Co-occurring mental illness, substance use disorders, and antisocial personality disorder among clients of forensic mental health services.

Ogloff, James R. P.; Talevski, Diana; Lemphers, Anthea; Wood, Melisa; Simmons, Melanie

doi:10.1037/prj0000088

Cited by 80 publications

(51 citation statements)

References 37 publications

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“…In consequence of the study, it has been observed that the most frequent psychiatric disorder is anxiety and adjustment disorders (45.7%), and that the repetitive offenders mostly fall under the 2nd axis diagnosis criteria of cluster B (borderline and antisocial personality disorder) based on the DSM-IV classification system, and that those who suffer from alcohol and substance-use disorder have committed more repetitive crimes. The findings are in compliance with the literature; it has been indicated that more frequent and serious crimes have been committed in the comorbid condition, where psychiatric disorder is combined with substance use and antisocial personality disorder, in comparison with those who suffer from only psychiatric disease [27]. Oncu et al have reported a comorbid condition in 25% of forensic psychiatric cases committing recurrent offenses after compulsory clinical treatment, and they have also reported that 75% of them have personality disorder and/or alcohol substance-use disorder [24].…”

Section: Discussionsupporting

confidence: 89%

Socio-demographic and clinical factors affecting repetitive crime for women applying to the infirmary in a prison

Köroğlu

Öncü

2018

Psychiatry and Clinical Psychopharmacology

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OBJECTIVE: In the last two decades, parallel to the increase in the number of female offenders, the number of the studies researching the women's characteristics, the nature of the crime and the conditions for the crime process has also increased. The purpose of this study is to research the clinical and socio-demographic factors affecting the repetitive crime in women prisoners. METHOD: A total of 105 female prisoners, who applied for psychiatric examination within the organization of Istanbul Bakirkoy Women's Prison and who granted their written consent have been included in the study. The socio-demographic data collection form, created by the researchers, and the SCID-I form for Structured Clinical Interview for DSM-IV Axis I Disorders, DSM-IV for Axis II Disorders, and also Taylor's Crime Severity Grading Scale, developed by Taylor have been utilized. The sample group was divided into two groups as repetitive offenders (25 people) and non-repetitive offenders (80 people), and such groups were compared socio-demographically according to their crime types and clinical characteristics. RESULTS: In our study, it has been detected that repetitive offenders have more crime histories in their family, their psychiatric disease was initiated at earlier ages, they have longer disease histories, they have more applications to the psychiatric institution, they perform more selfdestructive behaviours, they have experienced more suicidal attempts, the second axis disorders are more apparent for them, they have more alcohol and substance abuse, and they have also used alcohol substance while committing a crime. It has been determined that substance abuse, self-destruction, and separation in the family are independent factors predicting the repetitive crime apparently. CONCLUSION: Multidimensional evaluation of women, who commit repetitive crimes, by mental health professionals and the judicial system will be more effective in preventing new crimes.

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Section: Discussionsupporting

confidence: 89%

Socio-demographic and clinical factors affecting repetitive crime for women applying to the infirmary in a prison

Köroğlu

Öncü

2018

Psychiatry and Clinical Psychopharmacology

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“…An estimated 50 to 66% of offenders meet DSM-IV criteria (American Psychiatric Association 2000) for substance abuse or dependence, whereas only 9% of the general population meet these criteria (Mumola and Karberg 2006). In a sample of clients in forensic mental health services, 78% met the criteria for at least one lifetime substance use disorder diagnosis (Ogloff et al 2015). The association between substance use and offending behavior can be explained by several reasons including that substance use may exacerbate psychological symptoms (Swanson et al 2008), thereby increasing the likelihood of offending behavior (Giancola 2004).…”

Section: Introductionmentioning

confidence: 99%

Individuals with Mild Intellectual Disability or Borderline Intellectual Functioning in a Forensic Addiction Treatment Center: Prevalence and Clinical Characteristics

Luteijn

Didden

Nagel

2017

Adv Neurodev Disord

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Knowledge regarding substance-related problems and offending behavior in individuals with mild intellectual disability or borderline intellectual functioning (MBID; IQ 50-85) has increased over the last years, but is still limited. The present study examined differences in prevalence and clinical characteristics of individuals with and without MBID in a forensic addiction treatment center. Participants were 190 court mandated male clients of a low to high security forensic addiction treatment center in the Netherlands (aged between 21 and 59 years old, 82% of Dutch origin). Of the total sample 39% could be identified with MBID which is much higher than the estimated 12% to 15% of the general population. Results showed that clients with MBID reported significantly lower scores on desire for help, compared to clients without MBID (F (1, 73) = 5.12, p = .027). Against expectations, no significant group differences were found for aggression during treatment while controlling for impulsivity, treatment duration and type of substance use and offense. As results of the present study showed that clients with MBID are overrepresented in the forensic addiction treatment center, future research should further explore characteristics and responses to treatment of these clients. More knowledge about the characteristics of clients with MBID will not only help to better identify these clients, but will also to improve treatment for this group

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“…There is an issue that many addicts or mentally ill also develop antisocial behavior as a symptom of the addictive or mental illness processes [17]. These symptoms are not prior to the addiction or mental illness onset and after recovery they do NOT exhibit the antisocial behavior (which would not be true of the APDs).…”

Section: Problem-solving Courts and Beyondmentioning

confidence: 99%

“…The symptoms include lack of a conscience or sense of guilt, lack of empathy, egocentricity, pathological lying, repeated violations of social norms, and disregard for the law, shallow emotions, and a history of victimizing others [16]. A related clinical, research, and a diagnostic issue is that many anti-social personality disordered individuals (APD) also have addictive disorders or other symptoms of mental illnesses but which perhaps is still part of their larger psychopathological personality or criminal personality [17]. These individuals will prey on others until stopped.…”

Section: Problem-solving Courts and Beyondmentioning

confidence: 99%

Therapeutic Jurisprudence as a Needed Framework for a Behavioral Health Integrated Criminal Justice System

Appel¹,

Kim-Appel²

2016

J Foren Psy

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Increasingly, psychologists and other mental health professionals are working with the court order and offender populations in the human service and the criminal justice systems as a result of the deinstitutionalization of the mentally ill. A therapeutic jurisprudence (TJ) framework is offered as and integrative paradigm, which aims to serve the best interests of the community, while nevertheless limiting the overly punitive and unmerited aspects of offender treatment. A therapeutic jurisprudence framework requires a legal system informed by the research of psychology and integration of the mental health practice system with the criminal justice system. This paper calls for a broader adoption of the TJ approach across the criminal justice systems.

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Co-occurring mental illness, substance use disorders, and antisocial personality disorder among clients of forensic mental health services.

Cited by 80 publications

References 37 publications

Socio-demographic and clinical factors affecting repetitive crime for women applying to the infirmary in a prison

Socio-demographic and clinical factors affecting repetitive crime for women applying to the infirmary in a prison

Individuals with Mild Intellectual Disability or Borderline Intellectual Functioning in a Forensic Addiction Treatment Center: Prevalence and Clinical Characteristics

Therapeutic Jurisprudence as a Needed Framework for a Behavioral Health Integrated Criminal Justice System

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