scholarly journals Finding High Risk Persons with Internet Tests to Manage Risk—A Literature Review with Policy Implications to Avoid Violent Tragedies, Save Lives and Money

2016 ◽  
Vol 8 (1) ◽  
pp. 212
Author(s):  
Robert John Zagar ◽  
Agata Karolina Zagar ◽  
Kenneth G. Busch ◽  
James Garbarino ◽  
Terry Ferrari ◽  
...  
Keyword(s):  
High Risk ◽  
Mentally Ill ◽  
Revolving Door ◽  
Policy Implications ◽  
Success Rates ◽  
Background Checks ◽  
Psychiatric Admissions ◽  
Severely Mentally Ill ◽  
Psychiatric Conditions ◽  
Mass Murders

<p>The goal is to share policy implications of sensitive, specific internet-based tests in place of current approaches to lowering violence, namely fewer mass murders, suicides, homicides. When used, internet-based tests save lives and money. From 2009-2015, a Chicago field test had 324 fewer homicides (saving $2,089,848,548, <em>ROI</em>=6.42). In 60 yrs., conventional approaches for high risk persons (e.g.,. inappropriately releasing poor, severely mentally ill) led to unnecessary expense including yearly: (a) 300 mass murders (59% demonstrating psychiatric conditions); (b) 1-6% having costly personnel challenges; (c) 2,100,000 “revolving door” Emergency-Room (ER) psychiatric admissions (41,149 suicides, 90% mentally ill); (d) 10,000,000 prisoners (14,146 homicides, 20% psychiatric challenges). Current metrics fail [success rates from 25%-73%: (1) for background checks (25%); (2) interviews (<em>M</em>=46%); (3) physical exams (<em>M</em>=49%); (4) other tests (<em>M</em>=73%)]. Internet-based tests are simultaneously sensitive (97%), specific (97%), non-discriminatory, objective, inexpensive, $100/test, require 2-4 hrs.</p>

scholarly journals Setting up an assertive community treatment service

1996 ◽  
Vol 2 (4) ◽  
pp. 143-150 ◽  
Author(s):  
Andrew Kent ◽  
Tom Burns
Keyword(s):  
Assertive Community Treatment ◽  
Mentally Ill ◽  
Revolving Door ◽  
Community Treatment ◽  
Treatment Service ◽  
Flexible Support ◽  
Severely Mentally Ill ◽  
Functional Areas ◽  
Key Worker

The last 20 years have witnessed a surge of interest in assertive community treatment (ACT) for the severely mentally ill (Drake & Burns, 1995). ACT aims to help people who would otherwise be in and out of hospital on a ‘revolving door’ basis live in the community and enjoy the best possible quality of life. Services based on the ACT model seek to replace the total support of the hospital with comprehensive, intensive and flexible support in the community, delivered by an individual key worker or core services team. They are organised in a way that optimises continuity of care across different functional areas and across time.

Counselling the Relatives of the Long-Term Adult Mentally Ill

1989 ◽  
Vol 154 (6) ◽  
pp. 775-782 ◽  
Author(s):  
Liz Kuipers ◽  
Brigid MacCarthy ◽  
Jane Hurry ◽  
Rod Harper ◽  
Alain LeSage
Keyword(s):  
Family Relationships ◽  
Mentally Ill ◽  
Expressed Emotion ◽  
Realistic Model ◽  
Education Session ◽  
Term Care ◽  
Interactive Education ◽  
Severely Mentally Ill ◽  
Group Facilitators

A psychosocial intervention is described geared to the needs of carers of the long-term mentally ill, which is feasible for a busy clinical team to implement: relatives were not selected for the group by patient diagnosis or motivation and little extra staff input was required. An interactive education session at home was followed by a monthly relatives group which aimed to reduce components of expressed emotion (EE) and to alleviate burden. The group facilitators adopted a directive but non-judgemental style, and constructive coping efforts were encouraged. The intervention was effective at reducing EE and improving family relationships. The study offers a realistic model of how to offer support to people providing long-term care for the severely mentally ill.

Pregnancy in the severely mentally ill patient as an opportunity for global coordination of care

2014 ◽  
Vol 210 (1) ◽  
pp. 32-37 ◽  
Author(s):  
Rocio Acera Pozzi ◽  
Lynn M. Yee ◽  
Kara Brown ◽  
Kara E. Driscoll ◽  
Priya V. Rajan
Keyword(s):  
Mentally Ill ◽  
Coordination Of Care ◽  
Severely Mentally Ill ◽  
Global Coordination

Do community mental health teams caring for severely mentally ill patients adjust treatments and services based on patients’ antisocial or criminal behaviours?

2009 ◽  
Vol 24 (6) ◽  
pp. 373-379 ◽  
Author(s):  
S. Hodgins ◽  
A. Cree ◽  
F. Khalid ◽  
K. Patel ◽  
R. Sainz-Fuentes ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mentally Ill ◽  
Aggressive Behaviour ◽  
Service Use ◽  
Substance Misuse ◽  
Illicit Drug ◽  
Antisocial Behaviour ◽  
Positive Symptoms ◽  
Severely Mentally Ill

AbstractBackgroundAntisocial behaviour is common among patients with severe mental illness (SMI) requiring hospitalisation.AimTo determine whether differential treatments and services are provided to patients with SMI who engage in antisocial behaviour.MethodA random sample of 161 inpatients with SMI were recruited from general adult wards and assessed at baseline and two years later. Information on symptoms, aggressive behaviour, substance misuse, and service use was obtained from patients and clinical files.ResultsPast antisocial behaviours were not associated with type or intensity of treatments and services. Severity of positive symptoms, aggressive behaviour, and illicit drug use were positively associated with the frequency of CMHT contact, but not with the type of CMHT, type of medication, or other treatments and benefits.ConclusionsWhile the frequency of meetings with CMHTs increased with the severity of antisocial behaviours, no specific treatments were provided to patients with SMI engaging in antisocial behaviours.

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