‘First and foremost a human being…’: user perspectives on mental health services from 50 mentally disordered offenders [2018]

Background: This is the first study of this kind in a Danish context. Knowledge and research on user perspectives is rather limited in Danish as well as Nordic psychiatry. Aims: The aim of the study was to create new knowledge on patient and user perspectives and how mentally disordered offenders

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‘The Art of Understanding in Forensic Psychiatric Care’ – From a Caring Science Perspective Based on a Lifeworld Approach [2018]

Patients in forensic psychiatric clinics are a vulnerable and exposed patient group due to suffering from a severe mental disorder, having committed a crime and being cared for against their will in an institutional environment with a high level of security. The art of understanding in forensic psychiatric care is

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A hierarchy of expert performance applied to forensic psychological assessments – 2018-02

Experts in forensic psychology must make skilled observations and conclusions, minimally compromised by bias, in order to try and provide reliable and accurate conclusions to the courts. But the field has little data revealing how well forensic psychologists actually perform these tasks, in part because there has been no clear

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A Positive Behavioral Approach for Aggression in Forensic Psychiatric Settings [2017]

Aggression toward self and others by complex patients admitted to forensic psychiatric settings is a relatively common yet extremely difficult behavior to treat. Traditional interventions in forensic inpatient settings have historically emphasized control and management over treatment. Research over the past several years has demonstrated the value of behavioral and

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A Prospective Examination of the Predictive Validity of Five Structured Instruments for Inpatient Violence in a Secure Forensic Hospital – 2018

This prospective study investigated the predictive validity of five structured risk/forensic instruments for inpatient violence risk in a secure forensic hospital. Episodes of inpatient violence and the following instruments were each coded from hospital files: Historical Clinical Risk Management 20 – Version 3 (HCR-20V3), Psychopathy Checklist Revised (PCL-R), Short-Term Assessment

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A PTSD Screen for Forensic Populations [2018]

Posttraumatic stress disorder (PTSD) has been observed in a sizable proportion of the U.S. adult correctional population. Jail administrators must pay particularly close attention to inmates with PTSD symptoms, considering these facilities serve as the gateway to the criminal justice system and inmates with PTSD may pose a risk to

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A review of factors associated with severe violence in schizophrenia [2018]

Background: There is a modest but consistent association between violence and schizophrenia. The consequences of serious violence could be catastrophic for the victims, as well as the patients themselves and the community. Any knowledge that would help to prevent acts of serious violence would be of considerable value for the

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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

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A Theoretical and Empirical Review of Dialectical Behavior Therapy Within Forensic Psychiatric and Correctional Settings Worldwide – 2018

Cognitive-behavioral programs which are structured, skills-based, and risk-focused have been found to reduce recidivism rates by up to 55%. Dialectical behavior therapy (DBT) exemplifies all of these components, and has been rapidly adapted and implemented in correctional and forensic psychiatric facilities worldwide to reduce recidivism. Regrettably, the widespread implementation of

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A Theoretical and Empirical Review of Dialectical Behavior Therapy Within Forensic Psychiatric and Correctional Settings Worldwide – 2018-01

Cognitive-behavioral programs which are structured, skills-based, and risk-focused have been found to reduce recidivism rates by up to 55%. Dialectical behavior therapy (DBT) exemplifies all of these components, and has been rapidly adapted and implemented in correctional and forensic psychiatric facilities worldwide to reduce recidivism. Regrettably, the widespread implementation of

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Achieving violence and restraint reduction in an IPCU [2016]

This article reports on the culture and practice changes that have evolved in an intensive psychiatric care unit (IPCU) since starting its journey with the Scottish Patient Safety Programme (Mental Health) in 2012. Significant, sustained reductions in patient violence and use of restraint have been experienced which has had a

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Addressing Linguistic and Cultural Differences in the Forensic Interview [2018]

Given the increased cultural, linguistic and socioeconomic diversity of individuals undergoing legal proceedings, forensic mental health professionals around the world are often tasked with evaluating defendants who are drastically different from themselves. There appears to be a clear consensus that cultural competency should be a key component of both the

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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

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Affective neuroscience: a primer with implications for forensic psychology – 2018

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

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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

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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

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Ageing in forensic psychiatric secure settings: the voice of older patients [2018]

Older patients account for around 20% of the population in secure forensic psychiatric services in the UK. However, little qualitative research has investigated the experience of ageing in secure settings. This study aimed to gather the individual views of a sample of patients over 50 years old in three services

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Ageing in forensic psychiatric secure settings: the voice of older patients [2018]

Older patients account for around 20% of the population in secure forensic psychiatric services in the UK. However, little qualitative research has investigated the experience of ageing in secure settings. This study aimed to gather the individual views of a sample of patients over 50 years old in three services

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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

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

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

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An evaluation of the effectiveness of positive behavioural support within a medium secure mental health forensic service – 2018

A number of recent influential reports recommend the use of proactive and preventative approaches such as Positive Behavioural Support (PBS) in the management of challenging behaviours. Although evidence supporting the use of PBS is mainly drawn from studies of learning disability and child populations, it is recognised that PBS could

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An Examination of Triarchic Psychopathy Constructs in Female Offenders [2018]

This study sought to expand scientific knowledge on psychopathic personality traits in female offenders by evaluating the relationship between MMPI–2–RF triarchic scales and self-reported external variables in a sample of 205 female offenders. Results indicated that boldness was inversely related to internalizing dysfunction, including suicidal behavior, psychosis, youth conduct problems,

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Antisocial features are not predictive of symptom exaggeration in forensic patients – 2018

Purpose To investigate the predictive value of antisocial personality disorder (ASPD) and features of ASPD (i.e., lack of remorse, blame externalization, and deceitfulness) for symptom exaggeration. Methods A sample of forensic psychiatric patients (N = 57) was asked to complete several self‐report instruments (measuring symptom exaggeration, lack of remorse, blame

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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

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Associations Between Neurocognitive Characteristics, Treatment Outcome, and Dropout Among Aggressive Forensic Psychiatric Outpatients [2018]

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

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