scholarly journals FORENSIC MENTAL HEALTH IN EUROPE: SHARED LEGAL HERITAGE AND CONTEMPORARY LANDSCAPE

2021 ◽  
Vol 31 (7) ◽  
pp. 146-152
Author(s):  
Jack Tomlin ◽  
Birgit Völlm
Keyword(s):  
Mental Health ◽  
Health Systems ◽  
Criminal Responsibility ◽  
Epidemiological Studies ◽  
Forensic Mental Health ◽  
Mental Health Systems ◽  
Forensic Patients ◽  
Legal Traditions ◽  
Patient Pathways ◽  
Training Programmes

This paper provides an overview of some of the key features of forensic mental health systems around Europe. Forensic mental health systems share in common the aim to assist in the rehabilitation of people diagnosed with a mental disorder and reduce reoffending or risk of harm. How these aims are pursued varies across the continent. We suggest that best practices can be learnt from observing different countries’ approaches. This paper has six foci: legal traditions in Europe, the concept of criminal responsibility, patient pathways through forensic systems, epidemiological studies of forensic patients, training programmes in forensic mental health, and recent developments in the field across Europe. Readers should reflect on these topics in the context of their own country and how these diverge/converge from the countries described in this paper.

Forensic Mental Health Systems Internationally

2017 ◽  
pp. 3-76 ◽  
Author(s):  
Anne G. Crocker ◽  
James D. Livingston ◽  
Marichelle C. Leclair
Keyword(s):  
Mental Health ◽  
Health Systems ◽  
Forensic Mental Health ◽  
Mental Health Systems

scholarly journals The new mission of forensic mental health systems: managing violence as a medical syndrome in an environment that balances treatment and safety

CNS Spectrums ◽  
2014 ◽  
Vol 19 (5) ◽  
pp. 368-373 ◽  
Author(s):  
Katherine Warburton
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Health Systems ◽  
State Hospital ◽  
Physical Aggression ◽  
Primary Reason ◽  
Forensic Mental Health ◽  
Mental Health Systems ◽  
State Hospitals ◽  
Reason For Admission

The association between violence and mental illness is well-studied, yet remains highly controversial. Currently, there appears to be a trend of increasing violence in state hospital settings, including both civilly and forensically committed populations. In fact, physical aggression is the primary reason for admission to many state hospitals. Given that violence is now often both a reason for admission and a barrier to discharge, there is a case to be made for psychiatric violence to be re-conceptualized dimensionally, as a primary syndrome, not as the byproduct of one. Furthermore, treatment settings need to be enhanced to address the new types of violence exhibited in inpatient environments, and this modification needs to be geared toward balancing safety with treatment.

Deconstructing violence as a medical syndrome: mapping psychotic, impulsive, and predatory subtypes to malfunctioning brain circuits

CNS Spectrums ◽  
2014 ◽  
Vol 19 (5) ◽  
pp. 357-365 ◽  
Author(s):  
Stephen M. Stahl
Keyword(s):  
Mental Health ◽  
Health Systems ◽  
Forensic Mental Health ◽  
Management Issue ◽  
Mental Health Systems ◽  
Brain Circuits ◽  
Rational Management ◽  
Forms Of Violence

ISSUE:Violence is a major management issue for forensic mental health systems. Violence can be approached as a medical syndrome and deconstructed into psychotic, impulsive, and predatory subtypes, which are hypothetically mapped onto corresponding malfunctioning brain circuits. Rational management of violence balances treatment with security, while targeting each subtype of violence with approaches unique to the psychotic, impulsive, and predatory forms of violence.

Forensic focused treatment planning: a new standard for forensic mental health systems

CNS Spectrums ◽  
2015 ◽  
Vol 20 (3) ◽  
pp. 250-253 ◽  
Author(s):  
Robert J. Schaufenbil ◽  
Rebecca Kornbluh ◽  
Stephen M. Stahl ◽  
Katherine D. Warburton
Keyword(s):  
Mental Health ◽  
Treatment Planning ◽  
Health Systems ◽  
Violence Risk ◽  
Forensic Mental Health ◽  
Mental Health Systems ◽  
Community Psychiatric ◽  
Forensic Setting ◽  
Forensic Psychiatric ◽  
Trial Competence

Almost no literature addresses treatment planning for the forensic psychiatric patient. In the absence of such guidance, recovery-oriented multifocal treatment planning has been imported into forensic mental health systems from community psychiatric settings, despite the fact that conditions of admission and discharge are vastly different for forensic psychiatry inpatients. We propose that instead of focusing on recovery, forensic treatment planning should prioritize forensic outcomes, such as restoration of trial competence or mitigation of violence risk, as the first steps in a continuum of care that eventually leads to the patient’s ability to resolve forensic issues and return to the community for recovery-oriented care. Here we offer a model for treatment planning in the forensic setting.

Competence to stand trial and criminalization: an overview of the research

CNS Spectrums ◽  
2019 ◽  
Vol 25 (2) ◽  
pp. 161-172
Author(s):  
Amanda Beltrani ◽  
Patricia A. Zapf
Keyword(s):  
Mental Health ◽  
United States ◽  
Health Systems ◽  
The United States ◽  
Steady Increase ◽  
Competence To Stand Trial ◽  
Forensic Mental Health ◽  
Mental Health Systems ◽  
National Organizations ◽  
Psychiatric Beds

Beginning in the 1960s, a steady decline in the number of inpatient psychiatric beds has occurred across the United States, primarily as a result of stricter civil commitment criteria and a societal movement toward deinstitutionalization. Concomitant with this decrease in psychiatric beds has been a steady increase in the number of mentally ill individuals who are arrested and processed through the criminal justice system as defendants. One consequence of this has been an explosion in the number of defendants referred for evaluations of their present mental state—adjudicative competence—and subsequently found incompetent and ordered to complete a period of competency restoration. This has resulted in forensic mental health systems that are overwhelmed by the demand for services and that are unable to meet the needs of these defendants in a timely manner. In many states, lawsuits have been brought by defendants who have had their liberties restricted as a result of lengthy confinements in jail awaiting forensic services. The stress on state-wide forensic systems has become so widespread that this has reached the level of a near-national crisis. Many states and national organizations are currently attempting to study these issues and develop creative strategies for relieving this overburdening of forensic mental health systems nationwide. The purpose of this article is to review the current state of the research on competence to stand trial and to highlight those issues that might be relevant to the issue of criminalization of individuals with mental illness in the United States.

scholarly journals Differences between British and Japanese perspectives on forensic mental health systems: A preliminary study

2017 ◽  
Vol 7 (1) ◽  
pp. 8 ◽  
Author(s):  
Akihiro Shiina ◽  
Aika Tomoto ◽  
Soichiro Omiya ◽  
Aiko Sato ◽  
Masaomi Iyo ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Systems ◽  
Forensic Mental Health ◽  
Mental Health Systems ◽  
Preliminary Study

Review of Mental health systems in Scandinavia.

1968 ◽  
Vol 13 (12) ◽  
pp. 664-665
Author(s):  
HENRY P. DAVID
Keyword(s):  
Mental Health ◽  
Health Systems ◽  
Mental Health Systems
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