Attempting to Understand the Increase in the Numbers of Forensic Beds in Europe: A Multi-site Study of Patients in Forensic and General Psychiatric Services

Hodgins, Sheilagh; Müller-Isberner, Rüdiger; Allaire, Jean-François

doi:10.1080/14999013.2006.10471241

Cited by 52 publications

(40 citation statements)

References 39 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The high ARR of being a non-abusing forensic patient among Iranian men and Eastern European females is related to the high ARR of becoming a forensic patient among these two groups. It is often said that the increasing number of schizophrenic offenders is related to an increasing substance abuse among schizophrenic patients (17), but in accordance with other studies (18,19), our findings clearly indicate that reasons other than substance abuse, for instance, the insufficient treatment of schizophrenic patients in the era of deinstitutionalization (20,21), are the main explanations for the increasing number of schizophrenic forensic patients seen in many countries (22,23).…”

Section: Diagnosessupporting

confidence: 91%

Forensic psychiatric patients among immigrants in Denmark – Diagnoses and criminality

Gabrielsen

Kramp

2009

Nordic Journal of Psychiatry

View full text Add to dashboard Cite

The purpose of this study is to analyse a sample of immigrant forensic psychiatric patients and to compare them with Danish patients. Of the 326 forensic patients in Copenhagen, 111 were immigrants or descendants of immigrants. The sample was broken down according to area of origin, age, gender and ethnic status. The data have been analysed by Poisson regression with the background population as an offset variable. Of the patients of non-Danish ethnicity, a significantly higher ratio was diagnosed with schizophrenia and a lower ratio was diagnosed with personality disorders compared with Danes. Iranians accounted for a higher ratio than did other minority groups, whereas patients from Western Europe/USA were not different from Danes. The higher ratio of forensic schizophrenic patients of non-Danish ethnicity cannot be explained by social factors or substance abuse. Migration increases the age-adjusted risk (ARR) of becoming schizophrenic (ARR=2.7). We found the ARR of becoming a male forensic schizophrenic patient among immigrants/descendants to be 2.8, i.e. the same as that caused by migration as such. Violence and schizophrenia are associated, and this explains the fact that the ratio of immigrants/descendants having committed violence exceeds that of Danes. Non-violent crimes are more equally distributed among ethnic groups and seem to be associated with common criminogenic factors. Arson is mainly committed by older schizophrenic patients of Danish ethnicity. The risk of an individual immigrant and Danish schizophrenic patient exhibiting criminal behaviour is the same. Schizophrenia is a criminogenic factor in violence, but not in non-violent crimes. The differences between the various ethnic groups could be related to selection caused by both immigration and emigration.

show abstract

Section: Diagnosessupporting

confidence: 91%

Forensic psychiatric patients among immigrants in Denmark – Diagnoses and criminality

Gabrielsen

Kramp

2009

Nordic Journal of Psychiatry

View full text Add to dashboard Cite

show abstract

“…The number of treatment episodes is also significantly lower in the forensic group. This marginal use of psychiatric services prior to the index offense is in agreement with data in the literature (Timonen et al, 2000;Hodgins, & Müller-Isberner, 2004;Hodgins et al, 2006). The forensic group also had significantly fewer involuntary admissions to psychiatric hospitals than psychotic patients in general psychiatry.…”

Section: History Of Psychiatric Caresupporting

confidence: 89%

Psychotic Symptoms and Prior Use of Psychiatric Services in Psychotic Offenders Detained Under the Dutch Entrustment Act (TBS): An Exploratory Study

Goethals

Buitelaar

Marle

2010

International Journal of Forensic Mental Health

View full text Add to dashboard Cite

“…Though a rapid reduction of beds in psychiatric hospitals generally has been witnessed internationally, there has been a significant increase in demand for forensic services (Hodgins, Müller-Isberner, & Allaire, 2006;JansmanHart, Seto, Crocker, Nicholls, & Cote, 2011;Priebe et al, 2005Priebe et al, , 2008. While the length of stay (LoS) in forensic inpatient mental health services has fallen, at least in some countries, and recovery principles have been applied to MDOs (Sugarman & Oakley, 2012), a number of patients still experience lengthy stays in forensic services, potentially at inappropriately high levels of security (Shah, Waldron, Boast, Coid, & Ullrich, 2011;Sharma, Dunn, O'Toole, & Kennedy, 2015;Shaw, Davies, & Morey, 2001).…”

mentioning

confidence: 99%

Long-Term Forensic Mental Health Services: An Exploratory Comparison of 18 European Countries

Sampson

Edworthy

Völlm

et al. 2016

International Journal of Forensic Mental Health

View full text Add to dashboard Cite

The objective of this study was to explore current provisions within forensic mental health inpatient services for people who require longer-term care within Europe. We used a structured questionnaire and follow-up semi-structured interviews with experts in forensic psychiatry in 18 European countries. All experts interviewed acknowledged the issue of 'longstay' in forensic psychiatry with patient characteristics including chronic mental disorder, treatment-resistance and violent behaviour. Formal and informal definitions of 'long-stay' varied widely between countries. Eight experts stated that long-stay services are currently available in their country, either in a separate hospital or specific treatment wards. Of the countries without long-stay services, five experts expressed a need develop them. Improved quality of life and promotion of wellbeing were emphasised as the fundamental treatment philosophy. Even without an agreed definition of 'long-stay', it is clear that a proportion of mentally disordered offenders (MDOs) are 'stuck' in 'the system'. Experts shared common concerns in terms of political pressures to contain dangerous MDOs for ensuring public safety as well as ethical debates regarding long-term forensic mental health care. Further research is required to promote dialogue between and within countries to address the balance of patients' rights and public safety, and to produce longitudinal and economic analyses of existing long-stay forensic service provisions.

show abstract

Attempting to Understand the Increase in the Numbers of Forensic Beds in Europe: A Multi-site Study of Patients in Forensic and General Psychiatric Services

Cited by 52 publications

References 39 publications

Forensic psychiatric patients among immigrants in Denmark – Diagnoses and criminality

Forensic psychiatric patients among immigrants in Denmark – Diagnoses and criminality

Psychotic Symptoms and Prior Use of Psychiatric Services in Psychotic Offenders Detained Under the Dutch Entrustment Act (TBS): An Exploratory Study

Long-Term Forensic Mental Health Services: An Exploratory Comparison of 18 European Countries

Contact Info

Product

Resources

About