Towards an EU research framework on forensic psychiatric care: Introduction, structure, activities and results of cost action Is1302

2017 ◽  
Vol 41 (S1) ◽  
pp. S584-S584
Author(s):  
L. Castelletti ◽  
F. Scarpa
Keyword(s):  
Best Practice ◽  
Psychiatric Care ◽  
Service Providers ◽  
Psychiatric Symptoms ◽  
Legal Framework ◽  
Mentally Ill Offenders ◽  
Mentally Disordered Offenders ◽  
Cost Action ◽  
Forensic Psychiatric

IntroductionForensic psychiatric care is aimed at improving mental health and reducing the risk of recidivism of mentally ill offenders. For some mentally disordered offenders long forensic psychiatric care is required. Due to different legal framework, policies and resources in member countries, treatment programs and care provided for these subjects may vary substantially across Europe.ObjectivesCOST Action IS1302, a EU project aimed at establishing a European network of researchers, clinicians and service providers about long-term forensic psychiatric care, has involved nineteen European countries for 2013 to set the basis for comparative evaluation and research on effective treatment and the development of best practice in long-term forensic psychiatry in Europe.MethodIt is constituted by three main areas of interest and research. One group works on determination of patient characteristics, looking into prevalence, duration of stay and the most determinant characteristics of long term patients. The second area of research aims at obtaining better understanding of complex external factors that influence the poor progress of patients residing for an above average time in forensic services. Third group of research focuses on knowledge about specific needs brought about by psychiatric symptoms and how these specific needs might optimize the quality of life of patients in long term forensic psychiatric care.Results/conclusionsLaunched four years ago, the action is at its last of activities. We display features, activities and data emerging from the research conducted so far.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Ethical issues of long-term forensic psychiatric care

2016 ◽  
Vol 2 (1) ◽  
pp. 36-44 ◽  
Author(s):  
B. Völlm ◽  
P. Bartlett ◽  
R. McDonald
Keyword(s):  
Psychiatric Care ◽  
Ethical Issues ◽  
Forensic Psychiatric

Quality of Life in Long-Term Forensic Psychiatric Care: Comparison of Self-Report and Proxy Assessments

2015 ◽  
Vol 29 (3) ◽  
pp. 162-167 ◽  
Author(s):  
Sandra Helena Hendrika Schel ◽  
Yvonne Helena Alexandra Bouman ◽  
Berend Hendrik Bulten
Keyword(s):  
Quality Of Life ◽  
Psychiatric Care ◽  
Self Report ◽  
Forensic Psychiatric

scholarly journals Long Term Metabolic and Inflammatory Effects of Second-Generation Antipsychotics: A Study in Mentally Disordered Offenders

2021 ◽  
Vol 11 (11) ◽  
pp. 1189
Author(s):  
Emilia Vassilopoulou ◽  
Dimitris Efthymiou ◽  
Evangelia Papatriantafyllou ◽  
Maria Markopoulou ◽  
Efthymia-Maria Sakellariou ◽  
...  
Keyword(s):  
Side Effects ◽  
Second Generation ◽  
Psychotic Disorders ◽  
Psychiatric Patients ◽  
Mentally Disordered Offenders ◽  
Metabolic Complications ◽  
Mentally Disordered ◽  
Increased Risk ◽  
Forensic Psychiatric

Mentally disordered offenders provided with forensic psychiatric care are often treated with second generation antipsychotic (SGA) medication and experience metabolic and inflammatory side effects. Aim: In this paper, we monitored the three-year fluctuation of selected anthropometric, biochemical, and inflammatory indices in forensic psychiatric patients receiving antipsychotic (AP) medication for more than five years, according to the type of AP. Methods: Thirty-five patients with psychotic disorders were classified into two groups based on the type of AP. Specifically: AP1, related to a lower risk, and AP2, related to an increased risk of weight gain (WG) and metabolic complications. Biochemical, hematological, anthropometric, blood pressure (BP), and medication data were retrieved from the individual medical files. Statistical analysis was performed with SPSS 23. Results: No significant differences in weight and glucose and cholesterol levels were observed, but patients taking AP2 more often needed drugs to control diabetes mellitus (DM), lipidemia, and cardiovascular disease (CVD). In those taking AP1, the mean HDL level decreased significantly over time (p < 0.05) and a higher proportion developed higher BP (52.9% of AP1 vs. 16.7% AP2). In the AP2 group the median level of C-reactive protein (CRP) (p < 0.001) and the white blood cell count (WBC) increased over the three years (p < 0.001). Conclusions: The proposed sub-classification of SGAs into AP1 and AP2, depending on their potential for metabolic and inflammatory effects, might facilitate study of their long-term side-effects but also help in personalized prevention or treatment measures to counteract these side-effects.

The Relationship Between Treatment Alliance, Social Climate, and Treatment Readiness in Long-Term Forensic Psychiatric Care: An Explorative Study

2020 ◽  
Vol 64 (9) ◽  
pp. 1013-1026
Author(s):  
S. Gaab ◽  
I. A. Brazil ◽  
M. G. de Vries ◽  
B. H. Bulten
Keyword(s):  
Psychiatric Care ◽  
Strong Predictor ◽  
Linear Regression Analysis ◽  
Positive Influence ◽  
Social Climate ◽  
Treatment Readiness ◽  
Explorative Study ◽  
Treatment Alliance ◽  
Forensic Psychiatric

For patients in long-term forensic psychiatric care (LFPC), a continuous search for treatment possibilities remains important. An alternative viewpoint to these patients as being untreatable is considering them having low treatment readiness. Treatment readiness incorporates internal client-specific factors as well as factors in the therapeutic situation. In the therapeutic situation both social climate and therapeutic alliance are of positive influence on treatment outcome. In this explorative study of 38 male patients in Dutch LFPC, we found correlations with strong (Bayesian) evidence between internal factors of treatment readiness, treatment alliance, and “Therapeutic Hold,” which is a subscale of social climate. In a Bayesian linear regression analysis, however, therapeutic hold seemed to be the only strong predictor of internal treatment readiness. These results give way to further research into the factors specifically contributing to the found correlations, in order to create opportunities to enlarge treatment readiness for patients in forensic care.

scholarly journals The Reconvictions of Mentally Disordered Offenders - How, When, and Where?

2022 ◽  
Author(s):  
Ebba Noland ◽  
Mattias Strandh ◽  
Fia Klötz Logan
Keyword(s):  
Violent Crime ◽  
Psychiatric Care ◽  
Criminal Court ◽  
Public Place ◽  
Mentally Disordered Offenders ◽  
Violent Crimes ◽  
Mentally Disordered ◽  
Forensic Psychiatric ◽  
Descriptive Statistical Analysis

Abstract Background Little is known about the recidivism of mentally disordered offenders after discharge from forensic psychiatric services. This is problematic because such knowledge could (i) help professionals who come into contact with this group to better plan interventions to prevent recidivism and (ii) clarify the effectiveness of forensic psychiatric care. The aim of this study was to investigate the new crimes of mentally disordered offenders who had been reconvicted after discharge from forensic psychiatric care. Methods Included in this study were all individuals who had been discharged from forensic psychiatric care in Sweden during 2009-2018, were included in the Swedish National Forensic Psychiatric Register, and had been reconvicted in a criminal court within the follow-up period of 2009-2018 (n=157). Retrospective registry data along with coded data from criminal judgments (n=210) were used to create a database. Descriptive statistical analysis was performed. Results 75% of included individuals were reconvicted for at least one violent crime, but only 9 individuals were reconvicted for a serious violent crime, which can be compared to the 44 individuals with serious violent index crimes. The most common crime was “Other violent”. The most common sentence was probation. The offender’s most common relationship to the victim was having no known relationship, followed by the victim being a person of authority. The most common circumstance of the crime leading to the reconviction was that it occurred without apparent provocation; other common circumstances were related to the exercise of public authority. The most common crime scene was a public place. Conclusions Even though the reconvictions of this group included many violent crimes, there were very few serious violent crimes. The finding that the victims of the crimes of mentally disordered offenders are most commonly either unknown to the perpetrator or persons of authority, and that the crimes are often perpetrated without apparent provocation or reason, is important information for all professionals who come into contact with this group and should be taken into consideration in order to assess risk more accurately.

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