scholarly journals Implementing an ecological approach to violence reduction at a forensic psychiatric hospital: approaches and lessons learned

CNS Spectrums ◽  
2015 ◽  
Vol 20 (3) ◽  
pp. 177-181 ◽  
Author(s):  
Shannon M. Bader ◽  
Sean E. Evans
Keyword(s):  
Psychiatric Hospitals ◽  
Lessons Learned ◽  
Patient Treatment ◽  
Ecological Approach ◽  
Violence Reduction ◽  
Potential Barriers ◽  
Safe Environment ◽  
Institutional Rules ◽  
Policies And Procedures ◽  
Forensic Psychiatric

Existing literature on aggression within psychiatric hospitals suggests that treating an aggressive patient’s symptoms could be complemented by (a) milieu environments that mitigate violence and (b) hospital-wide policies and procedures that focus on creating a safe environment. Described as an ecological approach, examples of how this broader, situational approach can reduce inpatient violence in psychiatric settings are provided throughout. The authors identify potential barriers to focusing on wards and institutional rules as well as patient treatment. Last, details of how this ecological approach has been implemented at one state hospital in California are provided.

Therapeutic alliance in forensic psychiatric hospitals: An empirical study

1997 ◽  
Vol 8 (3) ◽  
pp. 528-545 ◽  
Author(s):  
Martin Krupinski ◽  
Claudia Schöchlin ◽  
Alfred Fischer ◽  
Norbert Nedopil
Keyword(s):  
Empirical Study ◽  
Therapeutic Alliance ◽  
Psychiatric Hospitals ◽  
Forensic Psychiatric

scholarly journals A RECONNAISSANCE-SCALE GIS-BASED MULTICRITERIA DECISION ANALYSIS TO SUPPORT SUSTAINABLE BIOCHAR USE: POLAND AS A CASE STUDY

2017 ◽  
Vol 25 (2) ◽  
pp. 208-222 ◽  
Author(s):  
Agnieszka E LATAWIEC ◽  
Lewis PEAKE ◽  
Helen BAXTER ◽  
Gerard CORNELISSEN ◽  
Katarzyna GROTKIEWICZ ◽  
...  
Keyword(s):  
Agricultural Land ◽  
Multicriteria Analysis ◽  
Cost Effective ◽  
Lessons Learned ◽  
Research Papers ◽  
Potential Barriers ◽  
Indirect Land Use Change ◽  
Biomass Availability ◽  
Change Mitigation

Although increasing numbers of research papers regarding biochar are being published worldwide, in some countries growing interest in biochar has only recently been observed; this is true of Poland. We analysed information on biochar research in Poland alongside lessons learned elsewhere in order to identify the significant opportunities and risks associated with biochar use. This data fed into a GIS-based multicriteria analysis to identify areas where biochar application could deliver greatest benefit. We found that 21.8% of agricultural land in Poland has at least moderate indication for biochar use (soil organic matter below 2% and ph below 5.5), while 1.5% was categorized as a priority as it also exhibited contamination. Potential barriers identified included biomass availability and associated risks of indirect land-use change due to possible national and transnational biomass production displacement. Biochar use could have positive global consequences as a climate change mitigation strategy, particularly relevant in a country with limited alternatives. Scaling up a mitigation technology that is viable on account of its co-benefits might be cost-effective, which could, in turn, adjust national perspectives and stronger involvement in developing mitigation policies at the regional level. Biochar has much promise in temperate conditions and further research should therefore be assigned to explore biochar’s environmental and socio-economic impacts.

scholarly journals The reform of Italian forensic psychiatric hospitals and its impact on risk assessment and management

2018 ◽  
Author(s):  
Vittorio De Luca ◽  
Pieritalo Maria Pompili ◽  
Giovanna Paoletti ◽  
Valeria Bianchini ◽  
Federica Franchi ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Treatment Plan ◽  
Psychiatric Hospitals ◽  
Assessment Tools ◽  
Residential Home ◽  
Security Measures ◽  
Lazio Region ◽  
History Of ◽  
Forensic Psychiatric

Italy has a consolidated history of de-institutionalization, and it was the first country to completely dismantle psychiatric hospitals, in order to create small psychiatric inwards closer to the community (i.e. in general hospitals). Nevertheless, it took the nation nearly 40 years to end the process from the beginning of de-institutionalization, definitely closing all of the forensic hospitals, which was not addressed by the first Italian psychiatric reform. This paper describes the establishment of new facilities substituting old forensic hospitals, called Residences for the Execution of Security Measures (REMS), which are a paradigm shift in terms of community-based residential home, and are mainly focused on treatment and risk assessment, rather than custodial practices. The use of modern assessment tools, such as the Aggressive Incident Scale (AIS) and the Hamilton Anatomy of Risk Management (HARM), is crucial in order to point out the focus and consistent instruments of the treatment plan. A preliminary analysis of data from the first 2 years of activity, considering severely ill patients who have been treated for more than 12 months, is then described for two REMSs in the Lazio region, close to Rome. Encouraging results suggest that further research is needed in order to assess clinical elements responsible for a better outcome, and to detect follow-up measures of violence or criminal relapse after discharge.

Forensic care in Germany

2017 ◽  
Vol 41 (S1) ◽  
pp. S61-S61
Author(s):  
H. Dressing ◽  
H.J. Salize
Keyword(s):  
Psychiatric Hospital ◽  
Psychiatric Hospitals ◽  
Epidemiological Data ◽  
Mentally Ill Offenders ◽  
Legal Regulations ◽  
Forensic Patients ◽  
Penal Law ◽  
Forensic Psychiatric ◽  
Competing Interest ◽  
Legal Frameworks

Although the idea that offenders suffering from a mental disorder must primarily be considered as ill and should therefore be exempted from punishment is of considerable antiquity legal frameworks and key concepts, which are applied in this field, differ widely in European Union member States. The respective legal regulations and epidemiological data of Germany will be presented.In German penal law the question of the guilt of an offender is of central significance. Legal regulations on the placement and treatment of mentally ill offenders in a forensic psychiatric hospital are subsumed under the section “Measures on improvement and safety”. Section 63 of the German penal law provides for the temporally unlimited commitment to a forensic- psychiatric hospital.In accordance with section 64 of the German penal law addicted offenders can be committed to a detoxification center for a period of up to two years. The available epidemiological data show a clear increase in the admissions to forensic psychiatric hospitals and to detoxification centers since beginnings of the 1990s. Recently the German parliament passed a new law. The aim of the new law is to strengthen patients’ rights and to diminish the number of forensic patients.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Readmission after discharge from a medium secure unit

2013 ◽  
Vol 37 (4) ◽  
pp. 124-129 ◽  
Author(s):  
Martin Clarke ◽  
Conor Duggan ◽  
Clive R. Hollin ◽  
Nick Huband ◽  
Lucy McCarthy ◽  
...  
Keyword(s):  
Mental Health ◽  
Psychiatric Hospital ◽  
Psychiatric Hospitals ◽  
Patient Treatment ◽  
Multiple Sources ◽  
Long Term Follow Up ◽  
Secure Unit

Aims and methodWe examined readmission to psychiatric hospital of 550 patients discharged from one medium secure unit over 20 years. Multiple sources were used to obtain readmission data.ResultsReadmission was common, particularly to non-secure psychiatric hospitals. At least 339 patients (61.6%) were readmitted to any psychiatric hospital (mean follow-up 9.5 years), with over a third (37.6%) subsequently being readmitted to medium- or high-security or both. Of those discharged directly to the community, having previous in-patient treatment and a Mental Health Act classification of mental illness were associated with shorter time to first readmission.Clinical implicationsThe long-standing nature of disorders is evident in the high rates of readmission overall and the need for readmission to medium and high secure services, suggesting that these patients require long-term follow-up and support from mental health services.

scholarly journals Towards Multitarget Testing in Molecular Microbiology

2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
Deborah Steensels ◽  
Anne Vankeerberghen ◽  
Hans De Beenhouwer
Keyword(s):  
False Negative ◽  
Lessons Learned ◽  
Patient Treatment ◽  
Culture Methods ◽  
Diagnostic Assays ◽  
Genome Variability ◽  
Negative Results ◽  
Conventional Culture ◽  
False Negative Results ◽  
Single Target

Advantages of PCR assays over more conventional culture-based diagnostics include significantly higher sensitivities and shorter turnaround times. They are particularly useful when patient treatment has already been initiated or for specimens that may contain microorganisms that are slow-growing, difficult to culture, or for which culture methods do not exist. However, due to genome variability, single target testing might lead to false-negative results. This paper focuses on examples from our own experiences and the literature to provide insight into the limitations of single target testing in molecular biology. Lessons learned from these experiences include the careful design of diagnostic assays, preferably multitargeted, the importance of investigating the incidence and epidemiology of infection in detail, the frequent participation in appropriate quality assurance schemes, and the importance of continuous attentiveness by investigators when confronted with inconsistent results. In conclusion, multitargeted testing in microbiological molecular assays should be a rule.

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