Pub Date : 2021-03-11DOI: 10.1080/14999013.2021.1899343
Dylan T. Gatner, H. Moulden, Mini Mamak, G. Chaimowitz
Abstract Violence risk assessment is an essential component of forensic mental health services designed to help mitigate and manage the re-occurrence of violence. Although there is large body of evidence supporting structured risk assessments, there is no empirical evidence regarding scenario planning—a specific component of the structured professional judgment approach to violence risk assessment. The purpose of this study was to investigate the base rates and concurrent validity of inpatient aggression scenarios to provide information about risk scenarios. Among a large representative sample of forensic psychiatric patients (N = 1240), the prevalence of risk scenarios (Repeat, Escalation, Twist, and Improvement scenarios) was investigated by retrospectively coding changes in inpatient aggression. The results suggested that Improvement scenarios, including a continued desistance of aggression, were common. Aggression scenarios shared significant pattern of associations with the Historical-Clinical-Risk Management-20 and the Psychopathy Checklist—Revised. Overall, this study presents initial empirical evidence related to violence risk scenario planning. Implications from these findings include how scenario planning may intersect with evaluator bias in forensic mental health assessments.
{"title":"At Risk of What? Understanding Forensic Psychiatric Inpatient Aggression through a Violence Risk Scenario Planning Lens","authors":"Dylan T. Gatner, H. Moulden, Mini Mamak, G. Chaimowitz","doi":"10.1080/14999013.2021.1899343","DOIUrl":"https://doi.org/10.1080/14999013.2021.1899343","url":null,"abstract":"Abstract Violence risk assessment is an essential component of forensic mental health services designed to help mitigate and manage the re-occurrence of violence. Although there is large body of evidence supporting structured risk assessments, there is no empirical evidence regarding scenario planning—a specific component of the structured professional judgment approach to violence risk assessment. The purpose of this study was to investigate the base rates and concurrent validity of inpatient aggression scenarios to provide information about risk scenarios. Among a large representative sample of forensic psychiatric patients (N = 1240), the prevalence of risk scenarios (Repeat, Escalation, Twist, and Improvement scenarios) was investigated by retrospectively coding changes in inpatient aggression. The results suggested that Improvement scenarios, including a continued desistance of aggression, were common. Aggression scenarios shared significant pattern of associations with the Historical-Clinical-Risk Management-20 and the Psychopathy Checklist—Revised. Overall, this study presents initial empirical evidence related to violence risk scenario planning. Implications from these findings include how scenario planning may intersect with evaluator bias in forensic mental health assessments.","PeriodicalId":14052,"journal":{"name":"International Journal of Forensic Mental Health","volume":"20 1","pages":"398 - 407"},"PeriodicalIF":1.4,"publicationDate":"2021-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14999013.2021.1899343","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44059844","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 : 2021-03-08DOI: 10.1080/14999013.2021.1895375
J. Stinson, M. Quinn, A. Menditto, C. LeMay
Abstract Offenders and persons with serious mental illness experience disproportionate exposure to Adverse Childhood Experiences (ACEs). This study examines prevalence, distribution, and correlates of ACEs in 182 male and female forensic psychiatric inpatients in secure care. Descriptive statistics, chi-squares analysis, ANOVA, and logistic regression were used to describe ACEs by race and gender and to identify associations between ACEs and onset of aggression, arrest, and psychiatric hospitalization. Participants evidenced significant exposure to ACEs, with significant differences by race and gender. ACE score, race, and foster care or investigations of child abuse were significant predictors of outcomes related to aggression and criminality.
{"title":"Adverse Childhood Experiences and the Onset of Aggression and Criminality in a Forensic Inpatient Sample","authors":"J. Stinson, M. Quinn, A. Menditto, C. LeMay","doi":"10.1080/14999013.2021.1895375","DOIUrl":"https://doi.org/10.1080/14999013.2021.1895375","url":null,"abstract":"Abstract Offenders and persons with serious mental illness experience disproportionate exposure to Adverse Childhood Experiences (ACEs). This study examines prevalence, distribution, and correlates of ACEs in 182 male and female forensic psychiatric inpatients in secure care. Descriptive statistics, chi-squares analysis, ANOVA, and logistic regression were used to describe ACEs by race and gender and to identify associations between ACEs and onset of aggression, arrest, and psychiatric hospitalization. Participants evidenced significant exposure to ACEs, with significant differences by race and gender. ACE score, race, and foster care or investigations of child abuse were significant predictors of outcomes related to aggression and criminality.","PeriodicalId":14052,"journal":{"name":"International Journal of Forensic Mental Health","volume":"20 1","pages":"374 - 385"},"PeriodicalIF":1.4,"publicationDate":"2021-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14999013.2021.1895375","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43875812","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 : 2021-03-01DOI: 10.1080/14999013.2021.1876795
Marjolein De Pau, P. Nicaise, D. Bourmorck, W. Vanderplasschen, F. Vander Laenen
Abstract The Trinitarian model of therapeutic security is used to organize forensic mental health care in Ireland, England and Scotland. However, it remains unclear whether this model captures all significant factors for the organization of forensic mental health care delivery. In this case study, the Trinitarian model is applied to and tested on Belgian forensic mental health services. Relational security as a discriminative factor is debated and an extension of this institution-oriented model to the policy- and service users’ level is recommended. Finally, we propose to disentangle the concepts of therapeutic security, risk and care in forensic mental health.
{"title":"Organizing Forensic Mental Health Care Delivery: Putting the Trinitarian Model of Therapeutic Security to the Test","authors":"Marjolein De Pau, P. Nicaise, D. Bourmorck, W. Vanderplasschen, F. Vander Laenen","doi":"10.1080/14999013.2021.1876795","DOIUrl":"https://doi.org/10.1080/14999013.2021.1876795","url":null,"abstract":"Abstract The Trinitarian model of therapeutic security is used to organize forensic mental health care in Ireland, England and Scotland. However, it remains unclear whether this model captures all significant factors for the organization of forensic mental health care delivery. In this case study, the Trinitarian model is applied to and tested on Belgian forensic mental health services. Relational security as a discriminative factor is debated and an extension of this institution-oriented model to the policy- and service users’ level is recommended. Finally, we propose to disentangle the concepts of therapeutic security, risk and care in forensic mental health.","PeriodicalId":14052,"journal":{"name":"International Journal of Forensic Mental Health","volume":"20 1","pages":"291 - 302"},"PeriodicalIF":1.4,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14999013.2021.1876795","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43548051","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 : 2021-02-26DOI: 10.1080/14999013.2021.1895376
D. Murphy, Joanna L. Mitchell, Joseph Vacher, Emily Morley, Ignazio Puzzo
Abstract The present study describes the Wechsler Adult Intelligence Scale (WAIS) full scale IQ (FIQ) of admissions to one UK High Secure Psychiatric Care hospital. WAIS IV comparative data and the FIQ of admissions from the 1960s to the 2010s are presented (n = 639). Results suggest 75% of current admissions have FIQs within the ‘low average’ and ‘extremely low’ classifications, with significant discrepancies between composite scales being common and processing speed being the most compromised area of cognitive functioning. A one standard deviation decline in FIQs of admissions since the 1960s to the 2010s is also present. The results are discussed in terms of the changing clinical presentations of admissions, along with research and clinical implications.
{"title":"Wechsler Adult Intelligence Scale Full Scale IQ of Male Admissions to a High Secure Psychiatric Hospital Over Six Decades","authors":"D. Murphy, Joanna L. Mitchell, Joseph Vacher, Emily Morley, Ignazio Puzzo","doi":"10.1080/14999013.2021.1895376","DOIUrl":"https://doi.org/10.1080/14999013.2021.1895376","url":null,"abstract":"Abstract The present study describes the Wechsler Adult Intelligence Scale (WAIS) full scale IQ (FIQ) of admissions to one UK High Secure Psychiatric Care hospital. WAIS IV comparative data and the FIQ of admissions from the 1960s to the 2010s are presented (n = 639). Results suggest 75% of current admissions have FIQs within the ‘low average’ and ‘extremely low’ classifications, with significant discrepancies between composite scales being common and processing speed being the most compromised area of cognitive functioning. A one standard deviation decline in FIQs of admissions since the 1960s to the 2010s is also present. The results are discussed in terms of the changing clinical presentations of admissions, along with research and clinical implications.","PeriodicalId":14052,"journal":{"name":"International Journal of Forensic Mental Health","volume":"20 1","pages":"386 - 397"},"PeriodicalIF":1.4,"publicationDate":"2021-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14999013.2021.1895376","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45159512","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 : 2021-02-19DOI: 10.1080/14999013.2021.1887978
Danielle A. Lawrence, Ruth Bagshaw, D. Stubbings, Andrew Watt
Abstract Restrictive practices are often harmful and many academics, policy-makers and clinicians agree that their use should be reduced in care settings. Specific focus on secure mental health services is warranted because restrictive practices are often seen as an integral part of forensic psychiatry but have received limited research attention relative to other areas of psychiatric practice. The aim of this scoping review was to map and evaluate recent empirical research that examines the use of restrictive practices, the consequences of using them and efforts to reduce restrictive practices, in secure mental health settings published since June 2015. The purpose of this review was to identify limitations and gaps in the literature in order to inform further research. PsycINFO, Medline, Embase, CINAHL, Scopus and ASSIA databases were searched for studies published between 2015 and 2020. Following electronic and manual searches, 36 studies were included. The studies were grouped into four main areas: 1) Nature of the problem describing the type, incidence, prevalence and scope of restrictive practices in secure mental health services; 2) Service user perceptions and experiences of restrictive practices; 3) Staff experiences, views and decision making; and 4) Interventions designed to reduce the use of restrictive practices. Findings support the notion that restrictive practices have a detrimental impact on the wellbeing of most service users in adult secure services as well as the staff who use them. Continued efforts to reduce restrictive practices are needed and the importance of collaborative working cannot be understated. Implications for future research, clinical practice, policy and best practice guidelines are all discussed.
{"title":"Restrictive Practices in Adult Secure Mental Health Services: A Scoping Review","authors":"Danielle A. Lawrence, Ruth Bagshaw, D. Stubbings, Andrew Watt","doi":"10.1080/14999013.2021.1887978","DOIUrl":"https://doi.org/10.1080/14999013.2021.1887978","url":null,"abstract":"Abstract Restrictive practices are often harmful and many academics, policy-makers and clinicians agree that their use should be reduced in care settings. Specific focus on secure mental health services is warranted because restrictive practices are often seen as an integral part of forensic psychiatry but have received limited research attention relative to other areas of psychiatric practice. The aim of this scoping review was to map and evaluate recent empirical research that examines the use of restrictive practices, the consequences of using them and efforts to reduce restrictive practices, in secure mental health settings published since June 2015. The purpose of this review was to identify limitations and gaps in the literature in order to inform further research. PsycINFO, Medline, Embase, CINAHL, Scopus and ASSIA databases were searched for studies published between 2015 and 2020. Following electronic and manual searches, 36 studies were included. The studies were grouped into four main areas: 1) Nature of the problem describing the type, incidence, prevalence and scope of restrictive practices in secure mental health services; 2) Service user perceptions and experiences of restrictive practices; 3) Staff experiences, views and decision making; and 4) Interventions designed to reduce the use of restrictive practices. Findings support the notion that restrictive practices have a detrimental impact on the wellbeing of most service users in adult secure services as well as the staff who use them. Continued efforts to reduce restrictive practices are needed and the importance of collaborative working cannot be understated. Implications for future research, clinical practice, policy and best practice guidelines are all discussed.","PeriodicalId":14052,"journal":{"name":"International Journal of Forensic Mental Health","volume":"21 1","pages":"68 - 88"},"PeriodicalIF":1.4,"publicationDate":"2021-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14999013.2021.1887978","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46413921","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 : 2021-02-19DOI: 10.1080/14999013.2021.1887409
Louis De Page, P. Titeca
Abstract International literature suggests that forensic care is best organized by independent security levels with appropriate infrastructure, procedures, and therapeutic goals. However, resources are not always sufficient to allow for organizing this way. We describe the functioning of a medium-security unit (MSU) where we not only rehabilitate forensic patients for their transition from prison to community life but also readmit relapsing patients and provide time-outs for patients in crisis. We discuss the advantages and disadvantages of this cohabitation for patients and personnel. This study is also the first to present figures regarding readmissions of relapsing patients and prison remittal in Belgium from a MSU point of view.
{"title":"Ten Years of Operation of a Small Belgian Medium-Security Unit—How Are We Doing?","authors":"Louis De Page, P. Titeca","doi":"10.1080/14999013.2021.1887409","DOIUrl":"https://doi.org/10.1080/14999013.2021.1887409","url":null,"abstract":"Abstract International literature suggests that forensic care is best organized by independent security levels with appropriate infrastructure, procedures, and therapeutic goals. However, resources are not always sufficient to allow for organizing this way. We describe the functioning of a medium-security unit (MSU) where we not only rehabilitate forensic patients for their transition from prison to community life but also readmit relapsing patients and provide time-outs for patients in crisis. We discuss the advantages and disadvantages of this cohabitation for patients and personnel. This study is also the first to present figures regarding readmissions of relapsing patients and prison remittal in Belgium from a MSU point of view.","PeriodicalId":14052,"journal":{"name":"International Journal of Forensic Mental Health","volume":"20 1","pages":"364 - 373"},"PeriodicalIF":1.4,"publicationDate":"2021-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14999013.2021.1887409","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41846482","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 : 2021-02-19DOI: 10.1080/14999013.2021.1886203
Li Lian Koh, A. Day, Bianca Klettke, M. Daffern, C. Chu
Abstract The risk and protective factors in a sample of 224 Singaporean youths who have engaged in violence are investigated using the SAVRY the VRS-YV, and the SAPROF-YV. Youths in the early and middle stages of adolescence exhibited more risk factors and fewer protective factors than late stage adolescents. This may be due to cultural and societal influences as well as maturation processes which guide the development of risk and protective factors over the course of adolescence. These findings highlight the importance of developing treatment programs for violent youth that are developmentally matched and which address specific areas of need.
{"title":"An Exploration of Risk and Protective Characteristics of Violent Youth Offenders in Singapore across Adolescent Developmental Stages","authors":"Li Lian Koh, A. Day, Bianca Klettke, M. Daffern, C. Chu","doi":"10.1080/14999013.2021.1886203","DOIUrl":"https://doi.org/10.1080/14999013.2021.1886203","url":null,"abstract":"Abstract The risk and protective factors in a sample of 224 Singaporean youths who have engaged in violence are investigated using the SAVRY the VRS-YV, and the SAPROF-YV. Youths in the early and middle stages of adolescence exhibited more risk factors and fewer protective factors than late stage adolescents. This may be due to cultural and societal influences as well as maturation processes which guide the development of risk and protective factors over the course of adolescence. These findings highlight the importance of developing treatment programs for violent youth that are developmentally matched and which address specific areas of need.","PeriodicalId":14052,"journal":{"name":"International Journal of Forensic Mental Health","volume":"20 1","pages":"349 - 363"},"PeriodicalIF":1.4,"publicationDate":"2021-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14999013.2021.1886203","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48665210","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 : 2021-02-14DOI: 10.1080/14999013.2021.1885528
M. Gillespie, E. Quayle, Joe Judge
Abstract Research has identified positive relationships between familial support and outcomes for forensic mental health patients. Such support has been linked to reduced recidivism, improved mental health and increased prosocial behavior. Whilst some studies have explored families’ experiences of providing such support, there is a paucity of research exploring patients’ narratives. Using Interpretative Phenomenological Analysis, the current study interviewed patients at a high secure forensic hospital and asked questions about their experiences of familial support. Results indicated four superordinate themes; Connection, Growth, Power, and Ambivalence. These results are discussed in relation to existing findings and clinical implications. Areas for future research are suggested.
{"title":"Exploring High Secure Forensic Patients’ Experiences of Familial Support: An Interpretative Phenomenological Analysis","authors":"M. Gillespie, E. Quayle, Joe Judge","doi":"10.1080/14999013.2021.1885528","DOIUrl":"https://doi.org/10.1080/14999013.2021.1885528","url":null,"abstract":"Abstract Research has identified positive relationships between familial support and outcomes for forensic mental health patients. Such support has been linked to reduced recidivism, improved mental health and increased prosocial behavior. Whilst some studies have explored families’ experiences of providing such support, there is a paucity of research exploring patients’ narratives. Using Interpretative Phenomenological Analysis, the current study interviewed patients at a high secure forensic hospital and asked questions about their experiences of familial support. Results indicated four superordinate themes; Connection, Growth, Power, and Ambivalence. These results are discussed in relation to existing findings and clinical implications. Areas for future research are suggested.","PeriodicalId":14052,"journal":{"name":"International Journal of Forensic Mental Health","volume":"20 1","pages":"333 - 348"},"PeriodicalIF":1.4,"publicationDate":"2021-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14999013.2021.1885528","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44153965","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 : 2021-02-11DOI: 10.1080/14999013.2021.1880503
N. Aga, S. Rowaert, F. Vander Laenen, S. Vandevelde, T. Vander Beken, K. Audenaert, W. Vanderplasschen
Abstract Objective Connectedness is placed at the heart of the recovery process in mental health care. However, in regard to persons labeled not criminally responsible (NCR), considerations of recovery and connectedness remain in the background. The aim of this study is to understand and explore how individuals labeled not criminally responsible experience connectedness. Research method Sixty-seven in-depth interviews were examined and thematically analyzed. Results Interviews revealed emotional, functional and personal connectedness as categories of connectedness, each with different qualitative determinants. Conclusion This study shows that connectedness should be considered as an essential ingredient of the recovery process by practitioners as well as policy makers. We recommend a shift from an individualistic, punitive approach toward a recovery-supportive rhetoric and more ‘shared decision making’ between service users and providers at all levels.
{"title":"Connectedness in Recovery Narratives of Persons Labeled Not Criminally Responsible: A Qualitative Study","authors":"N. Aga, S. Rowaert, F. Vander Laenen, S. Vandevelde, T. Vander Beken, K. Audenaert, W. Vanderplasschen","doi":"10.1080/14999013.2021.1880503","DOIUrl":"https://doi.org/10.1080/14999013.2021.1880503","url":null,"abstract":"Abstract Objective Connectedness is placed at the heart of the recovery process in mental health care. However, in regard to persons labeled not criminally responsible (NCR), considerations of recovery and connectedness remain in the background. The aim of this study is to understand and explore how individuals labeled not criminally responsible experience connectedness. Research method Sixty-seven in-depth interviews were examined and thematically analyzed. Results Interviews revealed emotional, functional and personal connectedness as categories of connectedness, each with different qualitative determinants. Conclusion This study shows that connectedness should be considered as an essential ingredient of the recovery process by practitioners as well as policy makers. We recommend a shift from an individualistic, punitive approach toward a recovery-supportive rhetoric and more ‘shared decision making’ between service users and providers at all levels.","PeriodicalId":14052,"journal":{"name":"International Journal of Forensic Mental Health","volume":"20 1","pages":"303 - 316"},"PeriodicalIF":1.4,"publicationDate":"2021-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14999013.2021.1880503","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49075367","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 : 2021-02-09DOI: 10.1080/14999013.2021.1876186
Berenice Pérez-Ramírez, Juan J. Barthelemy, R. Gearing, Lindamarie Olson, Natalia Giraldo-Santiago, Luis R. Torres
Abstract Prisons in Mexico, like other countries, struggle to house and effectively treat individuals with mental illness. This study on 194 male Mexican prisoners managing mental disorders aims to 1) explore what mental health symptomology is associated with self-stigma and 2) identify what mental health symptomology predicts increased self-stigma. Results found that depression, mania, and anger significantly predicted harm to self-esteem scores, and education and mania significantly predicted agreement and application subscales. Given the increased number of imprisoned individuals with mental illness in Mexico and minimal treatment available, these findings support the importance of implementing self-stigma interventions within prisons.
{"title":"Examining the Influence of Mental Health on Self-Stigma in a Mexican Prison","authors":"Berenice Pérez-Ramírez, Juan J. Barthelemy, R. Gearing, Lindamarie Olson, Natalia Giraldo-Santiago, Luis R. Torres","doi":"10.1080/14999013.2021.1876186","DOIUrl":"https://doi.org/10.1080/14999013.2021.1876186","url":null,"abstract":"Abstract Prisons in Mexico, like other countries, struggle to house and effectively treat individuals with mental illness. This study on 194 male Mexican prisoners managing mental disorders aims to 1) explore what mental health symptomology is associated with self-stigma and 2) identify what mental health symptomology predicts increased self-stigma. Results found that depression, mania, and anger significantly predicted harm to self-esteem scores, and education and mania significantly predicted agreement and application subscales. Given the increased number of imprisoned individuals with mental illness in Mexico and minimal treatment available, these findings support the importance of implementing self-stigma interventions within prisons.","PeriodicalId":14052,"journal":{"name":"International Journal of Forensic Mental Health","volume":"20 1","pages":"265 - 277"},"PeriodicalIF":1.4,"publicationDate":"2021-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14999013.2021.1876186","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46007269","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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