Pub Date : 2022-01-30DOI: 10.1080/14999013.2021.2019854
Alanna Heanue, M. Gullo, N. Hayes, Hayley M Passmore, N. Reid
Abstract Young people with neurodevelopmental disorders are overrepresented in the youth justice system and face many disadvantages due to their impairments. The current study investigated what factors predict and contribute to the behavior of youth justice professionals working in the Queensland (QLD) youth justice system, utilizing a behavior change wheel framework. Eighty-one youth justice professionals participated in an online survey assessing capability, opportunity and motivation and additional open-ended questions capturing their recommendations for improvement. Results demonstrated that training frequency, capability, opportunity and motivation significantly predicted behaviors to identify and support young people with neurodevelopmental disorders (i.e., target behaviors). Capability (p = <.001) and motivation (p = .02) were significant independent predictors of the target behaviors. Examination of open-ended responses provided by the youth justice professionals identified several key areas, consistent with existing literature, which were in need of modifications to further support young people with neurodevelopmental disorders. These included: use of language, availability of resources, increased liaison with stakeholders, and knowledge and understanding of neurodevelopmental disorders. Overall, the current results provide helpful directions in terms of future targets for implementation strategies and interventions to better support young people with neurodevelopmental conditions who are involved with the QLD youth justice system.
{"title":"Understanding Current Staff Experiences, Practices and Needs in Supporting Young People with Neurodevelopmental Disorders in the Queensland Youth Justice System","authors":"Alanna Heanue, M. Gullo, N. Hayes, Hayley M Passmore, N. Reid","doi":"10.1080/14999013.2021.2019854","DOIUrl":"https://doi.org/10.1080/14999013.2021.2019854","url":null,"abstract":"Abstract Young people with neurodevelopmental disorders are overrepresented in the youth justice system and face many disadvantages due to their impairments. The current study investigated what factors predict and contribute to the behavior of youth justice professionals working in the Queensland (QLD) youth justice system, utilizing a behavior change wheel framework. Eighty-one youth justice professionals participated in an online survey assessing capability, opportunity and motivation and additional open-ended questions capturing their recommendations for improvement. Results demonstrated that training frequency, capability, opportunity and motivation significantly predicted behaviors to identify and support young people with neurodevelopmental disorders (i.e., target behaviors). Capability (p = <.001) and motivation (p = .02) were significant independent predictors of the target behaviors. Examination of open-ended responses provided by the youth justice professionals identified several key areas, consistent with existing literature, which were in need of modifications to further support young people with neurodevelopmental disorders. These included: use of language, availability of resources, increased liaison with stakeholders, and knowledge and understanding of neurodevelopmental disorders. Overall, the current results provide helpful directions in terms of future targets for implementation strategies and interventions to better support young people with neurodevelopmental conditions who are involved with the QLD youth justice system.","PeriodicalId":14052,"journal":{"name":"International Journal of Forensic Mental Health","volume":"21 1","pages":"372 - 382"},"PeriodicalIF":1.4,"publicationDate":"2022-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43145285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-27DOI: 10.1080/14999013.2021.2007431
I. Kruh, Neil Gowensmith, Amanda Alkema, Kristin M. Swenson, D. Platt
Abstract Youth found incompetent to stand trial in U.S. juvenile courts may be ordered to attend Juvenile Competence Remediation Services to assist them in becoming competent to proceed with their case. Representatives from 19 community-based JCRS programs were surveyed about current norms and practices. The results suggest that programs routinely meet some emerging best practices (e.g., dyadic service delivery; developmentally sensitive services), but not others (e.g., providing case management services; services guided by outcome data). The results also reveal a lack of consistency across programs in a variety of areas (e.g., training and experience of providers; educational curricula used by providers).
{"title":"Community-Based Remediation of Juvenile Competence to Stand Trial: A National Survey","authors":"I. Kruh, Neil Gowensmith, Amanda Alkema, Kristin M. Swenson, D. Platt","doi":"10.1080/14999013.2021.2007431","DOIUrl":"https://doi.org/10.1080/14999013.2021.2007431","url":null,"abstract":"Abstract Youth found incompetent to stand trial in U.S. juvenile courts may be ordered to attend Juvenile Competence Remediation Services to assist them in becoming competent to proceed with their case. Representatives from 19 community-based JCRS programs were surveyed about current norms and practices. The results suggest that programs routinely meet some emerging best practices (e.g., dyadic service delivery; developmentally sensitive services), but not others (e.g., providing case management services; services guided by outcome data). The results also reveal a lack of consistency across programs in a variety of areas (e.g., training and experience of providers; educational curricula used by providers).","PeriodicalId":14052,"journal":{"name":"International Journal of Forensic Mental Health","volume":"21 1","pages":"321 - 333"},"PeriodicalIF":1.4,"publicationDate":"2022-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46469356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-20DOI: 10.1080/14999013.2022.2027047
E. Lin, Lisa Whittingham, Louis Busch, A. Calzavara, F. Kouyoumdjian, A. Durbin, F. Matheson, Parisa Dastoori, T. Volpe, Y. Lunsky
{"title":"Intensive Use of Forensic Inpatient Services by People with Intellectual and Developmental Disabilities in Ontario, Canada: Prevalence and Associated Characteristics","authors":"E. Lin, Lisa Whittingham, Louis Busch, A. Calzavara, F. Kouyoumdjian, A. Durbin, F. Matheson, Parisa Dastoori, T. Volpe, Y. Lunsky","doi":"10.1080/14999013.2022.2027047","DOIUrl":"https://doi.org/10.1080/14999013.2022.2027047","url":null,"abstract":"","PeriodicalId":14052,"journal":{"name":"International Journal of Forensic Mental Health","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2022-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47348138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-18DOI: 10.1080/14999013.2021.2023238
Sara K. Levin, P. Nilsen, P. Bendtsen, Per Bülow
Abstract This study investigated forensic patients’ perceptions of relevant factors for violence risk, to facilitate an understanding of potential reasons for violence and the effect of risk management interventions. Semi-structured interviews with 13 forensic patients were analyzed with qualitative content analysis using an inductive approach. The sample of participants could identify an array of potentially relevant factors for their use of violence related to themselves, the external context, social and relational aspects, as well as situational factors. Most also actively strived to manage such risk. Considering patients’ perceptions could potentially add relevant perspectives and improve clinical and structured risk assessments.
{"title":"Risk-Increasing and Risk-Reducing Factors for Violence: A Qualitative Study of Forensic Patients’ Perceptions","authors":"Sara K. Levin, P. Nilsen, P. Bendtsen, Per Bülow","doi":"10.1080/14999013.2021.2023238","DOIUrl":"https://doi.org/10.1080/14999013.2021.2023238","url":null,"abstract":"Abstract This study investigated forensic patients’ perceptions of relevant factors for violence risk, to facilitate an understanding of potential reasons for violence and the effect of risk management interventions. Semi-structured interviews with 13 forensic patients were analyzed with qualitative content analysis using an inductive approach. The sample of participants could identify an array of potentially relevant factors for their use of violence related to themselves, the external context, social and relational aspects, as well as situational factors. Most also actively strived to manage such risk. Considering patients’ perceptions could potentially add relevant perspectives and improve clinical and structured risk assessments.","PeriodicalId":14052,"journal":{"name":"International Journal of Forensic Mental Health","volume":"21 1","pages":"383 - 398"},"PeriodicalIF":1.4,"publicationDate":"2022-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48732979","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-17DOI: 10.1080/14999013.2022.2027048
Yi-Ting Chang, B. Rosenfeld, W. Tam, Cheng-Yun Teng, Ying Han
Abstract The accuracy of performance validity tests (PVTs) with culturally diverse populations has increasingly been questioned. High false positive rates have been found in some PVTs in culturally and linguistically diverse individuals within the U.S. and internationally. No study to date has investigated the accuracy of PVTs with Chinese-speaking immigrants (CSI) in the U.S. The current study aimed to evaluate two PVTs, the Test of Memory Malingering (TOMM) and Dot Counting Test (DCT), to determine their accuracy in a community sample of CSI with limited English proficiency. These two measures were used in a simulation design, contrasting 52 participants who were instructed to respond honestly to 22 participants instructed to feign incompetency to stand trial. Results demonstrated the scores of TOMM Trial 1 and Trial 2 were effective in classifying honest responders from simulators, whereas the DCT E-score did not differentiate the groups better than chance. However, false positive rates for the TOMM Trial 1, Trial 2, and the DCT E-score were relatively low. Only one honest responder (1.9%) was classified as exerting insufficient effort in TOMM Trial 1 and DCT E-score, and the TOMM Trial 2 did not misclassify any honest responders. Implications and cautionary statements are provided and discussed.
{"title":"A Study of the TOMM and DCT in Chinese-Speaking Immigrants with Limited English Proficiency in the United States","authors":"Yi-Ting Chang, B. Rosenfeld, W. Tam, Cheng-Yun Teng, Ying Han","doi":"10.1080/14999013.2022.2027048","DOIUrl":"https://doi.org/10.1080/14999013.2022.2027048","url":null,"abstract":"Abstract The accuracy of performance validity tests (PVTs) with culturally diverse populations has increasingly been questioned. High false positive rates have been found in some PVTs in culturally and linguistically diverse individuals within the U.S. and internationally. No study to date has investigated the accuracy of PVTs with Chinese-speaking immigrants (CSI) in the U.S. The current study aimed to evaluate two PVTs, the Test of Memory Malingering (TOMM) and Dot Counting Test (DCT), to determine their accuracy in a community sample of CSI with limited English proficiency. These two measures were used in a simulation design, contrasting 52 participants who were instructed to respond honestly to 22 participants instructed to feign incompetency to stand trial. Results demonstrated the scores of TOMM Trial 1 and Trial 2 were effective in classifying honest responders from simulators, whereas the DCT E-score did not differentiate the groups better than chance. However, false positive rates for the TOMM Trial 1, Trial 2, and the DCT E-score were relatively low. Only one honest responder (1.9%) was classified as exerting insufficient effort in TOMM Trial 1 and DCT E-score, and the TOMM Trial 2 did not misclassify any honest responders. Implications and cautionary statements are provided and discussed.","PeriodicalId":14052,"journal":{"name":"International Journal of Forensic Mental Health","volume":"22 1","pages":"1 - 13"},"PeriodicalIF":1.4,"publicationDate":"2022-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43464683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-05DOI: 10.1080/14999013.2021.2023708
Jeremy Cheng, Mark E. Olver, Andre Haag, J. S. Wormith
Abstract Canadians adjudicated Not Criminally Responsible on Account of Mental Disorder (NCR) are detained in forensic psychiatric hospitals under a jurisdictional review board (RB) governed by the Canadian Criminal Code. The custody and management of NCR populations are administered independently across jurisdictions despite being federally legislated, and research is limited on how RBs may vary in their efforts to balance public safety and social reintegration across cases, settings, and provinces. To this end, the trajectories and outcomes were investigated in one understudied Canadian RB system on a sample of NCR individuals (n = 109) and compared to other provincial practices. A retrospective longitudinal design was employed to track an NCR cohort between 2005 and 2010 until 2015. Results demonstrated that the provincial RB aligned their operational and management practices with federal legislation, but unique deviations contributed to novel NCR trajectories and outcomes under RB supervision that were conservative relative to provincial partners. Dispositions varied as a function of risk level and were informed by clinician recommendations. Detention length differences were observed between ancestral lines, as the White ancestral group spent an average of three years less in custody than the Nonwhite ancestral group despite limited differences in demographic, clinical, and criminogenic profiles. Further research is required on NCR trajectories and outcomes across other understudied provinces and the role of forensic risk instruments in assisting with the consistent application of federal law.
{"title":"Trajectories and Outcomes of Those Not Criminally Responsible on Account of Mental Disorder through a Canadian Forensic System","authors":"Jeremy Cheng, Mark E. Olver, Andre Haag, J. S. Wormith","doi":"10.1080/14999013.2021.2023708","DOIUrl":"https://doi.org/10.1080/14999013.2021.2023708","url":null,"abstract":"Abstract Canadians adjudicated Not Criminally Responsible on Account of Mental Disorder (NCR) are detained in forensic psychiatric hospitals under a jurisdictional review board (RB) governed by the Canadian Criminal Code. The custody and management of NCR populations are administered independently across jurisdictions despite being federally legislated, and research is limited on how RBs may vary in their efforts to balance public safety and social reintegration across cases, settings, and provinces. To this end, the trajectories and outcomes were investigated in one understudied Canadian RB system on a sample of NCR individuals (n = 109) and compared to other provincial practices. A retrospective longitudinal design was employed to track an NCR cohort between 2005 and 2010 until 2015. Results demonstrated that the provincial RB aligned their operational and management practices with federal legislation, but unique deviations contributed to novel NCR trajectories and outcomes under RB supervision that were conservative relative to provincial partners. Dispositions varied as a function of risk level and were informed by clinician recommendations. Detention length differences were observed between ancestral lines, as the White ancestral group spent an average of three years less in custody than the Nonwhite ancestral group despite limited differences in demographic, clinical, and criminogenic profiles. Further research is required on NCR trajectories and outcomes across other understudied provinces and the role of forensic risk instruments in assisting with the consistent application of federal law.","PeriodicalId":14052,"journal":{"name":"International Journal of Forensic Mental Health","volume":"21 1","pages":"399 - 411"},"PeriodicalIF":1.4,"publicationDate":"2022-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43307180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.1080/14999013.2021.1943569
Stephanie Brooks Holliday, Shoba Sreenivasan, Eric Elbogen, David Thornton, Jim McGuire
Although veterans have lower incarceration rates than civilians, large national surveys find higher rates of incarceration for sexual offenses among veterans compared to non-veterans. However, little is known about the factors associated with repeat sexual offending among veterans. This study examines characteristics of veterans who committed sexual offenses and how they differ from civilians with those offenses. It also examined if the factors that differ between veterans and civilians who have a history of repeat sexual offenses and those who do not. Based on previous research related to risk in veterans, we expected there may be veteran-specific risk factors. This study used the Survey of Inmates in State and Federal Correctional Facilities. Predictors were identified through a review of the literature regarding sexual offense risk assessment and justice-involved veterans. Risk factors were examined using logistic regression analysis. In a multivariate logistic regression, there were significant interactions between veteran status and age, race, and education in the prediction of repeat offense status. Prior incarceration for a non-sexual offense was also associated with repeat offense status. Findings suggests that civilian risk factors are relevant to veteran risk assessment, an important finding that can help inform intervention and risk management with veterans.
{"title":"Factors associated with repeat sexual offending among U.S. military veterans compared to civilians.","authors":"Stephanie Brooks Holliday, Shoba Sreenivasan, Eric Elbogen, David Thornton, Jim McGuire","doi":"10.1080/14999013.2021.1943569","DOIUrl":"https://doi.org/10.1080/14999013.2021.1943569","url":null,"abstract":"<p><p>Although veterans have lower incarceration rates than civilians, large national surveys find higher rates of incarceration for sexual offenses among veterans compared to non-veterans. However, little is known about the factors associated with repeat sexual offending among veterans. This study examines characteristics of veterans who committed sexual offenses and how they differ from civilians with those offenses. It also examined if the factors that differ between veterans and civilians who have a history of repeat sexual offenses and those who do not. Based on previous research related to risk in veterans, we expected there may be veteran-specific risk factors. This study used the Survey of Inmates in State and Federal Correctional Facilities. Predictors were identified through a review of the literature regarding sexual offense risk assessment and justice-involved veterans. Risk factors were examined using logistic regression analysis. In a multivariate logistic regression, there were significant interactions between veteran status and age, race, and education in the prediction of repeat offense status. Prior incarceration for a non-sexual offense was also associated with repeat offense status. Findings suggests that civilian risk factors are relevant to veteran risk assessment, an important finding that can help inform intervention and risk management with veterans.</p>","PeriodicalId":14052,"journal":{"name":"International Journal of Forensic Mental Health","volume":"21 2","pages":"120-132"},"PeriodicalIF":1.4,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14999013.2021.1943569","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10516666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-26DOI: 10.1080/14999013.2021.2007432
Marzia Di Girolamo, Luciano Giromini, Jessica Bosi, L. Warmelink, Ilaria La Scala, Caterina Loiacono, F. Miraglia, A. Zennaro
Abstract In this article, we hypothesized that in order to feign mental illness, one would need to have empathy and be able to understand other’s mental states. To test this hypothesis, we asked 432 healthy volunteers to feign depression, PTSD or schizophrenia while completing a self-report test that measures the severity of the feigned condition’s symptoms and the Inventory of Problems − 29 (IOP-29). Additionally, all participants were administered a theory of mind (ToM) task and an empathy measure with the request to respond truthfully. Results from a series of linear regression models revealed that higher cognitive empathy is associated with increased symptom endorsement on self-report symptom questionnaires and higher ToM abilities are associated with less credible feigned profiles, especially in the case of feigned depression.
{"title":"The Role Played by Theory of Mind and Empathy in the Feigning of Psychopathology","authors":"Marzia Di Girolamo, Luciano Giromini, Jessica Bosi, L. Warmelink, Ilaria La Scala, Caterina Loiacono, F. Miraglia, A. Zennaro","doi":"10.1080/14999013.2021.2007432","DOIUrl":"https://doi.org/10.1080/14999013.2021.2007432","url":null,"abstract":"Abstract In this article, we hypothesized that in order to feign mental illness, one would need to have empathy and be able to understand other’s mental states. To test this hypothesis, we asked 432 healthy volunteers to feign depression, PTSD or schizophrenia while completing a self-report test that measures the severity of the feigned condition’s symptoms and the Inventory of Problems − 29 (IOP-29). Additionally, all participants were administered a theory of mind (ToM) task and an empathy measure with the request to respond truthfully. Results from a series of linear regression models revealed that higher cognitive empathy is associated with increased symptom endorsement on self-report symptom questionnaires and higher ToM abilities are associated with less credible feigned profiles, especially in the case of feigned depression.","PeriodicalId":14052,"journal":{"name":"International Journal of Forensic Mental Health","volume":"21 1","pages":"334 - 347"},"PeriodicalIF":1.4,"publicationDate":"2021-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41956394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-06DOI: 10.1080/14999013.2021.2009596
Daphné O’Hara, João da Silva Guerreiro, Julie Lefebvre
Abstract The management of self-harm presents a major challenge in correctional and forensic psychiatric services, especially for women offenders, among whom it is reported to be highly prevalent. Even though staff play an important role in managing self-harm, few studies have evaluated their attitudes to this behavior. In order to understand the attitudes of staff to women’s self-harm, 16 staff members working in a forensic psychiatric hospital participated in semi-structured interviews designed to explore their experience in depth. The staff members presented, on the one hand, positive attitudes expressed as empathy, sensitivity, and positive feelings but, on the other hand, negative attitudes expressed in the form of preconceived ideas and negative feelings. Differences were also noted in their perceptions of the seriousness of self-harm. Self-harm behaviors seem to have a considerable impact not only on caregivers, but also on the entire care unit. Our study supports the importance of both professional support and training for staff who are exposed to this type of behavior. Clinical and research implications are discussed.
{"title":"Attitudes of Forensic Psychiatric Staff to Self-Harm Behaviors of Their Female Patients","authors":"Daphné O’Hara, João da Silva Guerreiro, Julie Lefebvre","doi":"10.1080/14999013.2021.2009596","DOIUrl":"https://doi.org/10.1080/14999013.2021.2009596","url":null,"abstract":"Abstract The management of self-harm presents a major challenge in correctional and forensic psychiatric services, especially for women offenders, among whom it is reported to be highly prevalent. Even though staff play an important role in managing self-harm, few studies have evaluated their attitudes to this behavior. In order to understand the attitudes of staff to women’s self-harm, 16 staff members working in a forensic psychiatric hospital participated in semi-structured interviews designed to explore their experience in depth. The staff members presented, on the one hand, positive attitudes expressed as empathy, sensitivity, and positive feelings but, on the other hand, negative attitudes expressed in the form of preconceived ideas and negative feelings. Differences were also noted in their perceptions of the seriousness of self-harm. Self-harm behaviors seem to have a considerable impact not only on caregivers, but also on the entire care unit. Our study supports the importance of both professional support and training for staff who are exposed to this type of behavior. Clinical and research implications are discussed.","PeriodicalId":14052,"journal":{"name":"International Journal of Forensic Mental Health","volume":"21 1","pages":"361 - 371"},"PeriodicalIF":1.4,"publicationDate":"2021-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49634144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-11-17DOI: 10.1080/14999013.2021.2007430
P. Nicaise, D. Bourmorck, Marjolein De Pau, F. Vander Laenen, W. Vanderplasschen, V. Lorant
Abstract Mentally Disordered Offenders (MDOs) who have been declared not criminally responsible for their offense due to their mental condition should be admitted to settings with lowest possible level of security to support their social reintegration. In the context of the reorganization of care for MDOs in Belgium, we assessed the predictors and retrospective appropriateness of 3529 MDO admissions in 2017 according to security needs. Although there was a positive association between the security needs of MDOs and the level of security of the settings to which they were admitted, there was a gap between high and lower security levels. Medium-security settings made up 46% of all admissions, covering a variety of security need profiles. Half the sample of MDOs with high security needs was found in low- and medium-security settings, while a significant proportion of MDOs with low security needs was found in medium-security settings. Clinical characteristics predicted admissions more strongly than custodial characteristics. Decision-makers should refine criteria and procedures for MDOs’ care access. Indeed, the mixed results in relation to admission appropriateness in medium-security services may result from the lack of formal guidelines.
{"title":"Are Mentally Disordered Offenders Admitted to Appropriate Secure Settings according to Security Needs? A Cross Sectional Study in Belgium","authors":"P. Nicaise, D. Bourmorck, Marjolein De Pau, F. Vander Laenen, W. Vanderplasschen, V. Lorant","doi":"10.1080/14999013.2021.2007430","DOIUrl":"https://doi.org/10.1080/14999013.2021.2007430","url":null,"abstract":"Abstract Mentally Disordered Offenders (MDOs) who have been declared not criminally responsible for their offense due to their mental condition should be admitted to settings with lowest possible level of security to support their social reintegration. In the context of the reorganization of care for MDOs in Belgium, we assessed the predictors and retrospective appropriateness of 3529 MDO admissions in 2017 according to security needs. Although there was a positive association between the security needs of MDOs and the level of security of the settings to which they were admitted, there was a gap between high and lower security levels. Medium-security settings made up 46% of all admissions, covering a variety of security need profiles. Half the sample of MDOs with high security needs was found in low- and medium-security settings, while a significant proportion of MDOs with low security needs was found in medium-security settings. Clinical characteristics predicted admissions more strongly than custodial characteristics. Decision-makers should refine criteria and procedures for MDOs’ care access. Indeed, the mixed results in relation to admission appropriateness in medium-security services may result from the lack of formal guidelines.","PeriodicalId":14052,"journal":{"name":"International Journal of Forensic Mental Health","volume":"21 1","pages":"307 - 319"},"PeriodicalIF":1.4,"publicationDate":"2021-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45373398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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