Facilitating Treatment Integrity in Penitentiary and Forensic Psychiatric Institutions

2019 ◽  
pp. 163-173
Author(s):  
Floris W. Kraaimaat ◽  
Ruud H. J. Hornsveld
Keyword(s):  
Treatment Integrity ◽  
Psychiatric Institutions ◽  
Forensic Psychiatric

Antihormonal treatment of paraphilic patients in German forensic psychiatric clinics

2002 ◽  
Vol 17 (2) ◽  
pp. 104-106 ◽  
Author(s):  
J.-P. Czerny ◽  
P. Briken ◽  
W. Berner
Keyword(s):  
Side Effects ◽  
Treatment Strategies ◽  
Medical Complications ◽  
Lhrh Agonists ◽  
Psychiatric Institutions ◽  
Antihormonal Treatment ◽  
Sex Offences ◽  
Forensic Psychiatric

SummaryThe aim of this study was to investigate which antihormonal treatment strategies are used in German forensic psychiatric institutions. Forensic clinics were asked about the number of treated patients. Four hundred seventy-four patients were committed for sex offences; 12% received either CPA (n = 29) or LHRH- agonists (n = 29). Differences in efficacy were small. Several side effects confirm the importance of a protocol for minimizing medical complications.

A Comparative Perspective on Forensic Psychiatry in Canada and England

1988 ◽  
Vol 28 (4) ◽  
pp. 329-335 ◽  
Author(s):  
M. Green Christopher ◽  
Laurence J. Naismith
Keyword(s):  
Forensic Psychiatry ◽  
Legal Aspects ◽  
Comparative Perspective ◽  
Mentally Disordered Offenders ◽  
Mentally Disordered ◽  
Department Of Health ◽  
Psychiatric Institutions ◽  
English System ◽  
Correctional System ◽  
Forensic Psychiatric

ABSTRACT: An outline is presented of the development and practice of forensic psychiatry, including relevant legal aspects, in Canada, in comparison to the English system. It is written by two English-trained psychiatrists, who have provided forensic services in both Canada and England. Canadian forensic psychiatry is portrayed as having a greater medico-legal emphasis than at present in England, with a continuing dependence on the insanity verdict for seriously mentally disordered offenders. Canadian forensic psychiatric institutions are often attached to the correctional system, whereas in England they are under the Department of Health. Within this framework, the article elaborates upon clinical and medico-legal differences.

Dangerous or merely ‘difficult’? The new population of forensic mental hospitals

2009 ◽  
Vol 24 (6) ◽  
pp. 365-372 ◽  
Author(s):  
H. Schanda ◽  
T. Stompe ◽  
G. Ortwein-Swoboda
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Community Mental Health Services ◽  
European Countries ◽  
Mentally Disordered Offenders ◽  
Mentally Disordered ◽  
Mental Hospitals ◽  
Psychiatric Institutions ◽  
Forensic Psychiatric ◽  
Mental Health Policies

AbstractBackgroundDuring recent decades, there has been a substantial increase in admissions to forensic mental hospitals in several European countries. It is not known if reforms implemented in mental health policies and practices are responsible for this development.ObjectiveOur study examined the development of mental health care in Austria and the incidence and prevalence of mentally disordered offenders judged not guilty by reason of insanity (NGRI).MethodsWe analysed data on service provision and data from criminal statistics between 1970 and 2008 from several national sources.ResultsDuring the first decade when reforms to mental health practice were implemented, the incidence and prevalence of offenders judged NGRI remained unchanged, despite a reduction of mental hospital beds by nearly 50% and little outpatient care. Surprisingly, the enormous increase in admissions to forensic inpatient treatment began in Austria only after community mental health services were rolled out across the country in the 1990s. This increase was primarily due to admissions of patients who had committed less severe offences, while rates of those who had committed homicide remained unchanged.ConclusionOur results cannot be explained by details of the reforms such as the downsizing of mental hospitals or a lack of outpatient facilities, nor by changes to criminal sentencing. Rather, the results provide evidence of an increasingly inadequate provision of comprehensive care for “difficult” but not extremely dangerous psychotic patients living in the community. This may result from the attitudes of mental health professionals who have become less inclined to integrate aggressive behaviour into their understanding of psychosis. As a consequence, increasing numbers of “difficult” patients end up in forensic psychiatric institutions. This development, which can be observed in nearly all European countries, raises concerns with regard to efforts to destigmatize both patients and psychiatry.

scholarly journals Absconsion from forensic psychiatric institutions: a review of the literature

2019 ◽  
Author(s):  
Danielle Campagnolo ◽  
Ivana Furimsky ◽  
Gary Andrew Chaimowitz
Keyword(s):  
Risk Factors ◽  
Psychiatric Inpatient ◽  
Rare Event ◽  
Assessment Tools ◽  
Retrospective Case ◽  
Forensic Patients ◽  
Assessment Protocol ◽  
Psychiatric Institutions ◽  
Psychiatric Units ◽  
Forensic Psychiatric

Background: Absconding from mental health units is referred to as a patient leaving without permission and can have significant consequences for the patient, family, community, and institution. The varying definitions of absconsion involve breaching security of an inpatient unit, accessing grounds or community without permission, gaining liberty during escorted leave or being absent for longer than permitted from authorized or trial leave. While considerable literature exists on absconsion from acute psychiatric units, there is a paucity of literature specific to forensic absconsions, despite inherent differences between patients and systems. Forensic patients are offenders who are found unfit to stand trial, or not criminally responsible on account of mental disorder. The literature indicates the absconding rate within the forensic population is expected to be low, based on the fact that the level of security in forensic units is higher than general psychiatric units. Despite the rates being considered low, the outcomes of absconding in this population can potentially be serious, thus the exploration of factors surrounding these incidents is essential. Purpose: To review the literature regarding absconsion from forensic psychiatric institutions. This review will identify potential risk factors and motivations of forensic patients that have absconded. Methods: Electronic database and hand searches were conducted to locate articles pertaining to absconding specific to forensic psychiatric institutions published from 1969-present. Search terms included “abscond”, “escape”, “AWOL”, “runaway”, “psychiatric inpatient”, “forensic institution”, & variants. All full-text articles meeting inclusion & exclusion criteria were appraised for qualitative themes, limitations, and assessed for risk of bias using appropriate CASP Checklists. The review is structured following the PRISMA checklist and framework. Results: A total of 19 articles meeting literature review criteria were identified. The majority of the articles were of retrospective case-control design (n=12). Three systematic reviews were found on absconsion that included analyses from both forensic and general psychiatric populations. Definitions for absconding were omitted or varied making comparisons between studies difficult. Much research compared demographic, static and dynamic factors. History of previous absconsion, scores on validated risk-of-violence assessment tools, substance-use disorder, acute mental state, and socio-environmental factors were consistently noted as risk-factors. Four distinct motivations for absconding emerged: goal-directed, frustration/boredom, symptomatic, and accidental. Overall, the literature suggested forensic absconsion was a rare event of short duration with low risk to the public and few re-offending incidents. Conclusions: There is a paucity of literature on forensic absconsions. A consistent definition of absconsion and use of standardized reporting protocols across forensic programs would be beneficial in order to be able to compare data on absconding events. Also, prospective studies should be undertaken to better understand the motivations and dynamic risk factors of forensic patients who have absconded and would help inform a forensic absconsion risk assessment protocol.

The Management of COVID-19 in Forensic Psychiatric Institutions

2020 ◽  
Vol 71 (10) ◽  
pp. 1088-1090
Author(s):  
Tobias Wasser ◽  
Lori Hauser ◽  
Reena Kapoor
Keyword(s):  
Psychiatric Institutions ◽  
Forensic Psychiatric

The Closure of Forensic Psychiatric Institutions in Italy

2019 ◽  
pp. 317-330 ◽  
Author(s):  
F. Scarpa ◽  
L. Castelletti ◽  
I. Lega
Keyword(s):  
Psychiatric Institutions ◽  
Forensic Psychiatric
Sign in / Sign up

Export Citation Format

Share Document