OUTCOMES FOR PSYCHIATRIC PATIENTS FOLLOWING FIRST ADMISSION: RELATIONSHIPS WITH VOLUNTARY AND INVOLUNTARY TREATMENT AND ETHNICITY

2001 ◽  
Vol 88 (3) ◽  
pp. 1012 ◽  
Author(s):  
KIMBERLYN GRAY HOUSTON
Keyword(s):  
Psychiatric Patients ◽  
Involuntary Treatment ◽  
First Admission

scholarly journals Between Punishment and Care: Autonomous Offenders Who Commit Crimes Under the Influence of Mental Disorder

2021 ◽  
Author(s):  
Thomas Hartvigsson
Keyword(s):  
Criminal Justice ◽  
Mental Disorders ◽  
Mental Disorder ◽  
Criminal Responsibility ◽  
Psychiatric Patients ◽  
Involuntary Treatment ◽  
Psychiatric Condition ◽  
Psychiatric Institutions

AbstractThe aim of this paper is to present a solution to a problem that arises from the fact that people who commit crimes under the influence of serious mental disorders may still have a capacity to refuse treatment. Several ethicists have argued that the present legislation concerning involuntary treatment of people with mental disorder is discriminatory and should change to the effect that psychiatric patients can refuse care on the same grounds as patients in somatic care. However, people with mental disorders who have committed crimes and been exempted from criminal responsibility would then fall outside the scope of criminal justice as well as that of the psychiatric institutions if they were to refuse care. In this paper, I present and develop a solution to how society should deal with this group of people, called Advance criminal responsibility. The basic idea being that if a person with a potentially responsibility exempting psychiatric condition refuses care, that person is responsible for any future criminal acts which are due to the mental disorder.

scholarly journals Patient's experiences of involuntary hospital admission and treatment: A review of qualitative studies

2007 ◽  
Vol 16 (2) ◽  
pp. 172-178 ◽  
Author(s):  
Christina Katsakou ◽  
Stefan Priebe
Keyword(s):  
Psychiatric Patients ◽  
Small Sample ◽  
Qualitative Studies ◽  
Future Research ◽  
Involuntary Admission ◽  
Involuntary Treatment ◽  
Emerging Issues ◽  
Patient Groups ◽  
Perceived Impact ◽  
Small Sample Sizes

SUMMARYAims - This study aimed to explore psychiatric patients' experiences of involuntary admission and treatment by reviewing qualitative studies. Method - Qualitative studies investigating patients' experiences of involuntary treatment were identified. Relevant databases were searched and authors were contacted. Thematic analysis was applied for the synthesis of emerging issues. Results - Five studies fulfilled the inclusion criteria. The main areas that appear to be of importance are: patients' perceived autonomy and participation in decisions for themselves, their feeling of whether or not they are being cared for and their sense of identity. In these areas both negative and positive consequences from involuntary admission were mentioned. However, methodological weaknesses were also found, such as small sample sizes. Furthermore, it is not described whether these themes are mentioned by all participants as negative and positive aspects of their experience or whether they reflect views supported by distinct groups. Conclusions - Although the perceived impact of involuntary treatment is fairly clearly described, differences between distinct patient groups are not examined. Future research should investigate such differences in order to inform relevant policy decisions for particular groups.Declaration of Interest: None.

scholarly journals Preventing crime by people with schizophrenic disorders: the role of psychiatric services

2004 ◽  
Vol 185 (3) ◽  
pp. 245-250 ◽  
Author(s):  
S. Hodgins ◽  
R. Müller-Isberner
Keyword(s):  
Psychiatric Patients ◽  
Psychiatric Hospitals ◽  
Antisocial Behaviour ◽  
Psychiatric Services ◽  
Criminal Offending ◽  
Forensic Patients ◽  
Stable Pattern ◽  
General Psychiatry ◽  
First Admission ◽  
Violent Offences

BackgroundKnowledge of when and how to implement treatments to prevent criminal offending among people with schizophrenia is urgently needed.AimsTo identify opportunities for interventions to prevent offending among men with schizophrenic disorders by tracking their histories of offending and admissions to hospital.MethodWe examined 232 men with schizophrenic disorders discharged from forensic and general psychiatric hospitals. Data were collected from participants, family members and official records.ResultsMore than three-quarters (77.8%) of the forensic patients had previously been admitted to general psychiatric services; 24.3% of the general psychiatric patients had a criminal record. Offences had been committed by 39.8% of the forensic patients and 10.8% of the general psychiatric patients before their first admission to general psychiatry, and after their first admission these 59 patients committed 195 non-violent and 59 violent offences. Subsequently, 49 of them committed serious violent offences that led to forensic hospital admission. The offenders were distinguished by a pervasive and stable pattern of antisocial behaviour evident from at least mid-adolescence.ConclusionsGeneral psychiatry requires resources in order to prevent criminal offending among a subgroup of patients with schizophrenic disorders.

Outcomes for Psychiatric Patients following First Admission: Relationships with Voluntary and Involuntary Treatment and Ethnicity

2001 ◽  
Vol 88 (3_suppl) ◽  
pp. 1012-1014 ◽  
Author(s):  
Kimberlyn Gray Houston ◽  
Marco Mariotto ◽  
J. Ray Hays
Keyword(s):  
Sex Differences ◽  
Ethnic Differences ◽  
Mentally Ill ◽  
Psychiatric Patients ◽  
Involuntary Treatment ◽  
Psychiatric Admission ◽  
Severely Mentally Ill ◽  
Desirable Outcome ◽  
Admission Status ◽  
Male Patients

Research suggests that there are ethnic differences in hospitalization outcomes for severely mentally ill patients. This study examined ethnic and sex differences in admission status, rapid readmission, and discharge placement of 487 patients on their first psychiatric admission. There were sex differences in admission status with significantly more male patients being involuntarily admitted than female patients. Ethnic differences in placement at discharge were not supported, but involuntarily admitted patients were over-represented in the less desirable outcome categories.

Incidence and Other Aspects of the Epidemiology of Schizophrenia in Denmark, 1971–87

1992 ◽  
Vol 161 (4) ◽  
pp. 489-495 ◽  
Author(s):  
Povl Munk-J⊘rgensen ◽  
Preben Bo Mortensen
Keyword(s):  
Patient Care ◽  
Psychiatric Patients ◽  
Admission Rates ◽  
First Time ◽  
First Admission

All Danish psychiatric patients admitted to hospital for the first time in the period 1969–88 with a diagnosis of schizophrenia given at least once during the period were included in the study. More than 8500 patients were examined in the Danish nationwide psychiatric register. First-admission rates decreased by approximately 50% irrespective of mode of calculation and increase in SMR. The use of in-patient care was unchanged despite a reduction in available beds of more than 40% in the study period.

Early risk factors in schizophrenia: place and season of birth

1995 ◽  
Vol 10 (4) ◽  
pp. 165-170 ◽  
Author(s):  
N Takei ◽  
PC Sham ◽  
EO' Callaghan ◽  
G Glover ◽  
RM Murray
Keyword(s):  
Risk Factors ◽  
Logistic Regression ◽  
Confidence Interval ◽  
Odds Ratio ◽  
Psychiatric Patients ◽  
Season Of Birth ◽  
England And Wales ◽  
Early Risk ◽  
Increase In Risk ◽  
First Admission

SummaryFirst admission psychiatric patients born in England and Wales between 1938 and 1963, and discharged from hospitals in England and Wales between 1976 and 1986, were examined. Using logistic regression, we tested the hypothesis that the risk of shizophrenia varies by place, and season of birth. Persons born in city areas showed a 12% greater risk of schizophrenia (odds ratio 1.12; 95% confidence interval 1.06 to 1.19) than those born in non-city areas, when compared with other psychiatric patients. The increase in risk was particularly high for individuals born in city areas in winter (21%, ie odds ratio 1.21 and confidence interval 1.08 to 1.36). These findings suggest that the factor(s) responsible for the season-of-birth effect preferentially affects city born schizophrenics.

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