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https://www.readbyqxmd.com/read/28696434/when-should-governments-increase-the-supply-of-psychiatric-beds
#1
S Allison, T Bastiampillai, J Licinio, D A Fuller, N Bidargaddi, S S Sharfstein
Low numbers of hospital-based psychiatric beds create problems for people with severe mental illness (SMI), when they face extended emergency department (ED) waits, higher thresholds for admission to an acute bed, and short revolving-door stays with high rates of rehospitalisation. Limited access to inpatient treatment has been associated with higher suicide risk, premature mortality, homelessness, violent crime and incarceration. Ultimately, people with SMI can be transinstitutionalised to the criminal justice system...
July 11, 2017: Molecular Psychiatry
https://www.readbyqxmd.com/read/28687175/a-comprehensive-approach-to-managing-threats-of-violence-on-a-university-or-college-campus
#2
REVIEW
Cheryl Regehr, Graham D Glancy, Andrea Carter, Lisa Ramshaw
Horrifying, high profile acts of violence on campuses remain relatively rare, nevertheless, academic administrators are required to manage threats of violence on campus on an increasingly regular basis. These threats take two primary forms, those in which the perpetrator and the intended victim(s) are clearly identified, often involving repeated threats and threatening behaviour towards an individual; and those involving anonymous threats to commit acts of larger scale violence. Complicating factors in managing these threats include: fear contagion; mass media and social media attention; responsibilities to all members of the university community sometimes including individuals issuing the threat and the intended victims; demands for safety and security measures that are often at odds with professional advice; and permeable campus boundaries that cause security challenges...
July 4, 2017: International Journal of Law and Psychiatry
https://www.readbyqxmd.com/read/28683373/caregivers-abuse-stigmatization-and-their-views-of-mental-health-treatment-following-child-sexual-abuse
#3
Valerie A Simon, Douglas Barnett, Erin Smith, Lilia Mucka, Deborah Willis
Many families do not utilize mental health services after the discovery of child sexual abuse (CSA), even when trauma-focused treatments are offered at low or no cost. Non-offending caregivers frequently serve as gatekeepers to youths' treatment, and their reactions to CSA may figure into decisions about treatment engagement. The current study examined caregivers' abuse stigmatization (i.e., self-blame and shame about their children's CSA) and associations with two factors predictive of treatment engagement (motivation, obstacles)...
July 3, 2017: Child Abuse & Neglect
https://www.readbyqxmd.com/read/28658994/socioeconomic-disadvantage-and-schizophrenia-in-migrants-under-mental-health-detention-orders
#4
Jan Bulla, Klaus Hoffmann, Jan Querengässer, Thomas Ross
BACKGROUND: Migrants with mental hospital orders according to section 63 of the German criminal code are overrepresented in relation to their numbers in the general population. Subgroups originating from certain world regions are diagnosed with schizophrenia at a much higher rate than others. In the present literature, there is a strong evidence for a substantial correlation between migration, social disadvantage and the prevalence of schizophrenia. AIMS: This study investigates the relationship between countries of origin, the risk of becoming a forensic patient and the proportion of schizophrenia spectrum disorders...
June 1, 2017: International Journal of Social Psychiatry
https://www.readbyqxmd.com/read/28643049/clozapine-in-reducing-aggression-and-violence-in-forensic-populations
#5
REVIEW
Kathleen Patchan, Gopal Vyas, Ann L Hackman, Marie Mackowick, Charles M Richardson, Raymond C Love, Ikwunga Wonodi, MacKenzie A Sayer, Matthew Glassman, Stephanie Feldman, Deanna L Kelly
Popular media often portray people with a mental illness as being aggressive, violent, and incarcerated as a result of their behavior. Despite exaggeration in the media, risks for some aggressive behaviors are in fact higher in individuals with schizophrenia. This is often the case with influence of comorbid substance use disorders. It is essential that mental health professionals are aware of treatments that may help with attenuating and treating behaviors that contribute to violence, aggression and incarceration...
June 22, 2017: Psychiatric Quarterly
https://www.readbyqxmd.com/read/28639495/substance-use-in-adolescents-with-mental-illness-in-durban-south-africa
#6
Bhoodeo Taukoor, Saeeda Paruk, Enver Karim, Jonathan K Burns
Comorbid substance use in adolescents with mental illness is often an indicator of poor treatment outcome. This study aims to determine the prevalence of, and associated risk factors for, substance use in adolescents with mental illness attending a mental health service. Data was collected from hospital records of 162 adolescents, using a structured data sheet, over a two-year period. Substance use was more significant in older adolescents and those with severe mental illness. Sixty-two (38.3%) adolescents used substances...
May 2017: Journal of Child and Adolescent Mental Health
https://www.readbyqxmd.com/read/28628826/different-yet-similar-prisoners-versus-psychiatric-patients%C3%A2-%C3%A2-a-comparison-of-their-mental-health
#7
S Otte, N Vasic, S Nigel, J Streb, T Ross, C Spitzer, H J Grabe, M Dudeck
BACKGROUND: Previous research indicates that prisoners have severe psychological distress. To assess their distress level and potential need for treatment, the present study compared the subjective psychological distress of long- and short-term prisoners with that of psychiatric and forensic patients. METHODS: Long- (n=98) and short-term prisoners (n=94) and forensic (n=102) and psychiatric (n=199) patients completed the German versions of the Symptom Checklist Revised (SCL-90-R) and Brief Symptom Inventory (BSI)...
April 26, 2017: European Psychiatry: the Journal of the Association of European Psychiatrists
https://www.readbyqxmd.com/read/28625876/mental-health-in-zimbabwe-a-health-systems-analysis
#8
Khameer Kidia, Debra Machando, Walter Mangezi, Reuben Hendler, Megan Crooks, Melanie Abas, Dixon Chibanda, Graham Thornicroft, Maya Semrau, Helen Jack
There has been little external analysis of Zimbabwe's mental health system. We did a systems analysis to identify bottlenecks and opportunities for mental health service improvement in Zimbabwe and to generate cost-effective, policy-relevant solutions. We combined in-depth interviews with a range of key stakeholders in health and mental health, analysis of mental health laws and policies, and publicly available data about mental health. Five themes are key to mental health service delivery in Zimbabwe: policy and law; financing and resources; criminal justice; workforce, training, and research; and beliefs about mental illness...
June 15, 2017: Lancet Psychiatry
https://www.readbyqxmd.com/read/28619879/animal-maltreatment-forensic-mental-health-issues-and-evaluations
#9
Alan R Felthous
No abstract text is available yet for this article.
June 2017: Journal of the American Academy of Psychiatry and the Law
https://www.readbyqxmd.com/read/28619861/geriatrics-and-the-legal-system
#10
Stephanie C Yarnell, Paul D Kirwin, Howard V Zonana
Correctional systems, already struggling to meet the basic and functional requirements of older prisoners, will be further challenged by the increasing medical and psychiatric needs of this population. Mental health and general medical care for older adults requires specific on-site or consultation expertise in geriatric medicine and psychiatry, as well as potential changes in infrastructure, both of which may be prohibitively expensive. However, compassionate and effective treatment of older prisoners requires that prison and legal systems facilitate this expert care...
June 2017: Journal of the American Academy of Psychiatry and the Law
https://www.readbyqxmd.com/read/28594212/diagnostic-field-reliability-in-forensic-mental-health-evaluations
#11
W Neil Gowensmith, Stephanie N Sessarego, Meghan K McKee, Samantha Horkott, Nina MacLean, Katherine E McCallum
How likely are multiple forensic evaluators to agree on defendants' diagnoses in routine forensic mental health evaluations? A total of 720 evaluation reports were examined from 240 cases in which 3 evaluators, working independently, provided diagnoses for the same defendant. Results revealed perfect agreement across 6 independent diagnostic categories in 18.3% of cases. Agreement for individual diagnostic categories was higher, with all 3 evaluators agreeing on the separate presence of psychotic, mood, or substance disorders in more than 64...
June 2017: Psychological Assessment
https://www.readbyqxmd.com/read/28594204/taking-forensic-mental-health-assessment-out-of-the-lab-and-into-the-real-world-introduction-to-the-special-issue-on-the-field-utility-of-forensic-assessment-instruments-and-procedures
#12
John F Edens, Marcus T Boccaccini
The last several decades have seen a major upswing in the development and use of psychological assessment instruments in forensic and correctional settings. At the same time, admissibility standards increasingly have stressed the importance of the reliability and validity of evidence in legal proceedings. Recent research has, however, raised serious concerns about (a) the reliability of forensic science evidence in general, (b) the replicability of psychological research findings in general and in field settings especially, and (c) the interrater reliability and predictive validity of forensic psychological assessment evidence in particular...
June 2017: Psychological Assessment
https://www.readbyqxmd.com/read/28590205/psychodynamic-treatment-of-the-criminal-offender-making-the-case-for-longer-term-treatment-in-a-longer-term-setting
#13
Abby L Mulay, Elspeth Kelly, Nicole M Cain
In recent years, prisons and jails have become de facto psychiatric hospitals, responsible for the care and treatment of individuals with serious mental illness. Historically, cognitive-behaviorally informed therapeutic approaches have been the treatment of choice among mental health practitioners in correctional settings. However, inmate-clients often present with complex diagnostic issues that are arguably better served by long-term treatment options, such as psychodynamic psychotherapy. We first review the nature of psychotherapy in the correctional setting, as well as treatment barriers and challenges faced by both mental health providers and inmate-clients...
2017: Psychodynamic Psychiatry
https://www.readbyqxmd.com/read/28589832/improving-medicines-management
#14
Kirsty Killiard
While on placement on a forensic learning disability ward in my third year as a mental health nursing student, I noticed that patients sometimes needed 'as required' (PRN) medication for distress associated with their mental health.
June 7, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28584652/civil-and-forensic-patients-in-secure-psychiatric-settings-a-comparison
#15
Nuwan Galappathie, Sobia Tamim Khan, Amina Hussain
Aims and method To evaluate differences between male patients in secure psychiatric settings in the UK based on whether they are detained under civil or forensic sections of the Mental Health Act 1983. A cohort of patients discharged from a secure psychiatric hospital were evaluated for length of stay and frequency of risk-related incidents. Results Overall, 84 patients were included in the study: 52 in the forensic group and 32 in the civil group. Civil patients had more frequent incidents of aggression, sex offending, fire-setting and vulnerability, whereas forensic patients had more frequent episodes of self-harm...
June 2017: BJPsych Bulletin
https://www.readbyqxmd.com/read/28580656/prepartum-psychosis-and-neonaticide-rare-case-study-and-forensic-psychiatric-synthesis-of-literature
#16
Maria-Valeria Karakasi, Maria Markopoulou, Ioannis K Tentes, Panagiotis N Tsikouras, Epameinondas Vasilikos, Pavlos Pavlidis
Peripartum psychosis is a rare but serious psychiatric disorder characterized by the presence of a mood episode with psychotic features. Although controversy surrounds the nosological status of peripartum mental disorders, these conditions continue to be of exceptional interest to the medical and forensic mental health communities. The aim of this study was to report a rare case of prepartum psychosis which escalated to the endpoint of neonaticide and summarize literature on peripartum mental disorders and infanticide...
June 5, 2017: Journal of Forensic Sciences
https://www.readbyqxmd.com/read/28568767/self-reported-mental-health-issues-among-arrestees-in-the-paris-france-area
#17
Camille Vidal, Aude Lepresle, Patrick Chariot
We studied (May-September 2014) all arrestees who reported mental health issues during the medical examination performed by a forensic physician for the assessment of fitness for detention. Among 4814 arrestees, 420 (9%) reported a current mental health issue. The suspected crimes among arrestees reporting a current mental health issue were more often related to violent behaviors (physical assault, 23% vs. 16%, p < 0.001, sexual assault, 3% vs. 1%, p = 0.01) and less often drug offenses (18% vs. 29%, p < 0...
June 1, 2017: Journal of Forensic Sciences
https://www.readbyqxmd.com/read/28566028/a-randomized-controlled-trial-of-the-rochester-forensic-assertive-community-treatment-model
#18
J Steven Lamberti, Robert L Weisman, Catherine Cerulli, Geoffrey C Williams, David B Jacobowitz, Kim T Mueser, Patricia D Marks, Robert L Strawderman, Donald Harrington, Tara A Lamberti, Eric D Caine
OBJECTIVE: Forensic assertive community treatment (FACT) is an adaptation of the assertive community treatment model and is designed to serve justice-involved adults with serious mental illness. This study compared the effectiveness of a standardized FACT model and enhanced treatment as usual in reducing jail and hospital use and in promoting engagement in outpatient mental health services. METHODS: Seventy adults with psychotic disorders who were arrested for misdemeanor crimes and who were eligible for conditional discharge were recruited from the Monroe County, New York, court system...
June 1, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/28541169/imagining-moral-bioenhancement-practices-drawing-inspiration-from-moral-education-public-health-ethics-and-forensic-psychiatry
#19
Jona Specker, Maartje H N Schermer
In this article, we consider contexts or domains in which (future) moral bioenhancement interventions possibly or most likely will be implemented. By looking closely at similar or related existing practices and their relevant ethical frameworks, we hope to identify ethical considerations that are relevant for evaluating potential moral bioenhancement interventions. We examine, first, debates on the proper scope of moral education; second, proposals for identifying early risk factors for antisocial behaviour; and third, the difficult balancing of individual freedom and third party concerns in (forensic) psychiatry...
July 2017: Cambridge Quarterly of Healthcare Ethics: CQ: the International Journal of Healthcare Ethics Committees
https://www.readbyqxmd.com/read/28528986/how-family-members-of-mentally-ill-offenders-experience-the-internment-measure-and-forensic-psychiatric-treatment-in-belgium-a-qualitative-study
#20
Sara Rowaert, Stijn Vandevelde, Gilbert Lemmens, Kurt Audenaert
Mentally ill offenders in Belgium can be subjected to mandated care under an "internment measure" if they are viewed as a danger to society. This study investigated how family members of mentally ill offenders experience this internment measure and view the (forensic) psychiatric treatment of their relative. Semi-structured interviews were conducted with 24 relatives and analysed using Nvivo 11. Six different themes emerged: (1) the criminal offence and the internment measure as an additional stigma, (2) ambivalent feelings towards the judicial system, (3) prison is not the right place to be, (4) mental health support as an answer to problems, (5) fight a losing battle, and (6) while there is life there is hope...
May 18, 2017: International Journal of Law and Psychiatry
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