Predicting Dangerousness of Maximum Security Forensic Mental Patients

1982 ◽  
Vol 10 (2) ◽  
pp. 223-231 ◽  
Author(s):  
James M. Mullen ◽  
Robert C. Reinehr
Keyword(s):  
Psychiatric Hospital ◽  
Violent Crime ◽  
Test Data ◽  
Adult Male ◽  
Clinical Judgment ◽  
Statistical Significance ◽  
Separate Sample ◽  
Forensic Patients ◽  
Maximum Security ◽  
State Psychiatric

Demographic and psychological test data were collected for 269 adult male forensic patients upon admission to the forensic unit of a state psychiatric hospital. Each individual was judged to be dangerous or not dangerous by a panel of three judges. A separate sample of 135 patients was then collected and an attempt made to predict clinical judgment of dangerousness by use of a weighted formula previously derived. Predictions obtained did not attain statistical significance. A subsample of 165 patients was followed up after discharge. There were 15 arrests for violent crime recorded for these individuals subsequent to discharge. Implications of these findings are discussed.

scholarly journals Comparison of readmission data between different categories of antipsychotic drugs at a state psychiatric hospital in Oregon

2017 ◽  
Vol 7 (3) ◽  
pp. 124-130 ◽  
Author(s):  
Joni Baker ◽  
Cydreese Aebi
Keyword(s):  
Psychiatric Hospital ◽  
Readmission Rate ◽  
Statistical Significance ◽  
Drug Efficacy ◽  
Antipsychotic Agents ◽  
Patient Characteristics ◽  
State Psychiatric Hospital ◽  
End Point ◽  
State Psychiatric ◽  
Mean Time

Abstract Introduction: This chart review utilizes readmission rates and mean time to readmission as markers of drug efficacy to compare different categories of long-acting injectable antipsychotics (LAIAs), antipsychotic polypharmacy, and clozapine to oral antipsychotic monotherapy (OM) at a state psychiatric hospital in Oregon (Oregon State Hospital). Methods: Charts were reviewed for patients discharged between October 20, 2011, and September 23, 2015, with a diagnosis of schizophrenia spectrum or mood disorder. Admission dates, discharge dates, and discharge antipsychotics were reviewed for each patient dating back to 1991. Discharge antipsychotics were categorized into groupings of LAIAs, antipsychotic polypharmacy, and clozapine and compared with OM to assess readmission data within 1, 3, and 5 years of discharge. The primary end point was readmission rate, measured as a percentage, and the secondary end point was mean time to readmission (MTR), measured in days. Results: Of 1088 patients reviewed, there were 2031 patient discharges associated with antipsychotic agents and 1258 readmissions. Patients discharged on LAIA monotherapy or clozapine generally had a lower readmission rate, and patients discharged on antipsychotic polypharmacy generally had a higher readmission rate. Statistical significance for these findings varied over time frames and subgroup analyses. The most notable finding for the secondary end point was a significantly shorter MTR for patients discharged on clozapine for all diagnoses and the subgroup analysis of schizoaffective disorder. Discussion: These results are only a reflection of the patient population at this hospital, and additional reviews at other facilities with different patient characteristics could clarify applicability to other patient populations.

scholarly journals New polyp image classification technique using transfer learning of network-in-network structure in endoscopic images

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Young Jae Kim ◽  
Jang Pyo Bae ◽  
Jun-Won Chung ◽  
Dong Kyun Park ◽  
Kwang Gi Kim ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Transfer Learning ◽  
Test Data ◽  
State Of The Art ◽  
Early Stage ◽  
Statistical Significance ◽  
Recall Rate ◽  
Training Data ◽  
Fine Tuning ◽  
Accuracy Evaluation

AbstractWhile colorectal cancer is known to occur in the gastrointestinal tract. It is the third most common form of cancer of 27 major types of cancer in South Korea and worldwide. Colorectal polyps are known to increase the potential of developing colorectal cancer. Detected polyps need to be resected to reduce the risk of developing cancer. This research improved the performance of polyp classification through the fine-tuning of Network-in-Network (NIN) after applying a pre-trained model of the ImageNet database. Random shuffling is performed 20 times on 1000 colonoscopy images. Each set of data are divided into 800 images of training data and 200 images of test data. An accuracy evaluation is performed on 200 images of test data in 20 experiments. Three compared methods were constructed from AlexNet by transferring the weights trained by three different state-of-the-art databases. A normal AlexNet based method without transfer learning was also compared. The accuracy of the proposed method was higher in statistical significance than the accuracy of four other state-of-the-art methods, and showed an 18.9% improvement over the normal AlexNet based method. The area under the curve was approximately 0.930 ± 0.020, and the recall rate was 0.929 ± 0.029. An automatic algorithm can assist endoscopists in identifying polyps that are adenomatous by considering a high recall rate and accuracy. This system can enable the timely resection of polyps at an early stage.

scholarly journals The social support network for black psychiatric inpatients

Curationis ◽  
1994 ◽  
Vol 17 (2) ◽  
Author(s):  
G. Ngubane ◽  
L. R. Uys
Keyword(s):  
Social Support ◽  
Psychiatric Hospital ◽  
Psychiatric Inpatients ◽  
Support Network ◽  
Social Support Network ◽  
Family Network ◽  
State Psychiatric Hospital ◽  
State Psychiatric ◽  
The Social ◽  
The Family

A survey was carried out of almost 50% of Black inpatients in a state psychiatric hospital to evaluate the level of accessibility of the family network of the patients. Staff were interviewed on the problems they have with contacting families. The survey shows the extent of inadequate access and identifies reasons for the problem.

Effects of Consultation on the Ward Atmosphere in a State Psychiatric Hospital

1987 ◽  
Vol 60 (2) ◽  
pp. 423-428 ◽  
Author(s):  
John M. Herrera ◽  
William B. Lawson
Keyword(s):  
Psychiatric Hospital ◽  
Research Unit ◽  
Therapeutic Milieu ◽  
State Psychiatric Hospital ◽  
Ward Atmosphere ◽  
State Psychiatric ◽  
Clinical Ward ◽  
High Incidence ◽  
Ward Atmosphere Scale

The Ward Atmosphere Scale was used to assess the development of a therapeutic milieu in a clinical ward converted to a research unit at a state psychiatric hospital. The designated ward had been considered a “problem ward” with low staff moral, a high incidence of violence by patients, and high incidence of injuries to patients and staff. The scale was administered to patients and staff on two occasions. The results of the first administration were presented to staff, and from these consultation sessions, a therapeutic milieu developed. The scale was readministered 3 mo. after the implementation of the therapeutic milieu. Significant improvements were seen in staff's perception of the ward environment, incidence of patients' assaults, and staff use of seclusion and restraints.

Medical Aspects of Management Problems in Maximum Security Prisons

1979 ◽  
Vol 19 (2) ◽  
pp. 111-117
Author(s):  
P. J. Pope ◽  
T. C. N. Gibbens
Keyword(s):  
Mental Illness ◽  
Personality Disorder ◽  
Psychiatric Hospital ◽  
Psychiatric Treatment ◽  
Great Majority ◽  
Psychopathic Personality ◽  
Fair Share ◽  
Mentally Disordered ◽  
Maximum Security ◽  
Management Problems

Much has been written, especially recently, about the difficulties presented in prisons by the inclusion of mentally disordered or even psychotic offenders who would be more appropriately placed in mental hospitals. This study, carried out in 4 maximum security prisons during 1972–3, concludes that such men do not constitute any more than their fair share of all those who are seen as either disruptive or presenting management problems, probably less. Altogether a fifth of those men identified by prison staff as management problems had had some kind of psychiatric treatment before the sentence began, 4.4 per cent showed evidence of overt mental illness during it and 45 per cent were labelled as having either a psychopathic personality or a personality disorder of some kind. The great majority (85 per cent) of those presenting management problems spent the bulk of their sentences in the general wings of the four prisons and only a handful were felt to be better located in a psychiatric hospital.

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.

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