Long Stay in Europe: A Systems-Oriented Approach

Bulten, B.H.; Verkes, Robbert‐Jan

doi:10.1007/978-3-030-12594-3_4

Cited by 2 publications

(1 citation statement)

References 28 publications

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“…Suggested reasons for the increase in the number forensic psychiatric beds, in addition to the decrease in general psychiatric bed provision, include an increase in comorbid substance abuse, increased risk aversion in society ( 4 ), and the loss of social support for mentally ill people in traditional families ( 5 ). Whatever the specific determinants prove to be, these trends have nonetheless caused a significant strain on psychiatric services ( 6 , 7 ) – institutional or otherwise – and a need, in many countries, to reassess the role, quality, and organization of forensic services ( 8 – 11 ).…”

Section: Introductionmentioning

confidence: 99%

Factors Affecting Treatment Regress and Progress in Forensic Psychiatry: A Thematic Analysis

2022

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International variability and shifting trends in forensic psychiatry lead to gaps in national service provision and needs for service development. This study explores these needs through the subjective narratives of those involved in Finnish forensic services, either as forensic psychiatric patients, their parents, or service providers. Data was gathered by means of thematic interview and subjected to thematic analysis. Three main themes emerged: (1) pre-treatment challenges, (2) institutional/treatment-related concerns about therapeutic security and (3) adapting and recovery. The research highlights the need to develop forensic psychiatric services at three levels. First, it calls for increased risk awareness and risk assessment skills at the general psychiatric level. Second, it emphasizes the need for increased therapeutic engagement throughout the rehabilitative process. Third, it calls for structured and meaningful post-discharge aftercare. At all three levels, gradated security-aware standardization and patient triage in forensic services would help to develop and maintain an intact care pathway. This would decrease offending, marginalization, and suffering. Only then can we begin to meet the requirements of the WHO European Mental Health Action Plan. These findings can contribute to the development of international, standardized treatment models for clinical forensic psychiatric practices.

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Section: Introductionmentioning

confidence: 99%

Factors Affecting Treatment Regress and Progress in Forensic Psychiatry: A Thematic Analysis

2022

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Assessment of ICD-11 Personality Disorder Severity in Forensic Patients Using the Semi-structured Interview for Personality Functioning DSM-5 (STiP-5.1): Preliminary Findings

et al. 2021

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In forensic settings, several challenges may affect reliability of assessment of personality pathology, specifically when based upon self-report. This study investigates the Semi-Structured Interview for DSM-5 Personality Functioning (STiP-5.1) to assess level of severity of personality functioning in incarcerated patients. Thirty inpatients of three forensic psychiatric facilities completed the STiP 5.1 and additionally completed self-report questionnaires assessing symptom severity, personality functioning and traits. Staff members completed informant versions of personality functioning questionnaires. Previously assessed community (N = 18) and clinical samples (N = 80) were used as a reference. Interrater reliability and internal consistency of the STiP 5.1 were good. As expected, no associations were found between self-report and expert-ratings (STiP 5.1) of personality functioning. Remarkably, no associations were found between informant rated personality functioning and the STiP 5.1. This study confirms the discrepancies between self-report and expert-ratings in forensic settings and identifies the need to design and test assessment instruments within this context instead of generalizing findings obtained in regular mental health care samples. The STiP-5.1 may be a candidate for use in forensic samples, particularly to guide treatment planning and individual patient policy, although it remains unclear what specific information it offers above and beyond self-report and informant-report.

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Long Stay in Europe: A Systems-Oriented Approach

Cited by 2 publications

References 28 publications

Factors Affecting Treatment Regress and Progress in Forensic Psychiatry: A Thematic Analysis

Factors Affecting Treatment Regress and Progress in Forensic Psychiatry: A Thematic Analysis

Assessment of ICD-11 Personality Disorder Severity in Forensic Patients Using the Semi-structured Interview for Personality Functioning DSM-5 (STiP-5.1): Preliminary Findings

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