Pub Date : 2022-09-01DOI: 10.59703/ijrr.v5i2.14-22
Krystle Martin, K. Bickle, P. Leung, Danielle DaCosta, Brandon Joice
Psychiatric in-patients need programming and clinical interventions to support recovery and gradual re-integration into the community. Treatment malls are designed to meet these needs by offering psychosocial, person-centred rehabilitation groups in a centralized setting. Evidence suggests this treatment model increases patient engagement, broadens social networks, and improves functioning. Given this, our hospital implemented a treatment mall in our forensic services department in 2018. Because this was a new initiative at our hospital and the lack of outcome data on treatment malls in Canada, we conducted a program evaluation to explore the effects of the treatment mall and identify possible areas of improvement. Guided by a logic model, this evaluation used a retrospective chart review. Variables of interest included patient engagement, psychotropic pro re nata (PRN) administration, recovery scores, time spent off unit, elopement, use of restraints and seclusion, and patient activity levels. We assessed whether these changed post-implementation of the treatment mall. The results provide preliminary evidence of the positive effects of the treatment mall. Patient engagement and time spent off unit increased. Maintenance of changes and long-term outcomes remain to be seen; however, this evalua - tion provides support for the continued use and investigation of the treatment mall for our forensic services department.
{"title":"Impacts of implementing a forensic treatment mall: A program evaluation","authors":"Krystle Martin, K. Bickle, P. Leung, Danielle DaCosta, Brandon Joice","doi":"10.59703/ijrr.v5i2.14-22","DOIUrl":"https://doi.org/10.59703/ijrr.v5i2.14-22","url":null,"abstract":"Psychiatric in-patients need programming and clinical interventions to support recovery and gradual re-integration into the community. Treatment malls are designed to meet these needs by offering psychosocial, person-centred rehabilitation groups in a centralized setting. Evidence suggests this treatment model increases patient engagement, broadens social networks, and improves functioning. Given this, our hospital implemented a treatment mall in our forensic services department in 2018. Because this was a new initiative at our hospital and the lack of outcome data on treatment malls in Canada, we conducted a program evaluation to explore the effects of the treatment mall and identify possible areas of improvement. Guided by a logic model, this evaluation used a retrospective chart review. Variables of interest included patient engagement, psychotropic pro re nata (PRN) administration, recovery scores, time spent off unit, elopement, use of restraints and seclusion, and patient activity levels. We assessed whether these changed post-implementation of the treatment mall. The results provide preliminary evidence of the positive effects of the treatment mall. Patient engagement and time spent off unit increased. Maintenance of changes and long-term outcomes remain to be seen; however, this evalua - tion provides support for the continued use and investigation of the treatment mall for our forensic services department.","PeriodicalId":181328,"journal":{"name":"International Journal of Risk and Recovery","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116645740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
I. Furimsky, Michelle A. Chen, F. Wilson, Gary Chaimowtiz
The introduction of a recovery approach to forensic psychiatry services has been embraced in recent years. The recovery approach moves patient care beyond the domains of symptom reduction and aggression management. It places the importance on the patient’s personal experiences and values, and instills hope for a future with meaningful activities and supportive social relationships. As an initial step to integrating a recovery approach, we sought to better understand patients’ and family members’ perspectives and experiences of recovery in a forensic psychiatry program (FPP). This project involved one family member and two patient focus groups. All groups were asked what recovery meant to them and what we could do to support their recovery in the FPP. The focus groups were audio recorded and transcribed. A thematic analysis approach identified themes from the transcripts. Family themes included the patient returning to their original identity, opportunities to address the past, developing positive connections with others, balancing rehabilitation in the forensic environment, and maintaining communication with staff. Patient themes included developing positive connections, developing better communication about the forensic system, balancing rehabilitation in the forensic environment, and progressing with their lives. Patients and family members described their experiences of recovery in our FPP. Some areas for improvements were identified, which can form the groundwork for future improvement initiatives in our FPP.
{"title":"Patients’ and family members’ experiences of recovery in a forensic psychiatry program.","authors":"I. Furimsky, Michelle A. Chen, F. Wilson, Gary Chaimowtiz","doi":"10.59703/ijrr.v5i2.3-13","DOIUrl":"https://doi.org/10.59703/ijrr.v5i2.3-13","url":null,"abstract":"The introduction of a recovery approach to forensic psychiatry services has been embraced in recent years. The recovery approach moves patient care beyond the domains of symptom reduction and aggression management. It places the importance on the patient’s personal experiences and values, and instills hope for a future with meaningful activities and supportive social relationships. As an initial step to integrating a recovery approach, we sought to better understand patients’ and family members’ perspectives and experiences of recovery in a forensic psychiatry program (FPP). This project involved one family member and two patient focus groups. All groups were asked what recovery meant to them and what we could do to support their recovery in the FPP. The focus groups were audio recorded and transcribed. A thematic analysis approach identified themes from the transcripts. Family themes included the patient returning to their original identity, opportunities to address the past, developing positive connections with others, balancing rehabilitation in the forensic environment, and maintaining communication with staff. Patient themes included developing positive connections, developing better communication about the forensic system, balancing rehabilitation in the forensic environment, and progressing with their lives. Patients and family members described their experiences of recovery in our FPP. Some areas for improvements were identified, which can form the groundwork for future improvement initiatives in our FPP.","PeriodicalId":181328,"journal":{"name":"International Journal of Risk and Recovery","volume":"143 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123455929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-01DOI: 10.59703/ijrr.v5i1.44-51
{"title":"Participation as an expert in cases involving the production of mental health records in Canadian courts.","authors":"","doi":"10.59703/ijrr.v5i1.44-51","DOIUrl":"https://doi.org/10.59703/ijrr.v5i1.44-51","url":null,"abstract":"","PeriodicalId":181328,"journal":{"name":"International Journal of Risk and Recovery","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128897929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-01DOI: 10.59703/ijrr.v5i1.14-28
{"title":"Convergent, discriminant and predictive validity of two instruments to assess recidivism risk among released individuals who have sexually offended: The SORAG and the VRAG-R.","authors":"","doi":"10.59703/ijrr.v5i1.14-28","DOIUrl":"https://doi.org/10.59703/ijrr.v5i1.14-28","url":null,"abstract":"","PeriodicalId":181328,"journal":{"name":"International Journal of Risk and Recovery","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122381857","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Violence risk assessment of older adults.","authors":"Mini Mamak, G. Chaimowitz, Mamak Chaimowitz","doi":"10.59703/ijrr.v5i1.1-4","DOIUrl":"https://doi.org/10.59703/ijrr.v5i1.1-4","url":null,"abstract":"","PeriodicalId":181328,"journal":{"name":"International Journal of Risk and Recovery","volume":"96 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114053891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-01DOI: 10.59703/ijrr.v5i2.31-36
{"title":"The psychiatric aspects of terrorism: Prevention and rehabilitation.","authors":"","doi":"10.59703/ijrr.v5i2.31-36","DOIUrl":"https://doi.org/10.59703/ijrr.v5i2.31-36","url":null,"abstract":"","PeriodicalId":181328,"journal":{"name":"International Journal of Risk and Recovery","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114158147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-01DOI: 10.59703/ijrr.v5i2.23-30
Maxime Escarguel, Benoît Testé, M. Benbouriche
Cette étude porte sur le traitement de l’information chez des auteurs de violence sexuelle (AVS) sur mineurs à la fois sur le plan cognitif, avec les distorsions cognitives, et sur le plan émotionnel, avec l’alexithymie. La recherche a été menée sur 20 hommes auteurs de violence sexuelle sur mineurs. Un questionnaire auto-rapporté a servi à mesurer l’alexithymie et les distorsions cognitives. Les résultats soulignent des niveaux élevés d’alexithymie et de distorsions cognitives. Les AVS en milieu fermé ont un score significativement plus élevé sur le facteur émotionnel de l’alexithymie que les AVS en milieu ouvert. Les données semblent indiquer des déficits dans le traitement de l’information sociale chez les AVS sur mineurs. Cette étude souligne l’importance d’adapter l’offre de soins en fonction des déficits, mais également du lieu de prise en charge et des ressources des patients.
{"title":"Alexithymie, distorsions cognitives et violence sexuelle sur mineurs : une étude exploratoire [Alexithymia, Cognitive Distortions and Child Sexual Offending: An Exploratory Study].","authors":"Maxime Escarguel, Benoît Testé, M. Benbouriche","doi":"10.59703/ijrr.v5i2.23-30","DOIUrl":"https://doi.org/10.59703/ijrr.v5i2.23-30","url":null,"abstract":"Cette étude porte sur le traitement de l’information chez des auteurs de violence sexuelle (AVS) sur mineurs à la fois sur le plan cognitif, avec les distorsions cognitives, et sur le plan émotionnel, avec l’alexithymie. La recherche a été menée sur 20 hommes auteurs de violence sexuelle sur mineurs. Un questionnaire auto-rapporté a servi à mesurer l’alexithymie et les distorsions cognitives. Les résultats soulignent des niveaux élevés d’alexithymie et de distorsions cognitives. Les AVS en milieu fermé ont un score significativement plus élevé sur le facteur émotionnel de l’alexithymie que les AVS en milieu ouvert. Les données semblent indiquer des déficits dans le traitement de l’information sociale chez les AVS sur mineurs. Cette étude souligne l’importance d’adapter l’offre de soins en fonction des déficits, mais également du lieu de prise en charge et des ressources des patients.","PeriodicalId":181328,"journal":{"name":"International Journal of Risk and Recovery","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133081934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Treena Wilkie, Patti Socha, Carley Sims, Margaret Mahendrian, Abanti Tagore, Shaheen A Darani
Responses to outbreaks of the novel coronavirus SARS-CoV-2 (COVID-19) in secure forensic settings have included several interventions, such as cohorting, assertive testing, isolation units, and infection control practices. The design of forensic facilities and the psychiatric impairment inherent to the patient population can make com - pliance with pandemic protocols challenging. In this study, we report on a COVID-19 outbreak on a low secure forensic inpatient unit in a large mental health hospital. For the 17 patients on the unit, we compared data from the 22-day COVID-19 out-break period with the 30 days before the outbreak. We developed patient profiles that informed decision-making in COVID-19 outbreak management and developed a conceptual framework to identify interventions to effectively respond to and manage the outbreak. Patients had a decrease in as-needed nicotine replacement therapy during the outbreak. The average Dynamic Appraisal of Situational Aggression score increased slightly across all patients during the outbreak, though these differences were not statistically significant. Although forensic settings present challenges in outbreak management, leveraging therapeutic alliance, highlighting the importance of working together, communicating the rationale for measures, and providing staff information and tools such as a conceptual framework can support patients’ following protocols and effective management of an outbreak.
{"title":"A conceptual framework for the management of a COVID-19 outbreak on a secure forensic Inpatient unit.","authors":"Treena Wilkie, Patti Socha, Carley Sims, Margaret Mahendrian, Abanti Tagore, Shaheen A Darani","doi":"10.59703/ijrr.v5i1.5-13","DOIUrl":"https://doi.org/10.59703/ijrr.v5i1.5-13","url":null,"abstract":"Responses to outbreaks of the novel coronavirus SARS-CoV-2 (COVID-19) in secure forensic settings have included several interventions, such as cohorting, assertive testing, isolation units, and infection control practices. The design of forensic facilities and the psychiatric impairment inherent to the patient population can make com - pliance with pandemic protocols challenging. In this study, we report on a COVID-19 outbreak on a low secure forensic inpatient unit in a large mental health hospital. For the 17 patients on the unit, we compared data from the 22-day COVID-19 out-break period with the 30 days before the outbreak. We developed patient profiles that informed decision-making in COVID-19 outbreak management and developed a conceptual framework to identify interventions to effectively respond to and manage the outbreak. Patients had a decrease in as-needed nicotine replacement therapy during the outbreak. The average Dynamic Appraisal of Situational Aggression score increased slightly across all patients during the outbreak, though these differences were not statistically significant. Although forensic settings present challenges in outbreak management, leveraging therapeutic alliance, highlighting the importance of working together, communicating the rationale for measures, and providing staff information and tools such as a conceptual framework can support patients’ following protocols and effective management of an outbreak.","PeriodicalId":181328,"journal":{"name":"International Journal of Risk and Recovery","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122017563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-01DOI: 10.59703/ijrr.v5i1.29-43
{"title":"Mesures alternatives à l’emprisonnement pour les enfants en conflit avec la loi : situation au Niger [Alternative Measures to Incarceration for the Children in Conflict with the Law: Situation in Niger].","authors":"","doi":"10.59703/ijrr.v5i1.29-43","DOIUrl":"https://doi.org/10.59703/ijrr.v5i1.29-43","url":null,"abstract":"","PeriodicalId":181328,"journal":{"name":"International Journal of Risk and Recovery","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129495907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Reflections at five years and post COVID-19.","authors":"","doi":"10.59703/ijrr.v5i2.1-2","DOIUrl":"https://doi.org/10.59703/ijrr.v5i2.1-2","url":null,"abstract":"","PeriodicalId":181328,"journal":{"name":"International Journal of Risk and Recovery","volume":"85 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124353103","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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