Developing Forensic Mental Healthcare in Kosovo

Forensic psychiatric care must be provided within the least restrictive setting possible, whilst simultaneously maintaining appropriate levels of security. This presents particular challenges for the design of forensic psychiatric hospitals, which are required to provide both a therapeutic and a safe material environment, often for extended periods of treatment and rehabilitation. By taking into consideration variable trends in psychiatric service provision and myriad clinical, legal and ethical issues, interdisciplinary forensic facility design teams are at the very forefront in implementing the latest developments in medical architecture. Also, although there are significant differences in how forensic psychiatric services are organized around the world, the underlying clinical challenges and increasingly research-based treatment principles are similar worldwide; it is therefore becoming less acceptable to operate and develop national forensic services without reference to international standards. Accordingly, we here review the literature on what features of forensic psychiatric facilities best serve the needs of those patients who need to rely on them, and we present a systematic and widely applicable approach to the complex and costly challenge of modern forensic psychiatric hospital design.

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“… 1. Define training needs in order to establish and maintain care quality [ 87 ] 2. What research is required to fulfil the facility’s tasks?…”

Section: Template For a Forensic Facility Design Briefmentioning

confidence: 99%

Modern forensic psychiatric hospital design: clinical, legal and structural aspects

Seppänen

Törmänen

Shaw

et al. 2018

Int J Ment Health Syst

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“…Maybe this finding could be explained by the lack of human resources (especially psychiatrists in rural areas) and probably insufficient financial support for improving the collaboration between various mental health care services. A limited mental health care infrastructure and struggling with economical situation are two barriers underlined by Salize et al (2014) as well.…”

Section: Discussionmentioning

confidence: 99%

Non-pharmacological treatments for schizophrenia in Southeast Europe: An expert survey

Stevović

Repišti

Radojičić

et al. 2021

Int J Soc Psychiatry

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Background: Non-pharmacological treatment for schizophrenia includes educational, psychotherapeutic, social, and physical interventions. Despite growing importance of these interventions in the holistic treatment of individuals with schizophrenia, very little is known about their availability in South-East European countries (SEE). Objective: To explore mental health care experts’ opinions of the availability of non-pharmacological treatment for people with schizophrenia in SEE. Methods: An online survey containing 11 questions was completed by one mental health expert from each of the following SEE countries: Albania, Bosnia and Herzegovina (B&H), Bulgaria, Croatia, Greece, Kosovo†, Montenegro, Moldova, North Macedonia, Romania, Serbia, and Slovenia. Data were collected on estimated rates of received non-pharmacological interventions, type of services delivering these interventions, and expert views of availability barriers. Results: In eight countries, the estimated percentage of people with schizophrenia who receive non-pharmacological treatments was below 35%. The primary explanations for the low availability of non-pharmacological treatments were: lack of human and financial resources, lack of training for clinicians, and pharmacotherapy dominance in the treatment for schizophrenia. Conclusion: Lack of personal and institutional resources and state support were identified as primary obstacles to staff training and delivering non-pharmacological treatments to people with schizophrenia on individual and systemic levels, respectively. This evidence can be used to improve holistic, evidence-based treatment for schizophrenia in the SEE countries.

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“…Concepts, models, specialized services, quality of forensic care and how it is managed differ widely across Europe and worldwide (Salize and Dressing, 2005;Salize et al, 2014). USA introduced managed care in Massachusetts in 1992 (Fisher et al, 2002), but neither Canada nor Australia currently use managed care networks.…”

Section: Discussionmentioning

confidence: 99%

Scotland ' s approach to forensic mental health and learning disabilities – the Forensic Network

Walker

Murphy

Gration

2015

Journal of Intellectual Disabilities and Offending Behaviour

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Purpose – The Forensic Mental Health Services Managed Care Network is described, including the School of Forensic Mental Health. The purpose of this paper is to outline background, it details successes and challenges, focuses on links to clinical practice for Learning Disabilities (LD) service development, describes education and training, multi-disciplinary and multi-agency working and quality improvement. Findings from a small scale brief educational study undertaken in the high-secure service are included as an example of good practice. Design/methodology/approach – Specific features relating to LD are highlighted. Comparisons are made with other managed clinical and managed care networks. Findings – The Forensic Network has evolved over time. It has played a crucial role in shaping Scotland’s approach to Forensic Mental Health and LD. Central to its success is active involvement of key stakeholders, a multi-agency approach and collaborative working practice. Future plans include formal evaluation of impact. Originality/value – This paper offers an interesting perspective from a forensic mental health managed care network; the existing literature is limited.

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Developing Forensic Mental Healthcare in Kosovo

Cited by 6 publications

References 5 publications

Modern forensic psychiatric hospital design: clinical, legal and structural aspects

Modern forensic psychiatric hospital design: clinical, legal and structural aspects

Non-pharmacological treatments for schizophrenia in Southeast Europe: An expert survey

Scotland ' s approach to forensic mental health and learning disabilities – the Forensic Network

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