A comparison between former forensic and non-forensic patientsliving in psychiatric residential facilities: Anationalsurvey in Italy

Preti, Antonio; Picardi, Angelo; Fioritti, Angelo; Cappiello, Vincenzo; Santone, Giovanni; Girolamo, Giovanni de

doi:10.1080/14789940701607603

Cited by 6 publications

(5 citation statements)

References 46 publications

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“…The mean GAF score in our sample was lower both at discharge and at the follow-up interview when compared to findings from a study of maximum security patients in Italy (Preti, et al, 2008). This reflects severe symptoms or social and occupational impairments in our sample.…”

Section: Issue 3: Difference In Psychosocial Functioning As Outcome Pcontrasting

confidence: 64%

A Follow-up Interview of Patients Eight Years after Discharge from a Maximum Security Forensic Psychiatry Unit in Norway

Bjørkly

Sandli

Moger

et al. 2010

International Journal of Forensic Mental Health

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Research on the fate of patients after discharge from maximum security psychiatric care is scarce. Nonetheless, results indicate that readmission and reconviction rates are unacceptably high. Our research aimed to address three main issues: (1) to report findings from an eightyear follow-up of 125 patients discharged from a maximum security forensic unit (MSU) and to compare the results with studies from other countries; (2) to explore the feasibility and usefulness of face-to-face interviews (N = 38) as compared to using the traditional register-based follow-up method; and (3) to explore differences in psychosocial functioning from discharge to follow-up as a correlate of outcome. Findings replicated results from other research concerning rates of readmission, reconviction, and the strong association between substance abuse and the likelihood of being readmitted to the MSU. Despite methodological limitations, the face-to-face interview appeared to enhance access to significant clinical and psychosocial information. When compared with official records, patients' self-report was reliable for violent crime, not reliable concerning petty crime, and significantly more accurate for crimes pertaining to illegal drugs. Being readmitted to the MSU predicted decreased GAFscore values (OR = −12.89), and living with family predicted increased GAF-score values (OR = 19.20) in the multivariate linear regression analysis.

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Section: Issue 3: Difference In Psychosocial Functioning As Outcome Pcontrasting

confidence: 64%

A Follow-up Interview of Patients Eight Years after Discharge from a Maximum Security Forensic Psychiatry Unit in Norway

Bjørkly

Sandli

Moger

et al. 2010

International Journal of Forensic Mental Health

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“…Similarly, Raina and Lunsky (2009) found no difference between these groups. The current research supports the premise that within the assessed group, individuals in the violent and non-violent groups did not differ significantly, supporting previous studies that suggest there are often very few differences between violent and non-violent psychiatric patient presentations (Hodgins et al, 2007;Raina and Lunsky, 2009;Preti et al, 2008).…”

Section: Discussionsupporting

confidence: 88%

“…Whilst there are previous studies that investigate outcomes for violent and non-violent inpatients diagnosed with mental illness, there is a dearth of research comparing equivalent groups in the same facility over the same time period. Analysis of previous studies demonstrates attempts to match samples in separate facilities, or to study progress of the two groups once discharged into the community (Hodgins et al, 2007;Preti et al, 2008;Raina and Lunsky, 2009;Russo et al, 2003;White et al, 2006). This study directly compared inpatients with or without a history of violence in the same treatment settings.…”

Section: Hypothesesmentioning

confidence: 99%

The relationship between violence, level of functioning, and treatment outcome in psychiatric inpatients

Walji

Egan

Fonseca

et al. 2014

Journal of Forensic Practice

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Purpose – There is an association between the diagnosis of a mental illness and violent behaviour. Individuals diagnosed with severe and enduring mental health difficulties who display violent behaviour have inferior treatment outcomes when compared with those who do not engage in violent behaviour. Violent behaviour within care settings impacts on general functioning, adherence to treatment plans, and inhibits wider recovery goals. The paper aims to discuss these issues. Design/methodology/approach – This research studied 95 inpatients with a primary diagnosis of severe mental illness, with and without a history of violence, and compared how levels of global functioning and risk impacted on recovery. Patients were divided into two groups: those with and without a previous or current history of violence. The two groups were compared on measures of global functioning, symptomatology, and risk at baseline and 12-month follow up. Findings – Both violent and non-violent groups showed increased global functioning over time, with no significant difference between the groups. Neither group showed significant reductions in risk over time. Patients in the violent group had significantly fewer prior and current symptoms of mental ill-health than non-violent individuals. Research limitations/implications – Despite evidence suggesting that historical or current violence leads to impaired outcomes amongst people with diagnoses of mental illness, the findings of this study suggest a history of violent behaviour was not a predictor of poor progress within inpatient settings. Practical implications – Disconfirming previous hypotheses, the paper suggests that in itself, violent behaviour does not always significantly impair outcomes for individuals diagnosed with mental illnesses, and that many other variables contribute to meaningful recovery. Originality/value – Whilst there are previous studies investigating outcomes for inpatients diagnosed with mental illness who have violent histories, there is a dearth of research comparing equivalent groups in the same facility over the same time period. This study directly compared inpatients with or without a history of violence in the same psychiatric rehabilitation settings.

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“…This national and international expansion has impacted on the aspects of the role of professionals working in these environments, with theoretical modelling in Holland (Bernstein et al. 2007), a comparative analysis of roles in Italy (Preti et al. 2007), and across international borders from Germany to the UK (Ross et al.…”

Section: Literature Review and Theoretical Overviewmentioning

confidence: 99%

Binary construct analysis of forensic psychiatric nursing in the UK: High, medium, and low security services

Mason

King

Dulson

2009

Int J Mental Health Nurs

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The aim of this study was to identify if differences in perceptions of the role of forensic psychiatric nurses exist across the three levels of secure psychiatric provision: high, medium, and low. Any differences may reflect the type of clinical conditions found in different levels of security provision. An information-gathering schedule containing a validated 7-point Likert scale was distributed to 1200 forensic psychiatric nurses across the UK in 2005. A response rate of 34.6 was achieved, with 122 from high-security, 159 from medium-security, and 135 from low-security services. Differences in perceptions regarding role constructs were found across all three levels, with numerous differences being statistically significant using analysis of variance. The main implications are in relation to the development of skills and competencies, which should target specific clinical conditions in relation to effective interventions, the development of a specialist education and training curriculum focused on treatment outcomes, and the need for further research to draw together theory and practice. Finally, creative policy initiatives should be developed to cross-fertilize the levels of security provision in order that staff may acquire and deliver experiences in high-, medium-, and low-security psychiatric services.

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A comparison between former forensic and non-forensic patientsliving in psychiatric residential facilities: Anationalsurvey in Italy

Cited by 6 publications

References 46 publications

A Follow-up Interview of Patients Eight Years after Discharge from a Maximum Security Forensic Psychiatry Unit in Norway

A Follow-up Interview of Patients Eight Years after Discharge from a Maximum Security Forensic Psychiatry Unit in Norway

The relationship between violence, level of functioning, and treatment outcome in psychiatric inpatients

Binary construct analysis of forensic psychiatric nursing in the UK: High, medium, and low security services

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