. Participants were working in forensic mental health and non-forensic acute mental health settings. The "Attitudes towards PRN medication use survey" was used and data were collected online...
March 24, 2017: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/28295575/definition-and-assessment-of-disability-in-mental-disorders-under-the-perspective-of-the-international-classification-of-functioning-disability-and-health-icf
#4
Michael Linden
This article provides an overview of definitions and assessment instruments of disability, an important topic in the diagnosis and treatment of chronic illnesses, and in expert appraisals in social and forensic medicine. Health problems are manifested not only in symptoms, but also regularly in impairment or disability in everyday life, which is especially true for mental disorders. According to the International Classification of Functioning, Disability and Health (ICF) of the World Health Organization, disability can be understood as chronic suffering from symptoms of illness, or limitations of executing capacities, or inability to participate in selected areas of life...
March 14, 2017: Behavioral Sciences & the Law
https://www.readbyqxmd.com/read/28284208/violent-victimization-and-health-service-utilization-in-a-forensic-psychiatric-context-a-comparison-between-offenders-with-mental-disorders-and-matched-controls
#5
Mats Persson, Henrik Belfrage, Marianne Kristiansson
BACKGROUND: Offenders with mental disorders constitute a particularly exposed group in society, with high rates of morbidity, mortality, and social deprivation. Often thought of primarily as perpetrators, these individuals may also be subjected to violence. Previous research indicates that violent victimization during lifespan is a risk factor for violent perpetration among psychiatric patients, but victimization studies on the group of offenders with mental disorders are scarce. Health services are pivotal to this group, but although most individuals do utilize these services, their vulnerability seems to remain...
March 11, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28270462/controversies-concerning-the-canadian-not-criminally-responsible-reform-act
#6
Robert Lacroix, Roy O'Shaughnessy, Dale E McNiel, Renée L Binder
In Canada, individuals found not criminally responsible on account of mental disorder are subject to the disposition recommendations of the Provincial or Territorial Review Board of the jurisdiction where the offense was committed. Bill C-14, known as "The Not Criminally Responsible Reform Act" made changes to the postverdict disposition process of these individuals. This legislation was consistent with a broader "tough-on-crime" agenda of the previous federal government. The legislative changes codify that Review Boards take public safety as the "paramount consideration" in making their recommendations...
March 2017: Journal of the American Academy of Psychiatry and the Law
https://www.readbyqxmd.com/read/28256255/the-evaluation-stage-of-the-hoeven-outcome-monitor-hom-towards-an-evidence-based-groundwork-in-forensic-mental-health
#7
Lobke H Keune, Vivienne de Vogel, Hjalmar J C van Marle
This study examined if a macro-, meso-, and micro outcome measurement instrument that constitutes the evaluation stage of a Dutch forensic psychiatric outcome monitor, the Hoeven Outcome Monitor (HOM), can provide a first step towards a more evidence based groundwork in forensic mental health. General, serious, very serious, special, and tbs meriting recidivism during treatment, after treatment, and overall were charted for forensic psychiatric patients discharged from a Dutch forensic psychiatric centre between 1999 and 2008 (N=164)...
February 27, 2017: International Journal of Law and Psychiatry
https://www.readbyqxmd.com/read/28225844/-diminished-culpability
#8
Luis Ohman, Adrián P Fantini
One of the central matters in forensic psychiatry is its culpability. Day after day we, the mental health professionals, are subpoenaed in different courts of our country to assess the mental state of a given individual in order to endorse a judge so that he can issue their view pertaining the culpability and the responsibility of accused subjects. Our current National Criminal Code, dating from 1921, in Art. 34 sub 1 holds for culpability a dichotomous model in which an individual is responsible and must be accountable for his behavior or not responsible and in such case must no be held accountable in criminal courts...
May 2016: Vertex: Revista Argentina de Psiquiatriá
https://www.readbyqxmd.com/read/28216767/mental-health-and-the-law-an-overview-and-need-to-develop-and-strengthen-the-discipline-of-forensic-psychiatry-in-india
#9
REVIEW
Pratima Murthy, B C Malathesh, C Naveen Kumar, Suresh Bada Math
Human rights and mental health care of vulnerable population need supportive legislations and policies. Both "hard" and "soft" laws relevant to mental health care have been devised internationally and locally. Amendments in laws and the formulation of new laws are often required and have been seen to occur in the area of mental health care in India. So far, reform in mental health care has largely been reactive, but newer legislations and policies carry the hope of proactive reform. The lack of trained human resources is one of the biggest problems in effective mental health care delivery in India...
December 2016: Indian Journal of Psychiatry
https://www.readbyqxmd.com/read/28216766/forensic-psychiatry-in-india-past-present-and-future
#10
REVIEW
S Nambi, Siva Ilango, Lakshmi Prabha
Forensic psychiatry is a subspecialty of psychiatry, in which scientific and clinical expertise is applied to legal issues in legal contexts embracing civil, criminal, correctional, or legislative matters. Forensic psychiatry is still in an infant stage in India and other developing countries. Law is the sanctioning discipline, and Psychiatry is the therapeutic discipline. Due to various reasons, Forensic Psychiatry is reared as Cinderella in our country; "which is much neglected, ignored, misinterpreted, and misunderstood...
December 2016: Indian Journal of Psychiatry
https://www.readbyqxmd.com/read/28176430/managing-uncertainty-in-the-clinical-prediction-of-risk-of-harm-bringing-a-bayesian-approach-to-forensic-mental-health
#11
Conor Duggan, Roland Jones
Predicting the likelihood of harm posed by mentally disordered offenders remains controversial. It is proposed that a Bayesian approach may help quantify the uncertainty surrounding such prediction. An example of this approach quantifying the risk of breast cancer in the event of a positive mammogram is provided. Copyright © 2017 John Wiley & Sons, Ltd.
February 2017: Criminal Behaviour and Mental Health: CBMH
https://www.readbyqxmd.com/read/28173735/evaluation-of-the-essences-in-a-neurodevelopmental-inpatient-service-for-adolescents
#12
Ciara Glennon, Marilyn A Sher
Ward climate is a key element within psychiatric settings, associated with positive clinical outcomes. The Essen Climate Evaluation Schema (EssenCES) is a ward climate measure, which is validated for use within UK forensic settings. It has been studied within neurodevelopmental psychiatric inpatient settings with mixed findings on its appropriateness, and there is a dearth of EssenCES research which has been conducted within an adolescent psychiatric inpatient setting. The present study piloted the EssenCES within an inpatient psychiatric neurodevelopmental setting for adolescents in the East of England, in order to explore its usefulness within this setting and to provide preliminary normative data for a child and adolescent mental health services inpatient learning disability population...
January 1, 2017: Journal of Intellectual Disabilities: JOID
https://www.readbyqxmd.com/read/28135821/a-brief-history-of-forensic-mental-health-services-in-western-australia
#13
Philippa Martyr
OBJECTIVE: To scope the history of forensic mental health services in Western Australia since colonisation. METHOD: A range of primary sources, including archives, reports, and oral histories was consulted. RESULTS: Forensic mental health services were identified as historically poorly managed, under-resourced, and inconsistently delivered. CONCLUSIONS: Current problems with forensic mental health services may be linked to historical factors...
January 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28134394/evaluation-and-management-of-female-victims-of-sexual-assault
#14
Roxanne A Vrees
Sexual assault is characterized by any sexual contact or behavior that occurs without explicit consent. Classifications vary based on the status of the perpetrator's relationship to the victim (eg, stranger, acquaintance) and characteristics of the victim herself (eg, child, elder adult, mentally disabled adult). Regardless of the classification, sexual assault is a significant individual as well as public health issue affecting women of all ages. While the majority of sexual assault cases are not initially reported to law enforcement, the best available data suggest the lifetime prevalence of sexual assault in the United States is approximately 20% among adult women...
January 2017: Obstetrical & Gynecological Survey
https://www.readbyqxmd.com/read/28125302/psychological-distress-among-re-education-through-labour-camp-detainees-in-guangxi-autonomous-region-china
#15
Lorraine Yap, Su Shu, Lei Zhang, Wei Liu, Yi Chen, Zunyou Wu, Jianghong Li, Handan Wand, Basil Donovan, Tony Butler
BACKGROUND: There is currently no information about the prevalence of, and factors contributing to psychological distress experienced by re-education through labour camp detainees in China. METHODS: A cross-sectional face-to-face survey was conducted in three labour camps in Guangxi, China. The questionnaire covered socio-demographic characteristics; sexually transmissible infections (STIs); drug use; psychological distress (K-10); and health service usage and access inside the labour camps...
February 2017: Journal of Mental Health
https://www.readbyqxmd.com/read/28122286/does-the-forensic-physician-have-a-role-beyond-injury-documentation-and-specimen-collection-in-australia-a-personal-view
#16
John A M Gall
Clinical forensic medicine (CFM), as a single discipline, encompasses a number of areas of medico-legal practice including injury interpretation, management of sexual and physical assault cases (both adult and child; alleged victim and offender), mental health issues, traffic medicine, custodial medicine and toxicology. The cases are usually alive but in some jurisdictions the forensic practitioner also engages in death investigation with some undertaking autopsies. During the last 20-30 years, the discipline has fragmented with areas being hived off to other medical specialist disciplines and, importantly, to nurses...
February 2017: Journal of Forensic and Legal Medicine
https://www.readbyqxmd.com/read/28104290/exploring-the-longitudinal-offending-pathways-of-child-sexual-abuse-victims-a-preliminary-analysis-using-latent-variable-modeling
#17
Nina L Papalia, Stefan Luebbers, James R P Ogloff, Margaret Cutajar, Paul E Mullen
Very little research has been conducted to show the way in which criminal behavior unfolds over the life-course in children who have been sexually abused, and whether it differs from the 'age-crime' patterns consistently documented in the criminology literature. This study investigated the temporal pathways of criminal offending between the ages of 10-25 years among medically confirmed cases of child sexual abuse (CSA), and considered whether abuse variables, offense variables, and the presence of other adverse outcomes, were associated with heterogeneity in offending pathways among CSA survivors...
January 16, 2017: Child Abuse & Neglect
https://www.readbyqxmd.com/read/28103871/a-descriptive-survey-study-of-violence-management-and-priorities-among-psychiatric-staff-in-mental-health-services-across-seventeen-european-countries
#18
Seamus Cowman, Anna Björkdahl, Eric Clarke, Georgina Gethin, Jim Maguire
BACKGROUND: In mental health services what is commonplace across international frontiers is that to prevent aggressive patients from harming themselves, other patients or staff, coercive measures and foremost, violence management strategies are required. There is no agreement, recommendations or direction from the EU on which measures of coercion should be practiced across EU countries, and there is no overall one best practice approach. METHODS: The project was conceived through an expert group, the European Violence in Psychiatry Research Group (EViPRG)...
January 19, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28098920/-too-long-in-tbs-a-study-on-patients-receiving-forensic-psychiatric-tbs-treatment-for-15-years-or-longer
#19
H Nijman, S Lammers, M Vrinten, E Bulten
In 2013 in the Netherlands about 100 forensic psychiatric patients were treated in tbs-hospitals for 15 years or more.<br/> AIM: To investigate the variables that characterise patients who have been receiving forensic psychiatric treatment (tbs) for 15 years or more, and to obtain insight in which actions might be helpful to facilitate discharge or transfer of such patients to other (mental health care) facilities, according to their caregivers and experts.<br/> METHOD: The group of long-term tbs-patients (n = 97) was compared with regard to diagnostic characteristics, 'basic historical risks' (as assessed by risk assessment instruments), and behaviour  to three other groups of forensic patients: a...
2017: Tijdschrift Voor Psychiatrie
https://www.readbyqxmd.com/read/28095806/predictors-of-mental-health-review-tribunal-mhrt-outcome-in-a-forensic-inpatient-population-a-prospective-cohort-study
#20
Amelia Jewell, Kimberlie Dean, Tom Fahy, Alexis E Cullen
BACKGROUND: Previous studies have investigated factors associated with outcome at Mental Health Review Tribunals (MHRTs) in forensic psychiatric patients; however, dynamic variables such as treatment compliance and substance misuse have scarcely been examined, particularly in UK samples. We aimed to determine whether dynamic factors related to behaviour, cooperation with treatment, and activities on the ward were prospectively associated with outcome at MHRT. METHODS: At baseline, demographic, clinical, behavioural, and treatment-related factors were ascertained via electronic medical records and census forms completed by the patient's clinical team...
January 17, 2017: BMC Psychiatry
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