Opinions About Treatment Modalities Among Patients Involuntarily Committed to a Forensic Psychiatric Hospital in Finland

2004 ◽  
Vol 38 (3) ◽  
pp. 81-95 ◽  
Author(s):  
Eila Repo-Tiihonen ◽  
Osmo Vuorio ◽  
Hanna Koivisto ◽  
Paula Paavola ◽  
Panu Hakola
Keyword(s):  
Psychiatric Hospital ◽  
Treatment Modalities ◽  
Forensic Psychiatric

Predictors of Weight Gain and Metabolic Indexes among Men Admitted to Forensic Psychiatric Hospital

2021 ◽  
pp. 1-11
Author(s):  
N. Zoe Hilton ◽  
Elke Ham ◽  
Stephanie Hill ◽  
Talia Emmanuel ◽  
Barna Konkolÿ Thege
Keyword(s):  
Weight Gain ◽  
Psychiatric Hospital ◽  
Forensic Psychiatric

The Biopsychosocial Paradigm in the Assessment of Mental Health of Older Persons

2016 ◽  
Vol 33 (S1) ◽  
pp. S464-S464
Author(s):  
L. Pishchikova
Keyword(s):  
Mental Disorders ◽  
Old Age ◽  
Psychiatric Hospital ◽  
Legal Protection ◽  
Physical Assault ◽  
Dynamic Features ◽  
Criminal Proceedings ◽  
Conceptual Approach ◽  
Forensic Psychiatric ◽  
Biopsychosocial Determinants

The vulnerability of patients of late age in psychiatry increases the professional and ethical requirements to the quality of psychiatric and forensic psychiatric help. It must account for the clinical and dynamic features of mental disorders in old age, biopsychosocial determinants of their formation, be based on a conceptual approach and a comprehensive understanding of the involution processes. To identify biopsychosocial determinants of mental disorders in old age and (or) involving patients to the forensic psychiatric examination, we examined 235 late age patients in criminal and civil cases. Revealed: «non-dement» mental disorders – with 45.5%, psychosis – with 7.7%, dementia – with 46,8%. The results of biopsychosocial determinants of involution are determined as follows: biological: sensory and motor deprivation, multicomorbid somatic neurological pathology, specific syndromes and disorders if late age, dementia; socio-psychological: termination of labor activity, living alone and loneliness, problematic relationship with children because of housing disputes and alcohol; legal: conclusion and contestation of legal civil acts, participation in criminal proceedings as victims and defendants, legal illiteracy, legal controversy, lack of legal protection; victimological: physical (assault, abuse), psychological (threats of commitment into social security institutions, involuntary commitment to a psychiatric hospital and examination by a psychiatrist, hold in the psychiatric hospital), financial violence (fraud with housing for older people and deception, manipulation during conclusion of civil-legal acts), violation of rights of older person (unlawful deprivation of legal capacity).Disclosure of interestThe author has not supplied his/her declaration of competing interest.

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.

Music Therapy and Forensic Psychiatry — Choice, Denial and the Law

1994 ◽  
Vol 8 (2) ◽  
pp. 10-18 ◽  
Author(s):  
Helen Loth
Keyword(s):  
Music Therapy ◽  
Psychiatric Hospital ◽  
Forensic Psychiatry ◽  
Therapy Group ◽  
Psychiatric Setting ◽  
Secure Unit ◽  
The Law ◽  
Forensic Psychiatric

This paper looks at aspects of work in the forensic psychiatric setting. It is based on music therapy work in a Medium Secure Unit, situated within a general psychiatric hospital. It was felt that there were several important differences in working in this unit of the hospital which often seemed to question the feasability and existence of a music therapy group. This paper concerns itself with these differences. A brief introduction to forensic psychiatry and secure units is given first. This is followed by a short case study of an eight-week music therapy group from which material is used to look at the themes identified. These are summarized into the headings of choice, denial and the law. Their effect on the patients is discussed and the ways in which the music therapy group can address the issues involved are highlighted.

Characteristics of female patients admitted to an adolescent secure forensic psychiatric hospital

2014 ◽  
Vol 25 (5) ◽  
pp. 503-519 ◽  
Author(s):  
Simon Alastair Hill ◽  
Paul Brodrick ◽  
Ambre Doherty ◽  
Joanne Lolley ◽  
Freya Wallington ◽  
...  
Keyword(s):  
Psychiatric Hospital ◽  
Female Patients ◽  
Forensic Psychiatric

The InReach project: from penitentiary to forensic hospital

2014 ◽  
Vol 35 (3) ◽  
pp. 119-126 ◽  
Author(s):  
Wouter Stassen ◽  
Petra Habets ◽  
Astrid Mertens ◽  
Jan De laender ◽  
Inge Jeandarme
Keyword(s):  
Human Rights ◽  
Psychiatric Hospital ◽  
Psychiatric Patients ◽  
Vulnerable Groups ◽  
Content Type ◽  
Forensic Hospital ◽  
Forensic Psychiatric Patients ◽  
Treatment Facilities ◽  
Current Article ◽  
Forensic Psychiatric

Purpose – In Belgium approximately a quarter of forensic psychiatric patients reside within penitentiaries instead of treatment facilities. This situation has yielded the Belgian government several convictions from the Human Rights Court in Strasbourg. In an attempt to facilitate admissions from penitentiary to psychiatric hospital, the Forensic Department of the psychiatric hospital in Rekem (OPZC Rekem), has piloted the InReach project. The paper aims to discuss these issues. Design/methodology/approach – The objective of this project is to engage a psychiatric nurse on the ward in pretherapeutic and motivational activities on a regular basis in the penitentiary for vulnerable groups of forensic psychiatric patients, forming a bridge between penitentiary and hospital. The InReach project even considers patients who have no desire to leave the penitentiary (e.g. due to their psychiatric profile). A motivational approach is used to support these patients in making the transition from penitentiary to hospital. Findings – The current article describes the focus of the InReach project (procedures and InReach candidate profiles) together with the first impressions of the progress that has been made by the InReach project. In addition two case studies of InReach patients are presented. The InReach project is clearly needed in Belgium and because of its success it has been extended to another penitentiary. It is probable the two other medium-security wards will also be included in the project in the near future. Originality/value – The Belgian government has received several convictions from the Human Rights Court in Strasbourg because a substantial number of forensic psychiatric patients reside within penitentiaries instead of treatment facilities. The InReach project presented in this paper is clearly needed in Belgium and was implemented to initiate and facilitate the transition from penitentiaries to treatment facilities. The need for this type of project is reflected in the number of forensic psychiatric patients that reside within a penitentiary and that are not able or willing to make the transition to a treatment facility because of their psychiatric profile.

Fitness, Responsibility, and Judicially Ordered Assessments

1998 ◽  
Vol 43 (5) ◽  
pp. 491-495 ◽  
Author(s):  
Maurice M Ohayon ◽  
Anne Crocker ◽  
Bernard St-Onge ◽  
M Caulet
Keyword(s):  
Mental Disorders ◽  
Psychiatric Hospital ◽  
Psychotic Disorders ◽  
Criminal Responsibility ◽  
Spectrum Disorder ◽  
Fitness To Stand Trial ◽  
Not Criminally Responsible ◽  
Forensic Psychiatric ◽  
Good Agreement

Objective: To compare the characteristics of individuals assessed for fitness to stand trial (FST) with those assessed for criminal responsibility (CR). Method: This study examines all the consecutive requests of FST or CR addressed to the only forensic psychiatric hospital in the province of Quebec and 2 prisons in the Montreal area over a 1-year period. Results: In all, 170 FST, 52 CR, and 29 both FST and CR assessment requests were received (251 subjects). Psychiatrists' recommendations and court verdicts of unfitness to stand trial or not criminally responsible on account of mental disorders were mostly related to the presence of a psychotic-spectrum disorder. There is generally a good agreement between psychiatric recommendations and verdicts of the court, with the exception of unfitness recommendations. Conclusions: Defendants referred for a FST or a CR assessment displayed similar characteristics. However, although subjects with psychotic disorders represented more than one-half of the unfit or not criminally responsible verdicts, most of the subjects with psychoses were found competent to stand trial or responsible.

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