Fusion legislation and forensic psychiatry: the criminal justice provisions of the Mental Capacity Act (Northern Ireland) 2016 – 2018

Fusion legislation is the latest in a long line of reforms in mental health law that have sought to increase patient autonomy. It has not been without controversy, having been proposed and rejected in various jurisdictions throughout the UK and internationally, while causing considerable debate in the academic literature. This

Job creation through income generation: an evaluation of Re-Cover, a decorating project developed with forensic mental health service users – 2018

Purpose The purpose of this paper is to explore and describe the effectiveness, achievements and challenges of a job creation project that was developed with people in contact with forensic mental health services. Design/methodology/approach This evaluation (case study) used a mixed methods approach: a range of quantitative and qualitative data

Short-term outcomes for forensic patients receiving an absolute discharge under the Canadian Criminal Code – 2018-02

There is insufficient knowledge regarding outcomes among persons who are no longer supervised by the forensic mental health system, and consequently little data to inform public perception regarding the risk of harm posed by such persons. We performed a retrospective case audit and one-year follow-up of all patients receiving an

Assessing change in dynamic risk factors in forensic psychiatric inpatients: relationship with psychopathy and recidivism – 2017-10

This study explored change in dynamic risk for violence using the Clinical and Risk Management subscales of the Historical Clinical and Risk Management-20 version 3 (HCR-20 v3) and sought to determine whether change was associated with violent recidivism. The association between the magnitude of change and psychopathy was also assessed.

Attitudes to personality disorder of staff working in high-security and medium-security hospitals – 2017

The discourse surrounding personality disorder is largely negative, and the diagnosis is considered to be associated with a degree of stigma. This study aimed to investigate staff attitudes towards personality disorder in high-security and medium-security forensic–psychiatric hospitals in the UK. The Attitude to Personality Disorder Questionnaire was completed by 132

Outcomes of an inner city forensic intellectual disability service – 2018

Purpose National policy in England is now directed towards keeping patients with intellectual disability (ID) presenting with forensic problems for time limited treatment. The result is that secure hospital services are expected to work much more proactively to discharge patients to community-based services. However, there is little evidence in recent

Fitness to Stand Trial and Criminal Responsibility Assessments in Canada: Improving Access to Qualified Mental Health Professionals – Canadian Psychological Association – 2017-12

The Canadian Psychological Association (CPA) is the national association for the science, practice and education of psychology in Canada. The assessment of fitness to stand trial and the assessment of criminal responsibility are key activities necessary to the administration of justice at the interface of mental health and the law. Canadian psychologists have

Staff perceptions of positive behavioural support in a secure forensic adult mental health setting – 2018

Purpose Challenging behaviour has been a concern across forensic services. Traditionally these have been managed reactively using medication, seclusion and restraint; however, there is growing evidence that these approaches are ineffective and counter-therapeutic. A number of reports have recommended the use of preventative approaches such as positive behavioural support (PBS).

Violence and aggression towards staff in secure settings – 2018

Purpose The purpose of this paper is to undertake a systematic literature review to appraise the current evidence relating to the factors associated with violence and aggression in adult psychiatric hospital inpatient settings. Design/methodology/approach A systematic search of following four databases was conducted: Scopus, PsychINFO Medline, CIHAHL and PsychArticle. Following

Forensic psychiatric experiences, stigma, and self-concept: a mixed-methods study – 2018-01-15

This study used a mixed-methods approach to investigate stigma experiences and self-concepts of individuals with both mental illness and criminal histories. The full sample of participants completed self-report measures of self-concept related to mental illness, race, and criminal history, and a brief qualitative self-concept measure. A subsample of participants completed

Forensic Assertive Community Treatment in a Continuum of Care for Male Internees in Belgium: Results After 33 Months – 2018-01

Non-forensic or regular assertive community treatment (ACT) has positive effects on non-forensic outcomes but has poor effects on forensic outcome measures. In this study, we examined non-forensic and forensic outcome measures of a forensic adaptation of ACT (ForACT) within a continuum of care for internees. Data were collected retrospectively from