Nachsorge unter erschwerten Vorzeichen – Erfahrungen forensischer Nachsorgeambulanzen mit Sexualstraftätern, die nach der Novelle der Verhältnismäßigkeitsregelung entlassen wurden

2021 ◽  
Vol 31 (2) ◽  
Author(s):  
Julia Grotepaß ◽  
Nora Hein ◽  
Silvia Gubi-Kelm ◽  
Jan Querengässer
Keyword(s):  
Length Of Stay ◽  
Sex Offenders ◽  
Inpatient Treatment ◽  
Psychiatric Hospitals ◽  
Criminal Code ◽  
Treatment Practice ◽  
Forensic Aftercare ◽  
Forensic Psychiatric ◽  
Number Of Discharges ◽  
Alternative Solutions

A major amendment of the German Criminal Code concerning treatment in forensic psychiatric hospitals (Secs. 63, 67 StGB) became effective in August 2016 and has led to an increasing number of discharges of sex offenders. In addition to inpatient treatment practice, this also poses great challenges for forensic aftercare. After a brief overview of the amendment, this article examines how it affects the release practice and legal probation. Based on the analysis of the post-inpatient development of ten sex offenders from North Rhine-Westphalia who were released for disproportionate reasons, the far-reaching consequences of the amendment forensic aftercare have to deal with are illustrated. Finally, attention is drawn to the great need for action and alternative solutions to reduce the length of stay and strengthens the patients fundamental right to freedom are proposed.

Evolving systems of care: Individuals found not criminally responsible on account of mental disorder in custody of civil and forensic psychiatric services

2009 ◽  
Vol 24 (6) ◽  
pp. 356-364 ◽  
Author(s):  
A.G. Crocker ◽  
G. Côté
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Mental Disorders ◽  
Health Services ◽  
Mental Disorder ◽  
Systems Of Care ◽  
Psychiatric Hospitals ◽  
Criminal Code ◽  
Not Criminally Responsible ◽  
Forensic Psychiatric

AbstractFollowing psychiatric deinstitutionalization and changes in involuntary civil commitment laws, many individuals with severe mental disorders have been receiving mental health services through the back door, that is, the criminal justice system. Significant changes to the section of Criminal Code of Canada dealing with individuals with mental disorders have led to significant annual increases in the number of individuals declared Not criminally responsible on account of mental disorder (NCRMD), many of whom are directed to civil psychiatric settings. The goal of the present study was to describe the psychosociocriminological and risk characteristics of individuals found NCRMD remanded to civil psychiatric hospitals (CPH) compared to a forensic psychiatric hospital (FPH). This study was conducted between October 2004 and August 2006 in the sole FPH of the province of Québec and two large CPH in the Montréal metropolitan area. The final sample for the current study consisted of 96 men: 60 from the FPH and 36 from the two CPH. Results indicate that individuals in both settings have similar psychosociocriminal profiles, including PCL-R scores, but that individuals in CPH have higher scores in the Risk subscale of the HCR-20 than do their counterparts in the FPH. This difference is due to a higher score on two items: exposure to destabilizing factors and noncompliance with remediation attempts. Results are discussed in terms of the need for civil psychiatric settings to implement risk assessment and management programs into their services, and the need for further research into forensic mental health services.

Therapeutic alliance in forensic psychiatric hospitals: An empirical study

1997 ◽  
Vol 8 (3) ◽  
pp. 528-545 ◽  
Author(s):  
Martin Krupinski ◽  
Claudia Schöchlin ◽  
Alfred Fischer ◽  
Norbert Nedopil
Keyword(s):  
Empirical Study ◽  
Therapeutic Alliance ◽  
Psychiatric Hospitals ◽  
Forensic Psychiatric

Prevalence of housing needs among inpatients: a 1 year audit of housing needs in the acute mental health unit in Tallaght Hospital

2016 ◽  
Vol 33 (3) ◽  
pp. 159-164 ◽  
Author(s):  
J. Cowman ◽  
P. Whitty
Keyword(s):  
Mental Health ◽  
Psychiatric Hospitals ◽  
Numerical Data ◽  
Health Unit ◽  
Psychiatric Unit ◽  
Nursing Managers ◽  
Housing Needs ◽  
Delayed Discharges ◽  
Number Of Discharges ◽  
Mental Health Unit

ObjectiveThere is a dearth of information relating to the prevalence of housing needs among psychiatric in-patients in Ireland. Most of the information we have to date emerged as a result of attempts to plan for the closure of old psychiatric hospitals and inappropriate community residences. This study sought to identify the prevalence of housing needs among in-patients in the acute psychiatric unit in Tallaght Hospital.MethodsEach week, over a 12-month period, nursing managers and/or key nurses who knew the patients well were asked for numerical data. Information was collected on the numbers of in-patients with accommodation needs, number of delayed discharges due to accommodation needs and number of discharges to homeless accommodation in the previous week.ResultsOn average, 38% of in-patients had accommodation related needs at any one time. Most (98%) of delayed discharges had accommodation related needs. Delayed discharge in-patients with accommodation needs accounted for 28% of all inpatients and for 72% of all inpatients with accommodation related needs.ConclusionsAccommodation need among psychiatric in-patients is underreported. Housing need data should be routinely collected and effective interagency strategies developed to address housing needs.

scholarly journals Investigating the Factors Affecting the Length of Stay of Patients Admitted To Psychiatry Hospital at North of Iran

2020 ◽  
Author(s):  
Pezhman Hadinezhad ◽  
Javad Setareh ◽  
Mahmood Moosazadeh
Keyword(s):  
Length Of Stay ◽  
Psychiatric Disorders ◽  
Psychotic Disorders ◽  
Psychiatric Hospitals ◽  
Final Diagnosis ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Quality Of Control ◽  
North Of Iran

Background and Purpose: Length of stay is one of the most useful indicators, which can be used for aims, such as managing hospital, determining quality of control and available resources of the hospital. Concerning the high prevalence of psychiatric disorders in the community, studying the factors affecting the length of stay of these patients in psychiatric hospitals seemed to be useful and significant. Materials and methods: The present research was a cross-sectional study. The sample consisted of 152 patients with psychiatric disorders hospitalized in the Psychiatry Hospital of Mazandaran University of Medical Sciences. The final diagnosis of psychiatric disorder based on the DSM-V criteria and the length of stay at the end was recorded. The collected data were then analyzed by SPSS Software ver. 16 Results: Length of stay was significantly higher in men than women (p <0.001). In terms of diagnosis, the maximum duration of hospitalization was related to psychotic disorders (p = 0.001), and the length of stay increased significantly 0.21 day for each time of hospitalization. (p=0.008) Conclusion: The length of stay in men with psychotic disorders and more frequent hospitalization was found to be higher than others. Hence, it seemed necessary to consider plans about these patients.

scholarly journals The reform of Italian forensic psychiatric hospitals and its impact on risk assessment and management

2018 ◽  
Author(s):  
Vittorio De Luca ◽  
Pieritalo Maria Pompili ◽  
Giovanna Paoletti ◽  
Valeria Bianchini ◽  
Federica Franchi ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Treatment Plan ◽  
Psychiatric Hospitals ◽  
Assessment Tools ◽  
Residential Home ◽  
Security Measures ◽  
Lazio Region ◽  
History Of ◽  
Forensic Psychiatric

Italy has a consolidated history of de-institutionalization, and it was the first country to completely dismantle psychiatric hospitals, in order to create small psychiatric inwards closer to the community (i.e. in general hospitals). Nevertheless, it took the nation nearly 40 years to end the process from the beginning of de-institutionalization, definitely closing all of the forensic hospitals, which was not addressed by the first Italian psychiatric reform. This paper describes the establishment of new facilities substituting old forensic hospitals, called Residences for the Execution of Security Measures (REMS), which are a paradigm shift in terms of community-based residential home, and are mainly focused on treatment and risk assessment, rather than custodial practices. The use of modern assessment tools, such as the Aggressive Incident Scale (AIS) and the Hamilton Anatomy of Risk Management (HARM), is crucial in order to point out the focus and consistent instruments of the treatment plan. A preliminary analysis of data from the first 2 years of activity, considering severely ill patients who have been treated for more than 12 months, is then described for two REMSs in the Lazio region, close to Rome. Encouraging results suggest that further research is needed in order to assess clinical elements responsible for a better outcome, and to detect follow-up measures of violence or criminal relapse after discharge.

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.

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