Pub Date : 2005-03-01DOI: 10.1080/1478994042000325994
J. Keene, J. Rodríguez
There are very few large population studies combining information from mental health and criminal justice populations and therefore a lack of information about the characteristics, risks, and service utilisation of the mentally disordered offender population as a whole. This study, for the first time in the UK, combines anonymised data to link all cases across mental health agency (n = 27,282) and criminal justice agency (n = 23,740) populations within one English county (n = 907,524) over three years. It compares gender and age characteristics of the shared population of mentally disordered offenders with each sub-population and the general county population as a whole. It assesses the risks of offending for mental and non-mental health sub-populations, both overall (six times greater among the mentally disordered) and across genders and age groups (greater among males and youngsters). It assesses the impact of mental health needs and service use on the risks and frequency of offending for different gender and age groups of mental health patients (inpatients were at higher risks and community care patients at lower risks, except for males). Finally it identifies the existence of two distinct 'care' populations and examines how this type of data could inform future service development.
{"title":"Mentally disordered offenders: A case linkage study of criminal justice and mental health populations in the UK","authors":"J. Keene, J. Rodríguez","doi":"10.1080/1478994042000325994","DOIUrl":"https://doi.org/10.1080/1478994042000325994","url":null,"abstract":"There are very few large population studies combining information from mental health and criminal justice populations and therefore a lack of information about the characteristics, risks, and service utilisation of the mentally disordered offender population as a whole. This study, for the first time in the UK, combines anonymised data to link all cases across mental health agency (n = 27,282) and criminal justice agency (n = 23,740) populations within one English county (n = 907,524) over three years. It compares gender and age characteristics of the shared population of mentally disordered offenders with each sub-population and the general county population as a whole. It assesses the risks of offending for mental and non-mental health sub-populations, both overall (six times greater among the mentally disordered) and across genders and age groups (greater among males and youngsters). It assesses the impact of mental health needs and service use on the risks and frequency of offending for different gender and age groups of mental health patients (inpatients were at higher risks and community care patients at lower risks, except for males). Finally it identifies the existence of two distinct 'care' populations and examines how this type of data could inform future service development.","PeriodicalId":47524,"journal":{"name":"Journal of Forensic Psychiatry & Psychology","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2005-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/1478994042000325994","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59874735","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 : 2004-03-01DOI: 10.1080/14788940410001655916
V. de Vogel, C. de Ruiter
Do clinicians and researchers differ in their violence risk assessment of the same patient? In this study, the Dutch version of the HCR-20 was coded by two independent researchers and two independent clinicians (treatment supervisor and group leader) for 60 patients admitted to a Dutch forensic psychiatric hospital. The aim of the study was threefold: (1) to establish the interrater reliability of the Dutch HCR-20; (2) to gain insight into differences between researchers and clinicians in coding the HCR-20; and (3) to examine the relationship between clinicians' feelings towards their patients and their risk judgment. Overall, the interrater reliability of the HCR-20 was good. The group leaders gave significantly lower HCR-20 scores than the researchers. There were no significant differences between the mean HCR-20 scores of treatment supervisors and researchers, but there was a significant difference in the interpretation of the scores: treatment supervisors had more ‘low risk’ judgments than researchers. Furthermore, it was found that feelings of clinicians towards their patients were associated with their risk judgment. Feelings of being controlled and manipulated by the patient were related to higher HCR-20 scores, whereas positive feelings (helpful, happy, relaxed) were related to lower risk judgments.
{"title":"Differences between clinicians and researchers in assessing risk of violence in forensic psychiatric patients","authors":"V. de Vogel, C. de Ruiter","doi":"10.1080/14788940410001655916","DOIUrl":"https://doi.org/10.1080/14788940410001655916","url":null,"abstract":"Do clinicians and researchers differ in their violence risk assessment of the same patient? In this study, the Dutch version of the HCR-20 was coded by two independent researchers and two independent clinicians (treatment supervisor and group leader) for 60 patients admitted to a Dutch forensic psychiatric hospital. The aim of the study was threefold: (1) to establish the interrater reliability of the Dutch HCR-20; (2) to gain insight into differences between researchers and clinicians in coding the HCR-20; and (3) to examine the relationship between clinicians' feelings towards their patients and their risk judgment. Overall, the interrater reliability of the HCR-20 was good. The group leaders gave significantly lower HCR-20 scores than the researchers. There were no significant differences between the mean HCR-20 scores of treatment supervisors and researchers, but there was a significant difference in the interpretation of the scores: treatment supervisors had more ‘low risk’ judgments than researchers. Furthermore, it was found that feelings of clinicians towards their patients were associated with their risk judgment. Feelings of being controlled and manipulated by the patient were related to higher HCR-20 scores, whereas positive feelings (helpful, happy, relaxed) were related to lower risk judgments.","PeriodicalId":47524,"journal":{"name":"Journal of Forensic Psychiatry & Psychology","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2004-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14788940410001655916","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59874941","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 : 2004-03-01DOI: 10.1080/14789940410001661810
Adrian Grounds Dm FRCPsych, Tom Fryers Md PhD Ffphm Visiting
Medium secure units sit in the middle of a spectrum of forensic inpatient care, called upon both by those leaving maximum security and those testing the limits of local admission. Defining middles is never easy and 3 decades after the development of these units there is still little consensus on precisely what criteria should decide the need for admission, and limited information on what factors operate in practice. Clarity could make admission assessment a more predictable process than it currently is and could even underpin a more rational policy development for forensic psychiatric care. Perhaps with this in mind, in 1998 the Department of Health commissioned two national studies of admission to, and discharge from, medium secure psychiatric care in England and Wales. This issue of the Journal contains a series of three papers describing the study of admission. The initial research brief had ambitious aims. It specified that the study should include samples of referrals to medium secure psychiatric services; a comparison of different areas and models of service provision; generalisable data on who gains access to medium secure care and who does not; an analysis of the determinants of selection; an examination of decision making The Journal of Forensic Psychiatry & Psychology
{"title":"What determines access to medium secure psychiatric provision","authors":"Adrian Grounds Dm FRCPsych, Tom Fryers Md PhD Ffphm Visiting","doi":"10.1080/14789940410001661810","DOIUrl":"https://doi.org/10.1080/14789940410001661810","url":null,"abstract":"Medium secure units sit in the middle of a spectrum of forensic inpatient care, called upon both by those leaving maximum security and those testing the limits of local admission. Defining middles is never easy and 3 decades after the development of these units there is still little consensus on precisely what criteria should decide the need for admission, and limited information on what factors operate in practice. Clarity could make admission assessment a more predictable process than it currently is and could even underpin a more rational policy development for forensic psychiatric care. Perhaps with this in mind, in 1998 the Department of Health commissioned two national studies of admission to, and discharge from, medium secure psychiatric care in England and Wales. This issue of the Journal contains a series of three papers describing the study of admission. The initial research brief had ambitious aims. It specified that the study should include samples of referrals to medium secure psychiatric services; a comparison of different areas and models of service provision; generalisable data on who gains access to medium secure care and who does not; an analysis of the determinants of selection; an examination of decision making The Journal of Forensic Psychiatry & Psychology","PeriodicalId":47524,"journal":{"name":"Journal of Forensic Psychiatry & Psychology","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2004-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14789940410001661810","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59875074","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 : 2003-12-01DOI: 10.1080/14789940310001626649
Bridget Dolan Barrister
{"title":"Legal digest: a summary of recent case-law","authors":"Bridget Dolan Barrister","doi":"10.1080/14789940310001626649","DOIUrl":"https://doi.org/10.1080/14789940310001626649","url":null,"abstract":"","PeriodicalId":47524,"journal":{"name":"Journal of Forensic Psychiatry & Psychology","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2003-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14789940310001626649","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59875000","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 : 2003-04-01DOI: 10.1080/1478994031000078717
R. Pezzani
Whereas: (a) sections 72(1) and 73(1) of the Mental Health Act 1983(1) have been declared(2) under section 4 of the Human Rights Act 1998(3) to be incompatible with a Convention right(4); (b) the time for bringing an appeal has expired and no appeal has been brought within that time; (c) the Secretary of State considers that there are compelling reasons for proceeding by way of a remedial order(5) to make such amendments to the Mental Health Act 1983 as he considers necessary to remove the incompatibility; and (d) it appears to the Secretary of State that, because of the urgency of the matter, it is necessary to make the order without a draft being approved by resolution of each House of Parliament; Now, therefore, the Secretary of State in exercise of the powers conferred upon him by section 10(2) of, and paragraph 1(1)(a) of Schedule 2 to, the Human Rights Act 1998 hereby makes the following Order:
{"title":"Changing the burden of proof in mental health review tribunals: the Mental Health Act 1983 (Remedial) Order 2001","authors":"R. Pezzani","doi":"10.1080/1478994031000078717","DOIUrl":"https://doi.org/10.1080/1478994031000078717","url":null,"abstract":"Whereas: (a) sections 72(1) and 73(1) of the Mental Health Act 1983(1) have been declared(2) under section 4 of the Human Rights Act 1998(3) to be incompatible with a Convention right(4); (b) the time for bringing an appeal has expired and no appeal has been brought within that time; (c) the Secretary of State considers that there are compelling reasons for proceeding by way of a remedial order(5) to make such amendments to the Mental Health Act 1983 as he considers necessary to remove the incompatibility; and (d) it appears to the Secretary of State that, because of the urgency of the matter, it is necessary to make the order without a draft being approved by resolution of each House of Parliament; Now, therefore, the Secretary of State in exercise of the powers conferred upon him by section 10(2) of, and paragraph 1(1)(a) of Schedule 2 to, the Human Rights Act 1998 hereby makes the following Order:","PeriodicalId":47524,"journal":{"name":"Journal of Forensic Psychiatry & Psychology","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2003-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/1478994031000078717","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59874992","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 : 1999-12-01DOI: 10.1080/09585189908402154
N. Eastman, Mark R. Mullins
{"title":"Prosecuting the mentally disordered","authors":"N. Eastman, Mark R. Mullins","doi":"10.1080/09585189908402154","DOIUrl":"https://doi.org/10.1080/09585189908402154","url":null,"abstract":"","PeriodicalId":47524,"journal":{"name":"Journal of Forensic Psychiatry & Psychology","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"1999-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85401518","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 : 1999-12-01DOI: 10.1080/09585189908402168
L. Birmingham, Debbie Mason, D. Grubin
Abstract Tattoos of all kinds have been found to be associated with marginal groups, antisocial behaviours and mental health problems. Little is known, however, about the subgroup with prominent tattoos on areas of the body, such as the face, which are clearly visible to others. This paper investigates associations between visible tattoos and mental disorder, substance misuse and criminality in a large group of adult male prisoners. Childhood adversity, drug and alcohol misuse, self-harm, violent behaviour and previous imprisonment were all found to be significantly associated with the presence of visible tattoos in this population. Whilst prior contact with psychiatric services was also significantly more common, no relationship existed between visible tattoos and lifetime DSM-IV mental disorder per se. Personality disorder was not found to be more prevalent in the visibly tattooed group, but a statistically significant relationship was demonstrated between visible tattoos and schizophrenia or related ps...
{"title":"The psychiatric implications of visible tattoos in an adult male prison population","authors":"L. Birmingham, Debbie Mason, D. Grubin","doi":"10.1080/09585189908402168","DOIUrl":"https://doi.org/10.1080/09585189908402168","url":null,"abstract":"Abstract Tattoos of all kinds have been found to be associated with marginal groups, antisocial behaviours and mental health problems. Little is known, however, about the subgroup with prominent tattoos on areas of the body, such as the face, which are clearly visible to others. This paper investigates associations between visible tattoos and mental disorder, substance misuse and criminality in a large group of adult male prisoners. Childhood adversity, drug and alcohol misuse, self-harm, violent behaviour and previous imprisonment were all found to be significantly associated with the presence of visible tattoos in this population. Whilst prior contact with psychiatric services was also significantly more common, no relationship existed between visible tattoos and lifetime DSM-IV mental disorder per se. Personality disorder was not found to be more prevalent in the visibly tattooed group, but a statistically significant relationship was demonstrated between visible tattoos and schizophrenia or related ps...","PeriodicalId":47524,"journal":{"name":"Journal of Forensic Psychiatry & Psychology","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"1999-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82313649","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 : 1999-12-01DOI: 10.1080/09585189908402165
R. Darjee, Alexander A McCall Smith, J. Crichton, D. Chiswick
{"title":"Detention of patients with psychopathic disorder in Scotland: ‘Canons Park’ called into question by House of Lords","authors":"R. Darjee, Alexander A McCall Smith, J. Crichton, D. Chiswick","doi":"10.1080/09585189908402165","DOIUrl":"https://doi.org/10.1080/09585189908402165","url":null,"abstract":"","PeriodicalId":47524,"journal":{"name":"Journal of Forensic Psychiatry & Psychology","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"1999-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73338568","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 : 1999-12-01DOI: 10.1080/09585189908402164
V. Quinsey
{"title":"Report of the committee of inquiry into the personality disorder unit, Ashworth special hospital, vol. 1.","authors":"V. Quinsey","doi":"10.1080/09585189908402164","DOIUrl":"https://doi.org/10.1080/09585189908402164","url":null,"abstract":"","PeriodicalId":47524,"journal":{"name":"Journal of Forensic Psychiatry & Psychology","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"1999-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87688478","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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