Introduction
This study aimed to develop and validate a Chinese version of the See, Think, Act Scale (C‐STA). The relational security of the Department of Forensic Psychiatry of Castle Peak Hospital, which provides territory‐wide forensic psychiatric services in Hong Kong, was measured.
Methods
The See, Think, Act Scale was first translated into Chinese, then back‐translated into English for comparison, and finally, subject to modification until alignment was achieved. Its content validity and face validity were explored through expert panel evaluation and focus group discussion, respectively. Eighty‐nine Chinese mental health professionals were recruited from six service units to measure the relational security of the Department of Forensic Psychiatry using the C‐STA.
Results
The Cronbach's alpha coefficient for internal consistency was high, with all components exceeding 0.90. The intraclass correlation coefficients for the test‐retest reliability of all components ranged from 0.50 to 0.72. Participants had the lowest score on the “patient focus” component (M = 2.56, standard deviation [SD] = 0.32). A significant sex difference in total relational security scores was found (P < 0.001).
Discussion
The C‐STA is a valid and reliable instrument to measure the relational security of forensic psychiatric services. “Patient focus” might be the target component of relational security for which the Department of Forensic Psychiatry needs to have interventions. The significant sex difference in total relational security scores needs further exploration.
The Department of Forensic Psychiatry of Castle Peak Hospital is the only facility in Hong Kong that provides territory-wide forensic psychiatric services for patients with criminal involvement. This retrospective study aimed to explore whether the rehabilitation programs provided by the department could significantly reduce the risks of forensic psychiatric inpatients as measured by the Short-Term Assessment of Risk and Treatability (START). START ratings of inpatients who were hospitalized in the department for more than 3 months and were discharged to the community during the period from 11 April 2015 to 31 March 2019 were analyzed. A total of 79 patients were assessed, of whom 61 (77.2%) were males. Fifty-four (68.4%) patients suffered from schizophrenia. START scores upon admission (strength score = 5.67; vulnerability score = 17.43) and upon discharge (strength score = 6.87, vulnerability score = 11.18) indicated significant reduction of risks among inpatients (p < 0.05). 1 | INTRODUCTION Risk assessment and management of forensic mentally ill patients, particularly in inpatient settings, are crucial for mental health professionals working in secured forensic institutions. Castle Peak Hospital (CPH) is the only hospital in Hong Kong that provides territory-wide forensic psychiatric services, which are provided by the Department of Forensic Psychiatry (Siu & Lam, 2018). Established in February 1995, the department provides services to mentally ill patients with criminal involvement. Furthermore, non-offender patients with significant behavioral disturbances or
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