The authors examined 219 referrals to a forensic psychology outpatient service between 1989 and 1996. Factors including age of client, whether it was first or subsequent referral, number of agencies previously involved, and type of problem were examined to determine their relationship to the outcomes of nonattendance, early dropout, or completion of assessment/therapy. Type of problem for which the referral was made was found to be significant, with referrals for anger control carrying a poor prognosis for successful completion of therapy. Recommendations for the more effective functioning of the service were made.
SARAH PATIENT Barnet, Enfield and Haringey Mental Health TrustThis article presents analyses of two narratives: a book written by a serial killer, Ian Brady, and an autobiographical account written by a serially violent offender. In both cases, the narrative was subjected to a content analysis and converted to a textual grid. It is argued that narratives provide not only a means of better understanding the violent offender's view of the world and the choices he or she has made but also a potentially useful therapeutic option with such individuals.
A community team for mentally disordered offenders in a London borough was reviewed three years after its inception. As this term covers a broad spectrum of people, a profile of the team's clients was compiled and there is some discussion of what might constitute suitable measures of progress for the client group. In view of this, details are provided of reconviction and re‐arrest, hospital re‐admission, Health of the Nation Outcome (HONOS) scales and the views of clients themselves. Low rates of reconviction and re‐arrest were found, and improvements were evident on all other measures.
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