User involvement in structured violence risk management within forensic mental health facilities - a systematic literature review

2014 ◽  
Vol 23 (19-20) ◽  
pp. 2716-2724 ◽  
Author(s):  
Gunnar Eidhammer ◽  
Frans A J Fluttert ◽  
Stål Bjørkly
Keyword(s):  
Mental Health ◽  
Risk Management ◽  
Literature Review ◽  
Systematic Literature Review ◽  
User Involvement ◽  
Health Facilities ◽  
Violence Risk ◽  
Forensic Mental Health ◽  
Mental Health Facilities

scholarly journals Profiling persons reported missing from hospitals versus mental health facilities

2021 ◽  
pp. 146135572110218
Author(s):  
Lorna Ferguson
Keyword(s):  
Mental Health ◽  
Risk Management ◽  
Logistic Regression ◽  
Descriptive Analysis ◽  
Health Facilities ◽  
Significant Issue ◽  
Missing Persons ◽  
Mental Health Facilities ◽  
Municipal Police ◽  
Location Type

Missing person reports from hospitals and mental health facilities are a significant issue impacting patients, communities, and health and police sectors. Research on missing persons seldom considers the type of location from where people go missing, which can be troublesome due to the increased chances for experiencing harm during an episode from hospitals and mental health facilities. When location type is studied, these often remarkably different places are frequently blended together in analyses and discussions. This conflation has implications for research and the development of effective police preventive responses. To begin to address this gap, this study uses descriptive analysis and logistic regression to examine the descriptive and predictive profiles of those reported missing from hospitals versus those reported missing from mental health units. For this, data are taken from a sample of 916 closed missing person cases reported to a Canadian municipal police service over five years. Results suggest there are significant differences in both the descriptive and predictive profiles of individuals reported missing from these two location types, such as individuals with varying mental health and cognitive issues going missing from each place, respectively. Given the findings, the implications for research, policing, and risk management are discussed.

Nonsexual Boundary Violations: Sauce for the Gander

2002 ◽  
Vol 30 (3) ◽  
pp. 309-329 ◽  
Author(s):  
Robert D. Miller ◽  
Gary J. Maier
Keyword(s):  
Mental Health ◽  
Sexual Contact ◽  
Health Facilities ◽  
Power Dynamics ◽  
Forensic Mental Health ◽  
Boundary Violations ◽  
Mental Health Literature ◽  
Mental Health Facilities ◽  
Personality Disordered ◽  
The Relationship

Numerous articles in the mental health literature concern sexual contact between therapists and patients, which is explicitly prohibited by all four mental health professions' ethical codes. There is relatively little about nonsexual boundary violations, which are often covert and much more difficult to recognize (particularly in their early stages) than sexual violations; what little there is assumes that the clinician has the power in the relationship and uses that power for personal advantage. In this article the authors discuss the situation, rare in civil mental health facilities but common in correctional and forensic mental health facilities, in which personality-disordered patients manipulate and coerce clinicians to cross appropriate professional nonsexual boundaries for the patients' benefit; this reversal of the usual power dynamics between treaters and patients requires recognition of the role reversals present and requires different strategies for preventing such violations (hence “sauce for the gander”).

scholarly journals The reliability and validity of the SAPROF among forensic mental health patients

2021 ◽  
Author(s):  
Sandra Oziel
Keyword(s):  
Mental Health ◽  
Risk Assessment ◽  
Risk Management ◽  
Protective Factors ◽  
Predictive Validity ◽  
Violence Risk ◽  
Forensic Mental Health ◽  
Institutional Misconduct ◽  
Forensic Psychologists ◽  
Mental Health Patients

Assessing and managing level of risk among forensic mental health patients is a primary role of clinical forensic psychologists. Forensic assessments are focused on risk factors and deficits, whereas patient strengths and protective factors are either partially included or overlooked altogether by forensic psychologists. As a result, less is known about protective factors in general and how they may serve to inform risk management practices. The Structured Assessment of Protective Factors for Violence Risk (SAPROF) is the first tool to exclusively rely on protective factors and was investigated for the current study. The psychometric properties of the SAPROF were examined using a sample of 50 Canadian patients found Not Criminally Responsible (NCR) at a psychiatric hospital using both file information and semi-structured interviews. Outcome variables included risk management decisions (change in privilege level and security level) and indicators of recidivism (psychiatric medication administration, institutional misconduct and disposition breaches). The study found some evidence for intrarater and interrater reliability, construct validity, predictive validity and incremental predictive validity. The SAPROF approached significance for adding incremental predictive validity to the HCR-20 V3, a measure of violence risk, for disposition breaches and institutional misconduct, and effect sizes doubled. Given that the addition of the SAPROF increased the accuracy of the violence risk assessment, there are considerable implications for informing clinical practice. Implications for risk assessment, treatment planning, intervention and risk management decisions implemented by review boards and clinical practitioners are discussed. It is recommended that the SAPROF be added as an adjunct measure to risk assessment batteries and included in hospital reports, given that it predicted several patient behaviours.

scholarly journals The reliability and validity of the SAPROF among forensic mental health patients

2021 ◽  
Author(s):  
Sandra Oziel
Keyword(s):  
Mental Health ◽  
Risk Assessment ◽  
Risk Management ◽  
Protective Factors ◽  
Predictive Validity ◽  
Violence Risk ◽  
Forensic Mental Health ◽  
Institutional Misconduct ◽  
Forensic Psychologists ◽  
Mental Health Patients

Assessing and managing level of risk among forensic mental health patients is a primary role of clinical forensic psychologists. Forensic assessments are focused on risk factors and deficits, whereas patient strengths and protective factors are either partially included or overlooked altogether by forensic psychologists. As a result, less is known about protective factors in general and how they may serve to inform risk management practices. The Structured Assessment of Protective Factors for Violence Risk (SAPROF) is the first tool to exclusively rely on protective factors and was investigated for the current study. The psychometric properties of the SAPROF were examined using a sample of 50 Canadian patients found Not Criminally Responsible (NCR) at a psychiatric hospital using both file information and semi-structured interviews. Outcome variables included risk management decisions (change in privilege level and security level) and indicators of recidivism (psychiatric medication administration, institutional misconduct and disposition breaches). The study found some evidence for intrarater and interrater reliability, construct validity, predictive validity and incremental predictive validity. The SAPROF approached significance for adding incremental predictive validity to the HCR-20 V3, a measure of violence risk, for disposition breaches and institutional misconduct, and effect sizes doubled. Given that the addition of the SAPROF increased the accuracy of the violence risk assessment, there are considerable implications for informing clinical practice. Implications for risk assessment, treatment planning, intervention and risk management decisions implemented by review boards and clinical practitioners are discussed. It is recommended that the SAPROF be added as an adjunct measure to risk assessment batteries and included in hospital reports, given that it predicted several patient behaviours.

Mental health care for rural veterans: A systematic literature review, descriptive analysis, and future directions.

2017 ◽  
Vol 41 (3) ◽  
pp. 222-233 ◽  
Author(s):  
David J. Bumgarner ◽  
Elizabeth J. Polinsky ◽  
Katharine G. Herman ◽  
Joanne M. Fordiani ◽  
Carmen P. Lewis ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Literature Review ◽  
Mental Health Care ◽  
Systematic Literature Review ◽  
Descriptive Analysis ◽  
Future Directions

Veterans Affairs and the Department of Defense mental health apps: A systematic literature review.

2019 ◽  
Vol 16 (2) ◽  
pp. 196-207 ◽  
Author(s):  
Christine E. Gould ◽  
Brian C. Kok ◽  
Vanessa K. Ma ◽  
Aimee Marie L. Zapata ◽  
Jason E. Owen ◽  
...  
Keyword(s):  
Mental Health ◽  
Literature Review ◽  
Systematic Literature Review ◽  
Department Of Defense ◽  
Veterans Affairs ◽  
Health Apps

Cardiovascular disease and meaning in life: A systematic literature review and conceptual model

2021 ◽  
pp. 1-10
Author(s):  
Joel Vos
Keyword(s):  
Mental Health ◽  
Literature Review ◽  
Conceptual Model ◽  
Psychological Stress ◽  
Systematic Literature Review ◽  
Meaning In Life ◽  
Mental Health Problems ◽  
Lifestyle Changes ◽  
Meaningful Life ◽  
Psychological Treatments

Abstract Objectives Previous studies have shown that psychological stress and mental health problems increase the risk for cardiovascular disease (CVD) events, such as heart attack or stroke. Furthermore, after CVD events, the majority of patients report large stress. However, psychological treatments have only modest effects in CVD patients. Therefore, it has been argued that new conceptual models are needed to understand the aetiology of stress and mental health problems in CVD patients. Therefore, this study included a systematic literature review and a conceptual model on the role of meaning in life for psychological stress, mental health, and CVD risks. Methods A systematic literature review was conducted on relationships between CVD and meaning in life. PRISMA/MOOSE review guidelines were followed. These findings were used to build a conceptual model. Results The literature review included 113 studies on meaning and CVD. The included studies described meaning as a predictor of cardiovascular risks and health, meaning-centered needs of patients in conversations with medical staff, meaning-centered changes after CVD events, meaning-centered coping with CVD, meaning as motivator of CVD-related lifestyle changes, and meaning as an element in psychological treatments of CVD patients. In sum, the literature showed that a central clinical concern for patients is their question how to live a meaningful life despite CVD. Meaning-centered concerns seem to lead to lower motivation to make lifestyle changes, more psychological stress, lower quality-of-life, worse physical well-being, and increased CVD risk. The ability to live a meaningful life after CVD events is related with lower stress, better mental health, and several biomarkers. Significance of results An evidence-based conceptual framework was developed for the relationship between meaning and CVD. It may be hypothesized CVD patients may benefit from psychological therapies focused on meaning.

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