scholarly journals Sociodemographic Information, Aversive and Traumatic Events, Offence-Related Characteristics, and Mental Health of Delinquent Women in Forensic-Psychiatric Care in Switzerland

2017 ◽  
Vol 62 (12) ◽  
pp. 3815-3833 ◽  
Author(s):  
Sandy Krammer ◽  
Hedwig Eisenbarth ◽  
Carole Fallegger ◽  
Michael Liebrenz ◽  
Dorothee Klecha
Keyword(s):  
Mental Health ◽  
Psychiatric Care ◽  
Psychiatric Service ◽  
Traumatic Events ◽  
International Classification Of Diseases ◽  
Future Research ◽  
Female Prisoners ◽  
Research Areas ◽  
Icd 10 ◽  
Forensic Psychiatric

The present study describes a much understudied group—namely, female prisoners under forensic-psychiatric care in the German-speaking part of Switzerland—to improve understanding of their risks and their needs. Data were derived from internal databases of a Forensic-Psychiatric Service. Data were collected in the form of their sociodemographic characteristics, prevalence of aversive and traumatic events, type of offence committed, and mental health conditions. Based on a full-sample approach, a total of 1,571 files were analysed. Results reveal that two thirds of the participants were not in a stable relationship, more than half did not complete a school degree, and three quarters were without stable employment prior to their incarceration. Two thirds were mothers and about one third did not grow up with their parents. Almost half grew up with an alcohol abusing parent, about half experienced violence and/or neglect in childhood, and about a quarter of the cases sexual abuse. About 95% had a mental health diagnosis according to International Classification of Diseases–Version 10 (ICD-10), and the most prevalent mental and behavioural disorder was due to psychoactive substance abuse. The most frequent offence type was drug-related crimes. Women convicted for drug-related crimes were more likely to have an ICD-10 F1 disorder compared with those convicted for other crimes. Conversely, women with violent offences were less likely to suffer from ICD-10 F1 disorder than those who had committed nonviolent offences. Findings have implications for practitioners and policy makers, and contribute to the cycle of violence theory discussion. In conclusion, future research areas are suggested.

scholarly journals Clinical implications of the proposed ICD-11 PTSD diagnostic criteria

2018 ◽  
Vol 49 (3) ◽  
pp. 483-490 ◽  
Author(s):  
Anna C. Barbano ◽  
Willem F. van der Mei ◽  
Richard A. Bryant ◽  
Douglas L. Delahanty ◽  
Terri A. deRoon-Cassini ◽  
...  
Keyword(s):  
Diagnostic Criteria ◽  
Traumatic Events ◽  
International Classification Of Diseases ◽  
Post Traumatic Stress ◽  
Case Identification ◽  
Classification Of Diseases ◽  
Icd 10 ◽  
Post Traumatic ◽  
Projected Changes ◽  
Moderate Range

AbstractBackgroundProjected changes to post-traumatic stress disorder (PTSD) diagnostic criteria in the upcoming International Classification of Diseases (ICD)-11 may affect the prevalence and severity of identified cases. This study examined differences in rates, severity, and overlap of diagnoses using ICD-10 and ICD-11 PTSD diagnostic criteria during consecutive assessments of recent survivors of traumatic events.MethodsThe study sample comprised 3863 survivors of traumatic events, evaluated in 11 longitudinal studies of PTSD. ICD-10 and ICD-11 diagnostic rules were applied to the Clinician-Administered PTSD Scale (CAPS) to derive ICD-10 and ICD-11 diagnoses at different time intervals between trauma occurrence and 15 months.ResultsThe ICD-11 criteria identified fewer cases than the ICD-10 across assessment intervals (range −47.09% to −57.14%). Over 97% of ICD-11 PTSD cases met concurrent ICD-10 PTSD criteria. PTSD symptom severity of individuals identified by the ICD-11 criteria (CAPS total scores) was 31.38–36.49% higher than those identified by ICD-10 criteria alone. The latter, however, had CAPS scores indicative of moderate PTSD. ICD-11 was associated with similar or higher rates of comorbid mood and anxiety disorders. Individuals identified by either ICD-10 or ICD-11 shortly after traumatic events had similar longitudinal course.ConclusionsThis study indicates that significantly fewer individuals would be diagnosed with PTSD using the proposed ICD-11 criteria. Though ICD-11 criteria identify more severe cases, those meeting ICD-10 but not ICD-11 criteria remain in the moderate range of PTSD symptoms. Use of ICD-11 criteria will have critical implications for case identification in clinical practice, national reporting, and research.

Field Trials of the 1987 Draft of Chapter V (F) of ICD-10

1988 ◽  
Vol 152 (S1) ◽  
pp. 33-37 ◽  
Author(s):  
Jack D. Burke
Keyword(s):  
Mental Health ◽  
Diagnostic Criteria ◽  
Study Design ◽  
Field Trial ◽  
Developmental Disorders ◽  
International Classification Of Diseases ◽  
Field Trials ◽  
Classification Of Diseases ◽  
Icd 10

IntroductionThis paper will review the major objectives and study design of the Field Trials of the draft chapter on Mental Behavioural and Developmental Disorders in the tenth revision of the International Classification of Diseases (ICD-10), now in preparation. The text used in this Field Trial is the Clinical Descriptions and Diagnostic Guidelines, which is more elaborate than the Short Glossary for this chapter that will be published in the main volume of ICD-10. The text for the former will be published together with the Diagnostic Criteria for Research and other parts of the WHO family of instruments relevant to mental health.

scholarly journals A study on the nature of criminal offences in prisoners with psychiatric disorders

2021 ◽  
Vol 8 (3) ◽  
pp. 1262
Author(s):  
Sunilkumar R. Suryavanshi ◽  
Ivan S. Netto
Keyword(s):  
Mental Health ◽  
Violent Crimes ◽  
Sexual Crimes ◽  
Female Prisoners ◽  
Violent Criminal ◽  
Icd 10 ◽  
History Of ◽  
Diagnostic Research ◽  
Indian Setting ◽  
Research Criteria

Background: There are very few Indian studies related to the nature of criminal offences in individuals with psychiatric disorders.Methods: Sample consisted of 50 prisoners admitted to a Mental hospital. Their diagnostic categorization was done according to ICD-10 diagnostic research criteria and criminal offences using the Indian Penal code (IPC). The criminal offences and nature of psychiatric illness were divided into two broad groups as violent/non-violent criminal offence and schizophrenia/non-schizophrenia groups respectively.Results: 46 males and 4 female prisoners participated. Murder (IPC 302) was the most common crime among the prisoners. 88% (44) of them had a history of violent crimes and 12% (6) had non-violent crimes. The violent crimes were mainly murder (IPC 302), attempt to murder (IPC 307), and culpable homicide not amounting to murder (IPC 304) and voluntarily causing grievous hurt by dangerous weapons (IPC 323, 324, 325, 326). The non-violent crimes were destroying, damaging or defiling (IPC 295), kidnapping (IPC 363), theft (IPC 379) and sexual crimes (IPC 376). All females had committed murder while males had other crimes in addition to murder.Conclusions: Murder, attempt to murder, rape, kidnapping, grievous injury and theft were the crimes committed by the prisoners. Murder was the most common crime committed by both male and female prisoners. Most prisoners with violent crimes (murder) had a diagnosis of schizophrenia. This has implications for mental health services, training of mental health professional research and policy in forensic psychiatry in the Indian setting. 

An Overview of the Prospective ICD-10 Classification of Mental Disorders

1989 ◽  
Vol 154 (S4) ◽  
pp. 21-23 ◽  
Author(s):  
J. E. Cooper
Keyword(s):  
Mental Health ◽  
International Classification Of Diseases ◽  
Point Of View ◽  
World Health ◽  
Official Statement ◽  
Classification Of Diseases ◽  
Icd 10 ◽  
The Many ◽  
Health Organization

This paper gives a brief outline of the present state of development of the psychiatric chapter of the tenth revision of the International Classification of Diseases (ICD-10). It is written from the point of view of one of the many consultants to the Division of Mental Health, World Health Organization (WHO), Geneva, and thus is not an authoritative or official statement on behalf of WHO. The responsibility for decisions about ICD-10 Chapter V (F) rests with Dr Norman Sartorius, Director of the Division of Mental Health, though many psychiatrists in many countries have contributed to ICD-10 Chapter V (F), and will continue to do so, since much work is still to be done before the final form is officially agreed and published in about 1990. Before he left WHO, Geneva in September, 1986, Dr Assen Jablensky also carried a great deal of responsibility for the arrangements necessary for the production of the drafts of ICD-10 Chapter V (F) that are now being developed.

scholarly journals The psycho-social and clinical profile of women referred for psycho-legal evaluation to forensic mental health units in South Africa

2019 ◽  
Vol 25 ◽  
Author(s):  
Mohammed Nagdee ◽  
Lillian Artz ◽  
Carmen Corral-Bulnes ◽  
Aisling Heath ◽  
Ugasvaree Subramaney ◽  
...  
Keyword(s):  
Mental Health ◽  
South Africa ◽  
Women Offenders ◽  
Life Histories ◽  
Health Assessment ◽  
Social Contexts ◽  
Psychiatric Evaluation ◽  
Future Research ◽  
Forensic Mental Health ◽  
Forensic Psychiatric

Background: There is a paucity of research on women offenders in the South African context, particularly those referred for forensic psychiatric observation. Little is known about their life histories, the nature of their offences or the psycho-social contexts that enable, or are antecedents to, women’s criminal offending.Aims: This research study, the largest of its kind in South Africa, examined the psycho-social contexts within which women offenders referred for psychiatric evaluation come to commit offences. The profiles of both offenders and victims, as well as reasons for referral and forensic mental health outcomes, were investigated.Methods: A retrospective record review of 573 cases, spanning a 12-year review period, from six different forensic psychiatric units in South Africa, was conducted.Results: The findings describe a population of women offenders who come from backgrounds of socio-demographic and socio-economic adversity, with relatively high pre-offence incidences of being victims of abuse themselves, with significant levels of mental ill-health and alcohol abuse permeating their life histories. The majority of index offences which led to court-ordered forensic evaluations were for violent offences against the person, with murder being the single most common index offence in the sample. Most victims of violence were known to the accused. There were also relatively high rates of psychotic and mood-spectrum disorders present, with relatively low rates of personality disorders. The majority of women were deemed to be trial competent and criminally responsible in relation to their index offences.Conclusion: It is recommended that more standardised and gender-sensitive forensic mental health assessment approaches, documentation and reporting be employed throughout the country. Future research should compare male and female offending patterns and forensic mental health profiles.

scholarly journals Forensic mental health services: Current service provision and planning for a prison mental health service in the Eastern Cape

2016 ◽  
Vol 22 (1) ◽  
pp. 5 ◽  
Author(s):  
Kiran Sukeri ◽  
Orlando A. Betancourt ◽  
Robin Emsley ◽  
Mohammed Nagdee ◽  
Helmut Erlacher
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Service Provision ◽  
Average Length ◽  
Psychiatric Service ◽  
Situational Analysis ◽  
Eastern Cape ◽  
Cross Sectional ◽  
Forensic Psychiatric

<strong>Objectives:</strong> No research data exists on forensic psychiatric service provision in the Eastern Cape, Republic of South Africa. The objective of this research was to assess current forensic psychiatric service provision and utilisation rates at Fort England Hospital. This is important in improving and strengthening the service. A related objective was to develop a model for a provincial prison mental health service. <strong></strong><p><strong>Methodology:</strong> This study is a situational analysis of an existing forensic psychiatric service in the Eastern Cape. The design of the study was cross sectional. An audit questionnaire was utilised to collate quantitative data, which was submitted to Fort England Hospital, Grahamstown. A proposed prison mental health service was developed utilising prevalence rates of mental illness among prisoners to calculate bed and staff requirements for an ambulatory and in-patient service. <strong></strong></p><p><strong>Results:</strong> During the study period a total of 403 remand detainees were admitted to the forensic psychiatry division of Fort England Hospital. The average length of stay was 494 days and the bed utilisation rate was determined at 203.54%. We estimate that to provide a provincial prison mental health service to treat psychotic illnesses and major depression the province requires a 52 bedded facility and a total staff complement of approximately 31. <strong></strong></p><p><strong>Conclusions:</strong> Forensic psychiatric services include the assessment, management and treatment of mentally disordered persons in conflict with the law and prisoners requiring psychiatric assessments. The Eastern Cape Province does not have plans or policies to assess and manage mentally ill offenders, resulting in an increased load on available services. We recommend that an inter-departmental task team, which includes Health, Justice and Constitutional Development and Correctional Services, should be established in the province, to develop a strategy to assist in the development of an effective and efficient forensic psychiatric service. This should be driven by the provincial Department of Health.</p>

scholarly journals ICD-11 Revision of Mental Disorders: the Global Standard for Health Data, Clinical Documentation, and Statistical Aggregation

10.17816/cp74 ◽  
2021 ◽  
Vol 2 (2) ◽  
pp. 3-6
Author(s):  
Melita Vujnovic ◽  
Olga Manukhina ◽  
Geoffrey M. Reed ◽  
Pavlos N. Theodorakis ◽  
Konstantinos N. Fountoulakis
Keyword(s):  
Mental Health ◽  
International Classification Of Diseases ◽  
World Health ◽  
Response Strategies ◽  
Classification Of Diseases ◽  
Icd 10 ◽  
New Ideas ◽  
Health Organization ◽  
European Programme

Mental health conditions in the World Health Organization (WHO) European Region affect more than 10% of the population, with 140,000 lives lost annually to suicide. Comorbidity with other diseases is high. However, basic mental health care is received by less than a third of patients. The COVID-19 pandemic has revealed the vulnerability of mental health services to disruptions and underscored the need to integrate mental health into response strategies. One of the flagship initiatives of the WHO European Programme of Work (EPW), 20202025: United Action for Better Health in Europe is the establishment of a Mental Health Coalition at the European level. In this framework, reporting of health statistics using the International Classification of Diseases 11th Revision (ICD-11) will begin on 1st January 2022. Clinical utility, scientific rigour and wider cultural applicability were all of prime importance in the development of the ICD-11. The 11th Revision was the end product of the most extensive global, multilingual, multidisciplinary and participative process ever undertaken for this task, involving more than 15,000 experts from 155 countries, representing approximately 80% of the worlds population. With the adoption of the ICD-11 and the priority being given to mental health, new ideas based on the 30 years of research since the approval of the ICD-10 will be widely adopted and applied.

scholarly journals Clinical and Epidemiological Characteristics of the Contingent of Elderly in-Patients in a Frame of the Modern Model of Psychogeriatric Care

Psychiatry ◽  
2021 ◽  
Vol 19 (1) ◽  
pp. 26-33
Author(s):  
V. G. Rotshtein ◽  
V. V. Ryakhovskiy ◽  
A. E. Shtinov
Keyword(s):  
Mental Health ◽  
Psychiatric Hospital ◽  
Health Research ◽  
Psychiatric Care ◽  
Psychiatric Service ◽  
Psychiatric Hospitals ◽  
Mental Health Research ◽  
Research Centre ◽  
Moscow City ◽  
Epidemiological Characteristics

Background: a system of reforming of psychiatric care in Russia has led to a reduction of beds in psychiatric hospitals. At the same time it is known about permanent high need among elderly patients in the appropriate psychiatric care. In this regard, it became necessary to study the adequacy of the assistance provided to the needs of patients.The aim of the research: to investigate and compare clinic-epidemiological characteristics of the contingent of the elderly and senile inpatients in the city psychiatric care system and at the research institution.Materials and methods: as a material for the research served data from the reports from Moscow Clinical Psychiatric Hospital #13 (MCPH #13) and the  clinic of Mental Health Research Centre (MHRC) about the patients older than 65 treated in 2017–2018.The results: this article contains comparative data about contingents of elderly psychiatric in-patients treated in the Moscow City Clinical Psychiatric  Hospital #13 and in the Mental Health Research Center (MHRC). Collation of the indicated contingents allowed to determine that city psychiatric care  satisfactorily meets needs of the severe psychiatric patients older than 65. However the experience of the clinic of the MHRC differs. This clinic has  some peculiarities: it does not use involuntary hospitalization and it gives preference to difficult cases, where diagnosis is unclear, and where there is a challenge to find an appropriate treatment regimen; patients that require  special care are also rarely admitted. This experience indicates that there is significant number of cases when hospitalization of patients with moderate  mental disorders is also absolutely necessary. The majority of such cases  consists of patients, suffering with depression and the necessity of their admission is dictated by the impossibility to adjust proper therapy in out- patient care.Conclusion: the contemporary Moscow city psychiatric service do not meet needs of the discussed category of patients for inpatient care. Whether it is  necessary to improve it, or to provide this niche to scientific and commercial institutions is a matter of further research. 

scholarly journals Results on sociological survey of healthcare specialists and consumers about their opinion on reforms of psychiatric service in Moscow, conducted in 2010–2017

2019 ◽  
pp. 49-58
Author(s):  
Anton Valerevich Masyakin
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Outpatient Care ◽  
Psychiatric Care ◽  
Psychiatric Service ◽  
Psychosocial Rehabilitation ◽  
Service Needs ◽  
Outpatient Unit ◽  
Day Hospitals

Relevance. Since 2010, in Moscow a plan for the reorganization of the psychiatric service is carried out. In accordance with the WHO plans, reforms is including the reduction of inpatient types of care and expansion of the outpatient unit. Aim. The analysis of the specialists and users opinions of mental health service on its reform. Materials and methods. Specialists and users of mental health services opinions survey regarding the ongoing changes was conducted (900 respondents). Results. Most respondents gave a positive assessment of the reforms. Interviewees believe that reform was necessary, optimization of the number of psychiatric beds and expansion of community-based care were justified, the formation of territorial associations was appropriate, and that the quality of psychiatric care, the work of clinics and day hospitals, the amount of care provided by dispensaries, the territorial availability of outpatient psychiatric care, the availability of outpatient facilities, and the number of places in day hospitals increased. According to the survey, reorganization of the psychiatric service first of all should include the development of psychosocial rehabilitation and psychotherapy, a decrease in the level of hospitalizations, the development of inpatient technologies and continuity in the provision of care. According to respondents, the mental health service needed to improve funding and develop outpatient care. Conclusion: Respondents positively assess the mental health service reforms in Moscow. The psychiatric service reorganization should include the development of psychosocial rehabilitation and psychotherapy, reduction hospitalizations level, inpatient technologies and continuity care provision development. According to respondents, the mental health service needs to improve the funding and development of outpatient care.

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