scholarly journals Long-Term Violent Reoffending Following Forensic Psychiatric Treatment: Comparing Forensic Psychiatric Examinees and General Offender Controls

2019 ◽  
Vol 10 ◽  
Author(s):  
Susanne Bengtson ◽  
Jens Lund ◽  
Michael Ibsen ◽  
Niklas Långström
Keyword(s):  
Psychiatric Treatment ◽  
Forensic Psychiatric

Psychological Assessment with the Rorschach and the MMPI-2 in a Forensic Psychiatric Hospital

2008 ◽  
Vol 29 (2) ◽  
pp. 151-182
Author(s):  
Martin Hildebrand ◽  
Corine de Ruiter
Keyword(s):  
Psychological Assessment ◽  
Psychiatric Treatment ◽  
Psychiatric Patients ◽  
Diagnostic Methods ◽  
Personality Pathology ◽  
Basic Premise ◽  
Forensic Psychiatric Patients ◽  
Assessment Techniques ◽  
Forensic Psychiatric

In this article, the possibilities of forensic psychological assessment by means of several diagnostic methods (i.e., the MMPI-2 and the Rorschach Inkblot Method) are reviewed. A case example illustrates the serious personality pathology that is often present in forensic psychiatric patients. The basic premise of this case example is that the psychologist’s armamentarium of assessment techniques can be strengthened by using the MMPI-2 and the Rorschach together in a complimentary fashion, and these can be of value in evaluating progress (i.e., change in psychopathology) during long-term forensic psychiatric treatment. It is concluded that only the objective measurement of such change, using reliable and valid psychological tests, can increase our knowledge of the effectiveness of forensic psychiatric treatment

Suicide Attempts During Adolescence: Systematic Hospitalization and Crisis Treatment

Crisis ◽  
1999 ◽  
Vol 20 (1) ◽  
pp. 41-48 ◽  
Author(s):  
Jérôme Ottino
Keyword(s):  
Attempted Suicide ◽  
Suicide Attempts ◽  
Psychiatric Treatment ◽  
Health Workers ◽  
Inpatient Unit ◽  
Theoretical Hypothesis ◽  
Initial Resistance ◽  
Provision Of Care ◽  
Suicidal Crisis

This paper deals with an inpatient unit that recently opened in Geneva, specializing in the treatment of patients aged 16-21 years who had attempted suicide or felt the desire to commit suicide. This particular center was established because of the significant weaknesses found in the provision of care to adolescents who had attempted suicide. Despite the growing interest of health workers in this area of study over recent years, the frequency of suicide among the young has not decreased and there are numerous recurrences of the suicide attempts. Further, all efforts to improve the adolescents' compliance with psychiatric treatment have failed to date. The number of drop-outs from treatment is still very high. Thus, the objectives of our inpatient unit are as follows: (1) to overcome initial resistance to treatment and to improve long-term compliance; (2) to decrease the number of recurrent attempts as a consequence of the above, thus increasing life expectancy; (3) to offer the adolescents who have tried (or have contemplated) committing suicide an improved quality of life, after first helping them overcome the suicidal crisis. To achieve these goals, the therapeutic team of the unit proposes short stays during which the work with the adolescents consists of a very intensive psychoanalytic-oriented crisis intervention. Numerous practical aspects of our therapeutic approach in the inpatient unit are related here in detail, always with reference to our theoretical hypothesis.

Towards an EU research framework on forensic psychiatric care: Introduction, structure, activities and results of cost action Is1302

2017 ◽  
Vol 41 (S1) ◽  
pp. S584-S584
Author(s):  
L. Castelletti ◽  
F. Scarpa
Keyword(s):  
Best Practice ◽  
Psychiatric Care ◽  
Service Providers ◽  
Psychiatric Symptoms ◽  
Legal Framework ◽  
Mentally Ill Offenders ◽  
Mentally Disordered Offenders ◽  
Cost Action ◽  
Forensic Psychiatric

IntroductionForensic psychiatric care is aimed at improving mental health and reducing the risk of recidivism of mentally ill offenders. For some mentally disordered offenders long forensic psychiatric care is required. Due to different legal framework, policies and resources in member countries, treatment programs and care provided for these subjects may vary substantially across Europe.ObjectivesCOST Action IS1302, a EU project aimed at establishing a European network of researchers, clinicians and service providers about long-term forensic psychiatric care, has involved nineteen European countries for 2013 to set the basis for comparative evaluation and research on effective treatment and the development of best practice in long-term forensic psychiatry in Europe.MethodIt is constituted by three main areas of interest and research. One group works on determination of patient characteristics, looking into prevalence, duration of stay and the most determinant characteristics of long term patients. The second area of research aims at obtaining better understanding of complex external factors that influence the poor progress of patients residing for an above average time in forensic services. Third group of research focuses on knowledge about specific needs brought about by psychiatric symptoms and how these specific needs might optimize the quality of life of patients in long term forensic psychiatric care.Results/conclusionsLaunched four years ago, the action is at its last of activities. We display features, activities and data emerging from the research conducted so far.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Severe Personality Disorder

1996 ◽  
Vol 168 (6) ◽  
pp. 723-731 ◽  
Author(s):  
Kingsley Norton ◽  
R. D. Hinshelwood
Keyword(s):  
Personality Disorder ◽  
Psychiatric Treatment ◽  
Psychiatric Patients ◽  
Relevant Literature ◽  
Term Treatment ◽  
Successful Outcome ◽  
Post Discharge ◽  
Long Term Treatment ◽  
Severe Personality Disorder

BackgroundSevere personality disorder (SPD) is an imprecise but useful term referring to some notoriously difficult to treat psychiatric patients. Their long-term psychiatric treatment is often unsuccessful, in spite of hospitalisation. The specialist expertise of in-patient psychotherapy units (IPUs) can successfully meet some of SPD patients' needs.MethodRelevant literature on the subject is summarised and integrated with the authors' specialist clinical experience.ResultsMany clinical problems with SPD patients are interpersonal and prevent any effective therapeutic alliance, which is necessary for successful treatment. With in-patients, inconsistencies in treatment delivery and issues surrounding compulsory treatment reinforce patients' mistrust of professionals, compromising accurate diagnosis and an assessment of the need for specialist IPU referral.ConclusionsGeneral psychiatric teams are well-placed to plan long-term treatment for SPD patients which may include IPU treatment. Timely referral of selected SPD patients to an IPU maximises a successful outcome, especially if there is appropriate post-discharge collaboration with general psychiatric teams to consolidate gains made.

"DR UNNECESSARY"

PEDIATRICS ◽  
1996 ◽  
Vol 97 (2) ◽  
pp. A30-A30
Author(s):  
J. F. L.
Keyword(s):  
Managed Care ◽  
Private Practice ◽  
Psychiatric Treatment ◽  
Health Maintenance Organizations ◽  
Case Managers ◽  
Fee For Service ◽  
Health Maintenance ◽  
Insurance Costs ◽  
Treatment Plans

The old reality for many psychiatrists was a private practice filled with long-term patients who paid $100 or more for 50 minutes of talk. The new reality? Managing medication for up to 30 new patients a week for half the hourly fee—and answering to case managers who aren't even doctors. No wonder the number of U.S. medical school graduates in psychiatric residencies dropped nearly 12%—to 3909 from 4447—between 1988 and 1994. The blame—or the credit—goes to managed care, the catchall term for the revolution that has swept through both the medical and mental health care fields in recent years. Desperate to cut runaway health insurance costs, most companies have axed longstanding fee-for-service plans and instead steer employees seeking psychiatric treatment to health maintenance organizations or specialized managed-care firms. These organizations decide the type and amount of care patients receive. Psychiatrists have to get with the program—and agree to its treatment plans and fee schedules—or watch the bulk of their practices disappear. Only the rare psychiatrist can attract private patients wealthy enough to pay for traditional psychotherapy without the benefit of insurance.

scholarly journals Prediction of recidivism in a long-term follow-up of forensic psychiatric patients: Incremental effects of neuroimaging data

PLoS ONE ◽  
2019 ◽  
Vol 14 (5) ◽  
pp. e0217127 ◽  
Author(s):  
Carl Delfin ◽  
Hedvig Krona ◽  
Peter Andiné ◽  
Erik Ryding ◽  
Märta Wallinius ◽  
...  
Keyword(s):  
Psychiatric Patients ◽  
Prediction Of Recidivism ◽  
Forensic Psychiatric Patients ◽  
Neuroimaging Data ◽  
Long Term Follow Up ◽  
Forensic Psychiatric

Clinical Appraisals of Individual Differences in Treatment Responsivity Among Patients With Psychopathy: A Consensual Qualitative Research Study

2020 ◽  
pp. 009385482097059
Author(s):  
Evelyn Klein Haneveld ◽  
Wineke Smid ◽  
Kelsey Timmer ◽  
Jan H. Kamphuis
Keyword(s):  
Qualitative Research ◽  
Psychiatric Treatment ◽  
Negative Impact ◽  
Treatment Success ◽  
Patient Characteristics ◽  
Consensual Qualitative Research ◽  
Treatment Team ◽  
Psychopathy Checklist Revised ◽  
Forensic Psychiatric ◽  
Treatment Responsivity

This study addressed which factors expert clinicians consider crucial in successful completion versus dropout in the mandatory forensic psychiatric treatment of psychopathic patients in the Netherlands. Eleven clinicians were interviewed about patient characteristics, treatment (provider) characteristics, and other factors they deemed associated with failure (transfer to another facility) or completion. The interviews were coded using the guidelines of Consensual Qualitative Research (CQR). Overall, extremely high scores on Psychopathy Checklist–Revised (PCL-R) Facets 1 (Deceitful Interpersonal Style) and 2 (Defective Affective Experience) were thought to impede treatment retention, particularly by its negative impact on motivation and therapeutic relationship. Older patients, those with a prosocial network, and/or patients with comorbid borderline traits appeared to fare better. Treatment success was deemed more likely when treatment goals and expectations are stipulated in a concrete fashion, when an extended and gradual resocialization trajectory is offered, and the treatment team is expert, cohesive, and stable.

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