Inpatient forensic-psychiatric care: Legal frameworks and service provision in three European countries

Edworthy, Rachel; Sampson, Stephanie; Völlm, Birgit

doi:10.1016/j.ijlp.2016.02.027

Cited by 70 publications

(39 citation statements)

References 39 publications

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“…Only data from countries identified as having some type of long-stay service provision will be considered here; however, a full discussion of the data can be seen in a separately published paper. 146 Comparison study of patient characteristics…”

Section: Discussionmentioning

confidence: 99%

“…For a full account of this comparison, see Edworthy et al 146 In comparing the three countries, it is important to first note that England is unique in that it operates under common law, rather than civil law, as is the case in the other two countries. Each of the three countries has developed legislation that governs the detention and treatment of MDOs.…”

Section: Legal Frameworkmentioning

confidence: 99%

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A mixed-methods study exploring the characteristics and needs of long-stay patients in high and medium secure settings in England: implications for service organisation

Völlm

Edworthy

Holley

et al. 2017

Health Serv Deliv Res

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, et al. A mixed-methods study exploring the characteristics and needs of long-stay patients in high and medium secure settings in England: implications for service organisation. Health Serv Deliv Res 2017;5(11). Health Services and Delivery ResearchISSN 2050-4349 (Print) ISSN 2050-4357 (Online) This journal is a member of and subscribes to the principles of the Committee on Publication Ethics (COPE) (www.publicationethics.org/).Editorial contact: nihredit@southampton.ac.ukThe full HS&DR archive is freely available to view online at www.journalslibrary.nihr.ac.uk/hsdr. Print-on-demand copies can be purchased from the report pages of the NIHR Journals Library website: www.journalslibrary.nihr.ac.uk Criteria for inclusion in the Health Services and Delivery Research journalReports are published in Health Services and Delivery Research (HS&DR) if (1) they have resulted from work for the HS&DR programme or programmes which preceded the HS&DR programme, and (2) they are of a sufficiently high scientific quality as assessed by the reviewers and editors. HS&DR programmeThe Health Services and Delivery Research (HS&DR) programme, part of the National Institute for Health Research (NIHR), was established to fund a broad range of research. It combines the strengths and contributions of two previous NIHR research programmes: the Health Services Research (HSR) programme and the Service Delivery and Organisation (SDO) programme, which were merged in January 2012.The HS&DR programme aims to produce rigorous and relevant evidence on the quality, access and organisation of health services including costs and outcomes, as well as research on implementation. The programme will enhance the strategic focus on research that matters to the NHS and is keen to support ambitious evaluative research to improve health services.For more information about the HS&DR programme please visit the website: http://www.nets.nihr.ac.uk/programmes/hsdr This reportThe research reported in this issue of the journal was funded by the HS&DR programme or one of its preceding programmes as project number 11/1024/06. The contractual start date was in March 2013. The final report began editorial review in March 2016 and was accepted for publication in September 2016. The authors have been wholly responsible for all data collection, analysis and interpretation, and for writing up their work. The HS&DR editors and production house have tried to ensure the accuracy of the authors' report and would like to thank the reviewers for their constructive comments on the final report document. However, they do not accept liability for damages or losses arising from material published in this report.This report presents independent research funded by the National Institute for Health Research (NIHR). The views and opinions expressed by authors in this publication are those of the authors and do not necessarily reflect those of the NHS, the NIHR, NETSCC, the HS&DR programme or the Department of Health. If there are verbatim quotations included in this publication the ...

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Section: Discussionmentioning

confidence: 99%

Section: Legal Frameworkmentioning

confidence: 99%

A mixed-methods study exploring the characteristics and needs of long-stay patients in high and medium secure settings in England: implications for service organisation

Völlm

Edworthy

Holley

et al. 2017

Health Serv Deliv Res

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“…Detention according to Section 63 requires diminished or no criminal responsibility resulting from a diagnosis of a severe mental disorder (e.g., schizophrenia, intellectual disability, severe personality disorder). In contrast to several other European countries, in Germany the duration of detention is not limited by law; however, the longer the detention lasts, the more relevant considerations of proportionality, i.e., the risk of severe re-offending against the right to freedom, become (12). Patients detained according to Section 64 have a substance use disorder (often with comorbid personality disorder), which rarely affects criminal responsibility.…”

Section: Introductionmentioning

confidence: 99%

Clinical Ethics Support Services Are Not as Well-Established in Forensic Psychiatry as in General Psychiatry

et al. 2020

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“…This has, however, raised several ethical issues (10,11). One major concern refers to the patients' right to freedom (12). Considering this concern, German forensic-psychiatric hospitals are required to minimize the length of patients' stay by, among others, offering granted leave (13).…”

Section: Introductionmentioning

confidence: 99%

Granting Leave to Patients in Bavarian Forensic-Psychiatric Hospitals: A Survey to Describe the Current Process and Develop Guidelines

Sklenarova¹,

Neutze²,

Kretschmer³

et al. 2020

Front. Psychiatry

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Forensic-psychiatric patients reoffending or absconding during the leave granted to them (hereafter referred to as "granted leave") have gained increased attention by researchers and the general public. The patients' right to freedom on the one hand and the need for protection of the general public from serious harm on the other hand represent broadly discussed ethical issues. Thus, demands on quality regarding decisions on patients' granted leaves might be high. Despite such requirements, research on decision-making processes regarding granting leave in forensic psychiatry is very limited and focuses primarily on particular aspects. The present study aims at providing a first overview of the decision-making processes regarding granted leave in forensic psychiatry as a whole. Furthermore, the link between the particular steps of the process and absconding should be explored. In this way, the study results should contribute to provide a theoretical framework for the development of guidelines concerning granted leave in forensic psychiatry. A combination of qualitative and quantitative approaches will be used to collect data: information about risk assessment, decisions on granted leave, and documentation systems in forensic psychiatry will be collected via semi-structured interviews and quantified for further analyses using a checklist developed for this study; data on the implementation of risk assessment tools and documented patient information will be obtained via two self-constructed questionnaires; information about the absolute number of abscondences per hospital will be obtained from the Bavarian Authority for Forensic Commitment. The sample will include staff from all 13 forensic-psychiatric hospitals in Bavaria (Germany) comprising six professional groups: hospital directors, security officers, complementary therapists, psychiatrists, psychologists, social workers, and nursing staff. In each hospital, at least one member of each professional group should participate in the study. In total, 151 interviews will be held. As the study goals are descriptive, there are no pre-formulated hypotheses. Developing guidelines would be the first step towards further standardization of the granted leave decisional process in Frontiers in Psychiatry | www.frontiersin.org forensic psychiatry and to make it more transparent for patients, staff members, hospital directors, and the government.

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Inpatient forensic-psychiatric care: Legal frameworks and service provision in three European countries

Cited by 70 publications

References 39 publications

A mixed-methods study exploring the characteristics and needs of long-stay patients in high and medium secure settings in England: implications for service organisation

A mixed-methods study exploring the characteristics and needs of long-stay patients in high and medium secure settings in England: implications for service organisation

Clinical Ethics Support Services Are Not as Well-Established in Forensic Psychiatry as in General Psychiatry

Granting Leave to Patients in Bavarian Forensic-Psychiatric Hospitals: A Survey to Describe the Current Process and Develop Guidelines

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