An Introduction to Forensic Psychiatry – 2018-02

Forensic psychiatry, also known as psychiatry and the law, is a subspecialty of psychiatry with a separate 1-year, Accreditation Council for Graduate Medical Education-approved fellowship training program and subspecialty board certification by the American Board of Psychiatry and Neurology. Forensic psychiatrists practice at the interface of psychiatry and the law

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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.

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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

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Building Integrated Youth Forensic Services – The Journey – 2015-11-17

The Youth Forensic Service is a new provincial ministry initiative, intended to provide alternate care pathways for youth with mental health disorders who find themselves in conflict with the law. By way of forensic assessments, our service’s primary goal is to inform the courts about the influence of mental illness upon a

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Development of forensic normative data for the WAIS-IV – 2018

Purpose The Wechsler Adult Intelligence Scale – Fourth Edition (WAIS-IV) (Wechsler, 2008) is a cognitive assessment that is often used in secure forensic settings, however it has not been normed on this population. The purpose of this paper is to develop forensic normative data. Design/methodology/approach Patient files in a high

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eHealth in Treatment of Offenders in Forensic Mental Health: A Review of the Current State – 2018-02

Background: Treatment of offenders in forensic mental health is complex. Often, these in- or outpatients have low treatment motivation, suffer from multiple disorders, and have poor literacy skills. eHealth may be able to improve treatment outcomes because of its potential to increase motivation and engagement, and it can overcome the

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English vs Dutch high secure hospitals: service user perspectives – 2018

Purpose The purpose of this paper is to describe service users’ perspectives on the difference between high secure long-stay forensic psychiatric services in the Netherlands and high secure forensic psychiatric care in England. These perspectives are relevant in considering the benefits of a similar long-stay service in England. Design/methodology/approach A

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Expanding the early and late starter model of criminal justice involvement for forensic mental health clients – 2018

The early and late starter model provides one of the most enduring frameworks for understanding the developmental course and severity of violence and criminality among individuals with severe mental illness. We expanded the model to account for differences in the age of onset of criminal behavior and added a group

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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

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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

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Forensic Nursing State of the Science: Research and Practice Opportunities – 2018-01

Introduction: The International Association of Forensic Nurses (IAFN) is the only nursing organization advancing the forensic nursing specialty. The organization seeks to advance the profession, and one mechanism for doing so is development of a research agenda. Methods: The purpose of this action-based research study was to aid in the

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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

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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

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Healthcare assistants’ experiences on forensic mental health wards – 2018

Purpose In forensic mental health wards, patients spend more time with healthcare assistants (HCAs) than qualified nurses. Despite this, there is no universally utilised standardised HCA training. The purpose of this paper is to assess the HCAs’ experiences in the HCA role in order to better understand how to build

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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

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Long-stay in forensic-psychiatric care in the UK – 2018

Purpose Forensic services provide care for mentally disordered offenders. In England this is provided at three levels of security—low, medium and high. Significant number of patients within these settings remain detained for protracted periods of time. This is both very costly and restrictive for individuals. No national studies have been

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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

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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

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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).

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Staff support procedures in a low-secure forensic service – 2018

Purpose Staff working in forensic inpatient settings are at increased risk of harm perpetrated by patients. Support offered in response to such incidents can have a significant impact on how staff recover. The purpose of this paper is to explore how staff support procedures implemented in one low-secure forensic service

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Taking the Next Step – Designing Effective Treatment Supports for Community Reintegration of Forensic Patients – 2015-11-17

Taking the next step towards full community reintegration of forensic patients involves a qualitative departure from the structured hospital system. It must be done in a thoughtful and comprehensive way designed to address the individual risks unique to each forensic patient as they prepare themselves for discharge. The transition-to-discharge system developed collaboratively by

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Treat or Repeat: A State Survey of Serious Mental Illness, Major Crimes and Community Treatment – 2017-09

Individuals with serious mental illness who have committed major crimes represent 2% of the estimated 8.2 million individuals with a severe psychiatric disease in the United States. Although this is a small segment of the total population, research shows that, without treatment, these individuals are at heightened risk of being

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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

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