BackgroundContextual variables such as staff characteristics, treatment programs, assessment routines and administrative structures are found to influence patient violence rates in psychiatric forensic wards. The possible effects of current developments in treatment philosophy emphasizing patientsˈ
Background: Suicide is a severe public health problem, in 2008 the Italian ministerial recommendation n° 4 on the management of suicide defined key areas for the identification of suicidal risk in hospital wards. The guidelines are
Current approaches to monitoring patients’ mental status rely heavily on self-reported symptomatology, clinician observation, and self-rated symptom scales. The limitations inherent in these methodologies have implications for the accuracy of diagnosis, treatment planning, and prognosis.
The Historical Clinical and Risk Management scale (HCR-20) is a structured clinical judgment tool used to assess risk of violence in secure settings. But the scale does not account for difficulties typical of patients with
BackgroundInpatient psychiatric care is a scarce and expensive resource in the National Health Service (NHS), with chronic bed shortages being partly driven by high re-admission rates. Brief inpatient talking therapies for psychosis could help reduce
IntroductionLittle is known about staff attitudes towards Coercive interventions (CI) and emotions accompanying these measures. AimThe current study assessed attitudes, views on reflective interventions, and accompanying emotions of different occupational groups towards CI, as well
Background/AimsAdmission to mental health facilities is often confusing and distressing for patients. Ward rules can help to set out expectations and boundaries but can become restrictive practice when they unnecessarily limit patients. The aim of
We have noticed an increase in the number of patients who go through the court-ordered evaluation (COE) process but are not placed on a court-ordered treatment, and who then return to the hospital on another
Psychologists working within forensic mental health (FMH) services face challenges around supporting clients’ informed consent when engaging in psychological assessment and treatment. Given that there is little research in this area, this qualitative study interviewed
Psychopathy is an essential construct in forensic mental health. While male psychopathy and aggression has been thoroughly studied, less is known about this relationship with female psychopathy. In this article, the relationship between female psychopathy
AbstractIntroductionThis retrospective study evaluated the prevalence of posttraumatic stress disorder (PTSD) diagnosis among military servicemembers referred for Sanity Boards (n = 229), which is a military evaluation for competence to stand trial (CST) and criminal
This study investigates the factors that clinicians use to make clinical judgements of insight and their confidence in using clinical judgement across three clinical and forensic assessment domains. The 12 participating clinicians rated 30 DVD
Client motivation is regarded as a key to preventing violence behavior and positively affecting both patients and treatment staff in forensic psychiatric settings. We examined the correlation between client motivation for medical treatment and the
Background Working alliances are considered to be essential to treatment, and they represent a robust predictor of positive treatment outcomes. In a working alliance, a patient and therapist agree upon treatment decisions, which can raise
People with, and those who are developing, schizophrenia are at increased risk to engage in aggressive behavior (AGB). Some incidents lead to criminal prosecution. Most people with schizophrenia who commit crimes engage in delinquency and/or
Background: Forensic outpatient treatment in Germany helps forensic patients back into society while managing the risk that these individuals present to public safety. Measures used to achieve this objective include ongoing psychiatric treatment and monitoring,
Objective Neuropsychological expertise has played an increasing role in legal decision-making in criminal contexts. Valid neuropsychological evidence in criminal forensic contexts requires normative data that are representative of justice-involved individuals. Unfortunately, existing normative data appear
Individuals with psychosis can face deficits with their social interactions. Empowering our clients to lead meaningful lives and have valued social roles is an important part of the psychosocial rehabilitation work that we as practitioners
The functional prescription is a tool that outlines the daily and weekly tasks and life skills that are expected for the client to accomplish and routinely engage in to ensure forward progression in their rehabilitation
Patients in forensic mental health care have a difficult journey through inpatient rehabilitation and re-integration into the community. Risk assessment guides this progress, usually with clinician-based processes that use structured risk-assessment tools. Patients’ understanding of
