scholarly journals A standardised tool for assessing needs in forensic psychiatric population: clinical validation of the Italian CANFOR, staff version

2014 ◽  
Vol 24 (3) ◽  
pp. 274-281 ◽  
Author(s):  
L. Castelletti ◽  
A. Lasalvia ◽  
E. Molinari ◽  
S. D. M. Thomas ◽  
E. Straticò ◽  
...  
Keyword(s):  
Psychometric Properties ◽  
Convergent Validity ◽  
Unmet Needs ◽  
Psychiatric Patients ◽  
Unmet Need ◽  
Italian Version ◽  
Cohen’S Kappa ◽  
Cohen's Kappa ◽  
Forensic Psychiatric Patients ◽  
Forensic Psychiatric

Background.The Camberwell Assessment of Need – Forensic Version (CANFOR) is a standardised assessment tool specifically designed to assess needs for care in forensic psychiatric populations. The original English version of the instrument has shown good psychometric properties. The aim of this study was to validate the Italian version of the CANFOR-staff tool.Method.After translation and back-translation, the Italian CANFOR tool was administered to a sample of 50 forensic psychiatric patients. Convergent validity was tested using the Brief Psychiatric Rating Scale (BPRS) and the Global Assessment of Functioning (GAF) by applying Kendall's tau-b. Inter-rater and test–retest reliabilities were measured by ICCs for need dimensions (total and unmet) and Cohen's kappa coefficients for individual need items.Results.Regarding convergent validity, a higher number of needs (total and unmet) were associated with more severe psychiatric symptoms (BPRS). Higher numbers of unmet needs were also associated with lower levels of global functioning (GAF). ICCs for total and unmet needs scores indicated a good level of agreement for inter-rater reliability and a very good level for test–retest, respectively. Regarding the specific items, inter-rater Cohen's kappa was high (moderate to very good agreement) for 18 items in relation to the presence of a need and for 15 items in the rating of an unmet need, whereas Cohen's kappa for test–retest reliability was very high for all the items in the presence of a need and high for 18 of the unmet need domains.Conclusions.The Italian version of CANFOR has adequate psychometric properties. It can be considered a promising instrument for the assessment of needs of forensic psychiatric patients.

The role of psychosocial treatment in decreasing of future violence behavior risk in forensicly treated psychiatric patients

2011 ◽  
Vol 26 (S2) ◽  
pp. 783-783
Author(s):  
S. Jonovska ◽  
V.Š. Jengić ◽  
L. Safner ◽  
G. Bošković ◽  
S. Zudenigo
Keyword(s):  
Psychiatric Patients ◽  
Violent Behavior ◽  
Psychosocial Treatment ◽  
Violence Risk ◽  
Forensic Psychiatric Patients ◽  
Forensic Treatment ◽  
Aggression Questionnaire ◽  
Schizophrenic Group ◽  
Forensic Psychiatric ◽  
In The Beginning

The main aim of this study was to establish to what extent psychosocial treatment as a part of complex, multicomponent forensic treatment has an influence on decreasing of the future violence behavior risk in population of forensic psychiatric patients. We examinated 13 patients treated on Department of Forensic Psychiatry of Psychiatric Hospital Rab in Rab, Croatia. 9 of them were males and 4 of them females, 25–60 years of age, all of them were compulsory hospitalized because of committed criminal act connected with violent behavior. All of them have diagnosis of schizophrenic group of diseases with different duration of forensic treatment (from few months to few years). During 2010. all of them participated in psychosocial programe workshops once a week, for 6 months.MethodsViolence Risk Screening-10 (V-RISK-10), subjective measure of the programme chairmen performed in the beginning and in the end of the programme. The Aggression Questionnaire and Daily Spiritual Experience Scale as self-assesment scales were performed in the end of the programme. Results point on decreasing of V-RISK-10 results in the end of the programe in all participants. Interested observation was that mentioned results and those on self-assesment scales were not always been correlated positively. We also proved negative correlation between aggressivity and spirituality. As a conclusion, we have indications to believe that is real to expect that comining psychosocial treatment with targeted psuchopharmacological interventions could leed to decreasing the risk of future violent bihevior in forensicly treated psuchiatric patients.

Forensic Psychiatric Patients’ Perspectives on Their Care: A Narrative View

2016 ◽  
Vol 54 (1) ◽  
pp. 64-73 ◽  
Author(s):  
Riitta Askola ◽  
Merja Nikkonen ◽  
Eija Paavilainen ◽  
Päivi Soininen ◽  
Hanna Putkonen ◽  
...  
Keyword(s):  
Psychiatric Patients ◽  
Forensic Psychiatric Patients ◽  
Forensic Psychiatric

scholarly journals Prediction of recidivism in a long-term follow-up of forensic psychiatric patients: Incremental effects of neuroimaging data

PLoS ONE ◽  
2019 ◽  
Vol 14 (5) ◽  
pp. e0217127 ◽  
Author(s):  
Carl Delfin ◽  
Hedvig Krona ◽  
Peter Andiné ◽  
Erik Ryding ◽  
Märta Wallinius ◽  
...  
Keyword(s):  
Psychiatric Patients ◽  
Prediction Of Recidivism ◽  
Forensic Psychiatric Patients ◽  
Neuroimaging Data ◽  
Long Term Follow Up ◽  
Forensic Psychiatric

scholarly journals Housing Trajectories of Forensic Psychiatric Patients

2016 ◽  
Vol 34 (2-3) ◽  
pp. 352-365 ◽  
Author(s):  
Leila Salem ◽  
Anne G. Crocker ◽  
Yanick Charette ◽  
Christopher M. Earls ◽  
Tonia L. Nicholls ◽  
...  
Keyword(s):  
Psychiatric Patients ◽  
Forensic Psychiatric Patients ◽  
Forensic Psychiatric ◽  
Housing Trajectories

Augmentation of clozapine with amisulpride: an effective therapeutic strategy for violent treatment-resistant schizophrenia patients in a UK high-security hospital

CNS Spectrums ◽  
2013 ◽  
Vol 19 (5) ◽  
pp. 403-410 ◽  
Author(s):  
James E. Hotham ◽  
Patrick J. D. Simpson ◽  
Rosalie S. Brooman-White ◽  
Amlan Basu ◽  
Callum C. Ross ◽  
...  
Keyword(s):  
Clinical Improvement ◽  
Psychiatric Patients ◽  
Case Series ◽  
Metabolic Parameters ◽  
Treatment Resistant ◽  
High Security ◽  
Forensic Psychiatric Patients ◽  
Before And After ◽  
History Of ◽  
Forensic Psychiatric

ObjectiveClozapine is used in the management of treatment-resistant schizophrenia and is effective in reducing aggression; however a subgroup of patients is poorly responsive. For violent patients in this group, there is limited literature on the use of strategies to augment clozapine with other agents. Here we present a case series of 6 schizophrenia patients, within a high-security hospital, who have a history of serious violence and who were treated with clozapine augmented with amisulpride.MethodsWe reviewed case notes and health records for evidence of violence/aggression and positive factors such as engagement in activities, and Clinical Global Impression (CGI) scores were formulated. We also examined metabolic parameters before and after augmentation.ResultsAll 6 of the patients showed clinical improvement in symptoms and a reduction in their risk of violence to others. Five patients had a reduction in number of violent/aggressive incidents, and all patients showed improvement in engagement in occupational, vocational, and/or psychological work. Metabolic parameters were largely unchanged except for 1 patient whose Body Mass Index (BMI) increased. Five patients reported side effects as unchanged or improved.ConclusionThese schizophrenia patients with a history of violence showed clinical improvement and reduced aggression and violence with amisulpride augmentation of clozapine. To our knowledge, this is the first report of an antiaggressive benefit of this combination in forensic psychiatric patients. Further studies are warranted to establish the efficacy and anti-aggressive effects of amisulpride augmentation of clozapine.

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