A systematic PRISMA review of individuals with autism spectrum disorder in secure psychiatric care: prevalence, treatment, risk assessment and other clinical considerations – 2018

Purpose Patients with autism spectrum disorder (ASD) present with specific assessment, specific difficulties, needs and therapeutic issues and therefore are a challenging group for forensic services. Given the challenge that individuals with ASD present to forensic services, the suggested increase in the number of this group within this setting and

0 comments

Affective neuroscience: A primer with implications for forensic psychology – 2017-12-20

Emotions have important implications for many aspects of cognition and behaviour, including those that are of concern to forensic psychologists. This review article provides an overview of the emerging field of affective neuroscience – the scientific discipline that seeks to identify the neural mechanisms that give rise to emotion. The

0 comments

Age onset of offending and serious mental illness among forensic psychiatric patients: A latent profile analysis – 2018

Background Developmental typologies regarding age of onset of violence and offending have not routinely taken account of the role of serious mental illness (SMI), and whether age of onset of offending in relation to onset of illness impacts on the manifestation of offending over the life course. Aims To test

0 comments

An evaluation of a specialist firesetting treatment programme for male and female mentally disordered offenders (the FIP-MO) – 2017-12-28

Individuals who set deliberate fires are frequently encountered by clinicians working in forensic mental health services. However, little attention has been paid to developing standardised treatment for this behaviour, and few evaluations of treatment have been conducted in forensic mental health services. This study evaluates a new standardised group cognitive

0 comments

Associations Between Neurocognitive Characteristics, Treatment Outcome, and Dropout Among Aggressive Forensic Psychiatric Outpatients – 2018-01-01

Aggression Replacement Training (ART) is widely used to reduce aggression and is considered to be effective although there are also inconsistent results. Studies investigating the effectiveness of ART do not focus on neurocognitive characteristics. Focusing on these aspects would result in enhanced understanding of underlying mechanisms of ART. The current

0 comments

Can We Use Hare’s Psychopathy Model within Forensic and Non-Forensic Populations? An Empirical Investigation – 2018

Although psychopathy construct (Self-Report Psychopathy Scale–Short Form [SRP–SF]) was assessed among various samples, prior research did not investigate whether the model proposed by Hare and colleagues can be used to capture psychopathy scores derived from forensic and nonforensic populations. The main objective of the current study was to test dimensionality,

0 comments

Characteristics and Needs of Long-Stay Forensic Psychiatric Inpatients: A Rapid Review of the Literature – 2018-01-15

This rapid review summarizes currently available information on the definition, prevalence, characteristics, and needs of long-stay patients within forensic psychiatric settings. Sixty nine documents from 14 countries were identified. Reports on what constitutes “long-stay” and on the characteristics of long-stay patients were inconsistent. Factors most frequently associated with longer stay

0 comments

Field Inter-Rater Reliability of the Psychopathy Checklist–Revised – 2016-06-01

Strong inter-rater reliability has been established for the Hare Psychopathy Checklist–Revised (PCL-R), specifically by examiners in research contexts. However, there is less support for inter-reliability in applied settings. This study examined archival data that included a sample of sex offenders (n = 178) who entered federal custody between 1992 and

0 comments

Forensic Early Intervention Service (FEIS)

In this webinar, the presenters will cover: Overview of Forensic Early Intervention Service at the Toronto South Detention Centre Support available to clients and their family through the Forensic Early Intervention Service Outcomes and challenges of the Forensic Early Intervention Service Recommendations for mental health providers for working with justice-involved

0 comments

Forensic mental health clinician’s experiences with and assessment of alliance regarding the patient’s readiness to be released from mechanical restraint – 2016-12

One of the main reasons for prolonged duration of mechanical restraint is patient behaviour in relation to the clinician-patient alliance. This article reports on the forensic mental health clinicians experiences of the clinician-patient alliance during mechanical restraint, and their assessment of parameters of alliance regarding the patient’s readiness to be

0 comments

Head banging as a form of self-harm among inpatients within forensic mental health and intellectual disability services – 2018-01-11

Introduction: ‘Head banging’ is a common form of self-harm, linked to numerous negative outcomes including significant brain damage. However, little research has investigated head banging behaviour and its correlates in clinical populations. Method: Head banging episodes were identified from the incident records (n = 5417) of two inpatient forensic services

0 comments

Interrater Reliability of Psychopathy Checklist–Revised: Results on Multiple Analysis Levels for a Sample of Patients Undergoing Forensic Psychiatric Evaluation – 2018-01

Scores from the Psychopathy Checklist–Revised (PCL-R) are used to support decisions regarding personal liberty. In our study, performed in an applied forensic psychiatric setting, intraclass correlation coefficients (ICC) for absolute agreement, single rater (ICCA1) were .89 for the total score, .82 for Factor 1, .88 for Factor 2, and .78

0 comments

Lived experience of working with female patients in a high-secure mental health setting – 2016-12

Women’s secure hospitals are often considered to be stressful and demanding places to work, with these environments characterized as challenging and violent. However, the staff experience of working in this environment is not well represented in the literature. The present study is the first to examine the ‘lived experience’ of

0 comments

Nurses’ attitudes towards the use of PRN psychotropic medications in acute and forensic mental health settings – 2017-03

Many countries now have national mental health policies and guidelines to decrease or eliminate the use of seclusion and restraint yet the use of Pro Re Nata (PRN) medications has received less practice evaluation. This research aimed to identify mental health nurses’ attitudes towards the use of PRN medications with

0 comments

One Patient, One Plan – The Intersection of Risk & Recovery – 2015-11-16

There are a number of unanswered questions about how to best apply the principles and practices of patient partnered care and recovery in a forensic mental health setting and whether these are even achievable. This session will take you through the NBRHC Journey that meshed the Recovery Philosophy with the practical applications of

0 comments

Prediction of Psychiatric Hospitalization, Diagnoses, Arrests, and Violent Behavior Through Scored Drawings and Associations – 2017-07-11

The article presents a completely empirical approach to using drawings and associations as a supplemental tool in forensic psychological assessment. The present system represents a modern alternative to prior theory-driven “projective technique” approaches that have failed to pass scientific scrutiny. Using an archival sample of 252 forensic cases, House-Tree-Person drawing

0 comments

Prediction of violent crime on discharge from secure psychiatric hospitals: A clinical prediction rule (FoVOx) – 2018-01

Background Current approaches to assess violence risk in secure hospitals are resource intensive, limited by accuracy and authorship bias and may have reached a performance ceiling. This study seeks to develop scalable predictive models for violent offending following discharge from secure psychiatric hospitals. Methods We identified all patients discharged from

0 comments

Predictors of quality of life among inpatients in forensic mental health: implications for occupational therapists – 2018-01-19

Background Optimising quality of life (QOL) for service users in a forensic hospital is an important treatment objective. The factors which contribute to QOL in this setting are currently unclear. The aim of this study was to analyse the predictors of QOL amongst service users within an inpatient forensic mental

0 comments

Psychometric Examination of Treatment Change Among Mentally Disordered Offenders: A Risk–Needs Analysis – 2017-12

The present study examined the association of psychiatric symptomatology, criminal attitudes, and treatment changes within these domains to violent and general recidivism in a sample of 614 mentally disordered offenders. Significant pre–post changes were found on multiple measures of criminal attitudes, symptomatology, and readiness for change. Antisocial Intentions and Attitudes

0 comments

Self-Disclosure in Criminal Justice: What Form Does It Take and What Does It Achieve? – 2018-01-09

Self-disclosure, the act of therapists revealing something about themselves in the context of a professional relationship, has been linked with higher levels of effectiveness when used by correctional workers. However, it is poorly defined in both criminal justice policy and criminological research which has resulted in a lack of understanding

0 comments

The Changing Landscape of Treatment in Forensic Psychiatry – 2015-11-16

As we face legislative changes, precedent-setting court decisions and institutional re-structuring, it behooves us to generate innovative solutions for consumers of forensic psychiatric services. Individuals never-before considered viable for community placement are now successfully treated and managed in community settings. Novel approaches and practices are proposed along with suggested performance indicators and evaluation

0 comments

The contribution of neuroscience to forensic explanation – 2018-01-19

In light of the growing interest in forensic neuroscience, a pressing question concerns whether or not neurobiological evidence and explanations can make a useful contribution to understanding and managing crime. Here we argue that neuroscience methodologies, such as EEG and fMRI, can provide a valuable source of information about phenomena

0 comments

The Forensic Early Intervention Service – A New Pathway Initiative to Mental Health Care – 2015-11-18

The Centre for Addiction and Mental Health (CAMH) and Forensic Early Intervention Service (FEIS) is a new program housed in the Toronto South Detention Centre (TSDC). FEIS is a partnership between CAMH, the Ministry of Long Term Care (MOHLTC) and the Ministry of Community Safety and Correctional Services (MCSCS). FEIS will work collaboratively

0 comments

The HARM (Hamilton Anatomy of Risk Management) Tool: Implications for Implementation

This webinar explores risk management as it relates to the specific implementation of the Hamilton Anatomy of Risk Management (HARM) Tool. Risk factors for violence vary from inpatient hospital settings to community settings and this webinar also explores implementation of the HARM tool in both settings. Learn from experts about

0 comments

The impact of masculinity upon men with psychosis who reside in secure forensic settings – 2017

Purpose Masculinity is a core cognitive structure that plays a central role in organising attitudinal and behavioural processes. Yet there is limited research focussing upon the meaning of masculinity for men who have a past history of violent behaviour, who experience psychotic phenomena and reside in secure forensic settings. The

0 comments