Long-Term Forensic Psychiatric Care

Long-Term Forensic Psychiatric Care PDF

Author: Birgit Völlm

Publisher: Springer

Published: 2019-05-16

Total Pages: 343

ISBN-13: 3030125947

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This book provides an overview of forensic psychiatry, focusing on the provision of care in Europe as well as the legal and ethical challenges posed by long-term stays in forensic settings. Forensic psychiatric services provide care and treatment for mentally disordered offenders (MDOs) in secure in-patient facilities as well as in the community. These services are high-cost/low-volume services; they pose significant restrictions on patients and hence raise considerable ethical challenges. There is no agreed-upon standard for length of stay (LoS) in secure settings and patients’ detainment periods vary considerably across countries and even within the same jurisdiction. Thus far, little research has been conducted to identify factors associated with length of stay; consequently, it remains unclear how services should be configured to meet the needs of this patient group. This volume fills some of those gaps. Furthermore, it presents new research on factors associated with length of stay, both patient-related and organisational. Various approaches to the provision of care for long-term patients in different countries are explored, including a few best practise examples in this specific area of psychiatry. The book also addresses the perspective of those working in forensic care by reviewing quality-of-life research and interviews with patients. The authors of this volume come from a range of professional backgrounds, ensuring a certain breadth and depth in the topic discussion, and even includes patients themselves as (co-)authors.

The Use of Coercive Measures in Forensic Psychiatric Care

The Use of Coercive Measures in Forensic Psychiatric Care PDF

Author: Birgit Völlm

Publisher: Springer

Published: 2016-05-02

Total Pages: 331

ISBN-13: 3319267485

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This book presents the legal context and describes the ethical and practical challenges when using coercive measures in forensic psychiatric settings. A wide range of aspects relevant to the use of such measures, including environmental, patient-related, and staff-related factors, are explored, and the experience of coercive interventions is described from the staff and the patient perspective. Differences in jurisdictions and examples of good practice are highlighted. The authors are from a range of professional backgrounds, ensuring breadth as well as depth in discussion of the topic. The use of coercive measures, in particular restraint, seclusion, and involuntary medication, for the control of aggression in psychiatry remains controversial. Forensic mental health care deals with individuals who pose a risk to others and often present with significant management problems within institutions. The care of patients in these settings gives rise to debates about the balance between care and safety, and between the interests of the patients and those of the wider society to be protected. Despite these tensions, limited research has been conducted specifically on the use of coercive measures in forensic mental health care. This volume aims to fill the gap and will be of value to all professionals working in forensic psychiatric settings as well as to those working in general psychiatric and custodial settings, law professionals, and patients.

Forensic Nursing and Multidisciplinary Care of the Mentally Disordered Offender

Forensic Nursing and Multidisciplinary Care of the Mentally Disordered Offender PDF

Author: David K. Robinson

Publisher: Jessica Kingsley Publishers

Published: 2000

Total Pages: 322

ISBN-13: 1853027537

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The first comprehensive account of forensic nursing and its role within the wider professional team, the aim of this book is to provide a multidisciplinary perspective on the training needed to work with mentally disordered patients, as well as to examine the key characteristics of the forensic nursing role. An international group of contributors, from a wide range of disciplines, provides a well-rounded, comparative view of the forensic nursing profession. The chapters are a rich contribution of cross-cultural thinking on the many dilemmas and challenges facing nurses, psychiatrists, psychologists and other health care practitioners, working with specific client groups. Each contributor has utilised empirical data to analyse relevant issues, such as: professional standards; effectiveness of preparation for nurses working within secure environments; day to day and long term challenges facing nurses; clinical effectiveness; the dilemma of security versus practice; how forensic nursing differs from other kinds of nursing; and what forensic nurses can contribute to other mental health care disciplines. Examples of how research findings may be integrated into practice, will be of interest not only to forensic nurses, but also to significant sectors of the mental health care field.

Diversity and Marginalisation in Forensic Mental Health Care

Diversity and Marginalisation in Forensic Mental Health Care PDF

Author: Jack Tomlin

Publisher: Taylor & Francis

Published: 2022-08-19

Total Pages: 248

ISBN-13: 1000608735

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This book explores the ways in which diversity and experiences of marginalisation are present in forensic mental health care settings around the globe and suggests ways of moving forward. Forensic mental health services provide care for a group of patients who are marginalised in several respects. Many have experienced childhood adversity and abuse, substance use, serious and chronic mental disorders, poor healthcare education or treatment, inadequate educational opportunities, social isolation, and pervasive forms of stigmatization. On top of these individual experiences of marginalisation, wide diversity exists across patients’ socio-demographic, cultural, and clinical characteristics. Chapters in this book discuss these crucial and often sensitive problems, such as working with transgender prisoners, the impact of incarceration for children from non-white backgrounds, cultural and linguistic diversity in forensic settings, and more. Combining global perspectives, current evidence and case studies, this book will be of interest to patients, carers, practitioners, researchers, and students of forensic mental health.

Couple Found Slain

Couple Found Slain PDF

Author: Mikita Brottman

Publisher: Henry Holt and Company

Published: 2021-07-06

Total Pages: 225

ISBN-13: 1250757452

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“Mikita Brottman is one of today’s finest practitioners of nonfiction.” —The New York Times Book Review Critically acclaimed author and psychoanalyst Mikita Brottman offers literary true crime writing at its best, taking us into the life of a murderer after his conviction—when most stories end but the defendant's life goes on. On February 21, 1992, 22-year-old Brian Bechtold walked into a police station in Port St. Joe, Florida and confessed that he’d shot and killed his parents in their family home in Silver Spring, Maryland. He said he’d been possessed by the devil. He was eventually diagnosed with schizophrenia and ruled “not criminally responsible” for the murders on grounds of insanity. But after the trial, where do the "criminally insane" go? Brottman reveals Brian's inner life leading up to the murder, as well as his complicated afterlife in a maximum security psychiatric hospital, where he is neither imprisoned nor free. During his 27 years at the hospital, Brian has tried to escape and been shot by police, and has witnessed three patient-on-patient murders. He’s experienced the drugging of patients beyond recognition, a sadistic system of rewards and punishments, and the short-lived reign of a crazed psychiatrist-turned-stalker. In the tradition of One Flew Over The Cuckoo’s Nest, Couple Found Slain is an insider’s account of life in the underworld of forensic psych wards in America and the forgotten lives of those held there, often indefinitely.

GERIATRIC FORENSIC PSYCHIATRY

GERIATRIC FORENSIC PSYCHIATRY PDF

Author: Dr Jacob Holzer

Publisher: Oxford University Press

Published: 2017-11-30

Total Pages: 528

ISBN-13: 019937466X

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Geriatric Forensic Psychiatry: Principles and Practice is one of the first texts to provide a comprehensive review of important topics in the intersection of geriatric psychiatry, medicine, clinical neuroscience, forensic psychiatry, and law. It will speak to a broad audience among varied fields, including clinical and forensic psychiatry and mental health professionals, geriatricians and internists, attorneys and courts, regulators, and other professionals working with the older population. Topics addressed in this text, applied to the geriatric population, include clinical forensic evaluation, regulations and laws, civil commitment, different forms of capacity, guardianship, patient rights, medical-legal issues related to treatment, long term care and telemedicine, risk management, patient safety and error reduction, elder driving, sociopathy and aggression, offenders and the adjudication process, criminal evaluations, corrections, ethics, culture, cognitive impairment, substance abuse, trauma, older professionals, high risk behavior, and forensic mental health training and research. Understanding the relationship between clinical issues, laws and regulations, and managing risk and improving safety, will help to serve the growing older population.

Forensic Mental Health

Forensic Mental Health PDF

Author: Annie Bartlett

Publisher: Oxford University Press

Published: 2009-10

Total Pages: 450

ISBN-13: 0198566859

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This analysis of the forensic mental health system - how it operates, the people involved, the problems inherent in the system, and the huge ethical dilemmas - brings together a range of specialists, who describe the processes involved in dealing with a mentally disordered offender.

Assessing Forensic Mental Health Need

Assessing Forensic Mental Health Need PDF

Author: Andrea Cohen

Publisher: RCPsych Publications

Published: 2000

Total Pages: 252

ISBN-13: 9781901242423

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Mentally disordered offenders (MDOs) have dominatd the recent political agenda for mental health care emphasised by cases such as those of Christopher Clunis and Michael Stone. Yet successive governments have constrained the development of all health and social services by the requirement that they must be demonstrated as capable of benefiting those to whom they are applied. This book analyses the development of government policy for services for MDOs since the important Butler report in 1975 and provides a theoretical framework for adjudging research which purports to demonstrate a need and outcome. Finally, it emphasises the subjective and value-laden nature of all needs assessments and their interpretation and poses the crucial questions of whose need it is that we address through MDO services, those of the patient or of society. This book will be valuable to clinicians and researchers working in mental health services, policy-makers, service commissioners and managers. Features: An analysis of the history of the MDO policy in relation to needs assessment pre and post the important Reed Report. A methodological framework for needs assessment of MDOs. Critical appraisal of alternative definitions of needs and of related concepts. Critical analysis of the application of needs assessment methods. A review of research relevant to needs assessment for MDOs. Needs in relation to outcome. An analysis of recent policy development related to MDO services.

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