Prevalence of the hospitalisation of mentally ill offenders in the Forensic Unit of the Clinic of Psychiatry in Pristina over a three-year period and long-term strategy implications for the management of the Forensic Mental Health System Service

Ibishi, N.F.; Musliu, Nebi; Hundozi, Zylfije; Citaku, Kaltrina

doi:10.1177/0025802414532247

Cited by 11 publications

(8 citation statements)

References 9 publications

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“…The first concerns criminally responsible offenders that receive the requisite psychiatric treatment via psychiatric consultations on a voluntary basis [ 3 – 5 ]. When needed, inpatient mental health care for this population may be provided via voluntary or compulsory admission to psychiatric hospitals [ 6 , 7 ] or, more rarely, in prison psychiatric wards [ 8 ]. The second refers to offenders with decreased responsibility or high risk of recidivism due to long-lasting mental disorders identified via psychiatric expert witness.…”

Section: Introductionmentioning

confidence: 99%

Prison inmates with court-ordered treatments: are they really different?

2022

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Background Both the frequency of court-ordered treatments (COT) for offenders and prevalence of mental disorders among regular prison inmates steadily increased in most western countries. Whether there are major sociodemographic and clinical differences between these two populations is still matter of debate. Methods We compared the sociodemographic and clinical characteristics in a representative sample of 139 regular prison inmates versus 61 offenders with COT admitted during a 5-year period in an acute psychiatric care unit located in the central prison of the Geneva county. Fisher exact, unpaired Student’s t and Mann–Whitney U tests were used to compare demographic and clinical variables between COT patients and regular inmates. In addition, univariate and multivariable ordered logistic regression models were built to identify the sociodemographic and clinical determinants of COT. Results COT patients were significantly older, less frequently married, with better education attainment, predominantly French-speaking, of the Christian religious group and with regular religious practice. History of psychiatric outpatient care was significantly more frequent in this group. Unlike the significantly higher occurrence of adjustment disorders in regular prisoners, psychosis was the main diagnosis in COT patients. When all diagnostic categories were taken into account in multivariable models, the presence of personality and psychotic disorders were the stronger predictors of COT status. Conclusions Our data reveal that offenders with COT represent a clinically distinct group with an overrepresentation of personality and psychotic disorders. Moreover, they show that, at least in the Swiss penitentiary system, COT patients are less exposed to acculturation issues compared to regular inmates.

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Section: Introductionmentioning

confidence: 99%

Prison inmates with court-ordered treatments: are they really different?

2022

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“…However, forensic psychiatric services and the facilities in which they are provided are defined and governed in different ways across the world: some countries have issued detailed criteria for different levels of secure care, including building design and material specifications [ 4 – 6 ], whereas in other countries, security is much more loosely defined, and has essentially developed over time along with clinical practices [ 7 – 9 ]. This is mainly due to variation in the specifics of legislation and the particular ways in which forensic mental health systems are operationalized in different countries, as the underlying clinical issues and principles remain relatively similar across countries [ 10 – 13 ].…”

Section: Introductionmentioning

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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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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“… 18 In a study from South India, schizophrenia and other psychotic disorders made up 28.9% of diagnoses. 20 Ibishi et al reported that 69.1% of mentally ill offenders had a psychotic disorder, 21 whilst Fioretti et al found a prevalence of 65.6% for schizophrenia. 19 These studies and our study support the notion that those who are likely to commit violent crimes within the psychiatric population are those diagnosed with psychotic disorders.…”

Section: Discussionmentioning

confidence: 99%

State patients who committed violent crimes and were admitted to Weskoppies Hospital from 2005 to 2014: Profiles and trends

Dewet

Kotzé

Sokudela

2020

South African Journal of Psychiatry

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Background Most of the available literature focus on characteristics of violent offenders and trends of crime patterns in the general population. The crime trends in the population of those who may be mentally ill have not been well described. Aim To describe the profiles and trends of mentally ill persons who committed violent crimes prior to admission as state patients. Setting The study was conducted at Weskoppies Psychiatric Hospital. Method A retrospective record review of state patients admitted between 2005 and 2014 was conducted to describe demographic, clinical, forensic and victim profiles of state patients admitted from 2005 to 2014. Trends over time were also assessed. Results Hundred and seventy state patient files were reviewed. The majority were males (91.43%), with a history of substance use (55.0%) %), previous psychiatric treatment (46.4%), and diagnosed with a psychotic disorder (82.1%). The 10 year trend showed that murder was the leading charge during 2006 and 2007. It was surpassed by sexual assault crimes as the most common charge after 2007, except for 2009 when murder was again the most common. From 2010 onward, sexual assault remained the most common offence leading to admission as a state patient. Conclusion This study found changes over time in crime patterns of state patients who committed murder and sexual assault. State patients may have different criminal patterns than the general public. This together with the high rates of substance use and previous psychiatric treatment can be important focus areas for future research.

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Prevalence of the hospitalisation of mentally ill offenders in the Forensic Unit of the Clinic of Psychiatry in Pristina over a three-year period and long-term strategy implications for the management of the Forensic Mental Health System Service

Abstract: Rehabilitation programmes for treatment and management are needed that specifically focus on psychotic disorders, severe personality disorders and drug abuse.

Cited by 11 publications

References 9 publications

Prison inmates with court-ordered treatments: are they really different?

Prison inmates with court-ordered treatments: are they really different?

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

State patients who committed violent crimes and were admitted to Weskoppies Hospital from 2005 to 2014: Profiles and trends

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