Long-Term Forensic Psychiatric Care

Long-Term Forensic Psychiatric Care PDF Author: Birgit Völlm
Publisher: Springer
ISBN: 3030125947
Category : Medical
Languages : en
Pages : 338

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Book Description
This book provides an overview of forensic psychiatry, focusing on the provision of care in Europe as well as the legal and ethical challenges posed by long-term stays in forensic settings. Forensic psychiatric services provide care and treatment for mentally disordered offenders (MDOs) in secure in-patient facilities as well as in the community. These services are high-cost/low-volume services; they pose significant restrictions on patients and hence raise considerable ethical challenges. There is no agreed-upon standard for length of stay (LoS) in secure settings and patients’ detainment periods vary considerably across countries and even within the same jurisdiction. Thus far, little research has been conducted to identify factors associated with length of stay; consequently, it remains unclear how services should be configured to meet the needs of this patient group. This volume fills some of those gaps. Furthermore, it presents new research on factors associated with length of stay, both patient-related and organisational. Various approaches to the provision of care for long-term patients in different countries are explored, including a few best practise examples in this specific area of psychiatry. The book also addresses the perspective of those working in forensic care by reviewing quality-of-life research and interviews with patients. The authors of this volume come from a range of professional backgrounds, ensuring a certain breadth and depth in the topic discussion, and even includes patients themselves as (co-)authors.

Long-Term Forensic Psychiatric Care

Long-Term Forensic Psychiatric Care PDF Author: Birgit Völlm
Publisher: Springer
ISBN: 3030125947
Category : Medical
Languages : en
Pages : 338

Get Book Here

Book Description
This book provides an overview of forensic psychiatry, focusing on the provision of care in Europe as well as the legal and ethical challenges posed by long-term stays in forensic settings. Forensic psychiatric services provide care and treatment for mentally disordered offenders (MDOs) in secure in-patient facilities as well as in the community. These services are high-cost/low-volume services; they pose significant restrictions on patients and hence raise considerable ethical challenges. There is no agreed-upon standard for length of stay (LoS) in secure settings and patients’ detainment periods vary considerably across countries and even within the same jurisdiction. Thus far, little research has been conducted to identify factors associated with length of stay; consequently, it remains unclear how services should be configured to meet the needs of this patient group. This volume fills some of those gaps. Furthermore, it presents new research on factors associated with length of stay, both patient-related and organisational. Various approaches to the provision of care for long-term patients in different countries are explored, including a few best practise examples in this specific area of psychiatry. The book also addresses the perspective of those working in forensic care by reviewing quality-of-life research and interviews with patients. The authors of this volume come from a range of professional backgrounds, ensuring a certain breadth and depth in the topic discussion, and even includes patients themselves as (co-)authors.

Secure Recovery

Secure Recovery PDF Author: Gerard Drennan
Publisher: Routledge
ISBN: 1136472495
Category : Social Science
Languages : en
Pages : 249

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Book Description
Secure Recovery is the first text to tackle the challenge of recovery-oriented mental health care in forensic services and prison-based therapeutic communities in the UK. Recovery as an emergent paradigm in the field of mental health presents a challenge to all services to embrace a new clinical philosophy, but nowhere are the implications more profound than in services that are designed to meet the needs of mentally disordered and personality-disordered offenders, both men and women. The chapters collected together in this book represent a cross-section of experiences in high, medium and low secure services and prison-based therapeutic communities in England and Scotland that have begun to implement a recovery orientation to the rehabilitation of offenders with mental health needs. Secure Recovery sets out a road map of guiding principles, practical and evidence-based strategies for promoting service user participation in their care and treatment and further demonstrates the adaption of traditional treatment approaches, and the development of innovations in rehabilitation, as well as tackling training for staff teams, and the evaluation of service delivery. This book provides a valuable resource and an inspiration to practitioners working across forensic mental health settings, increasing understanding of contemporary challenges and suggesting ways of moving forward.

Couple Found Slain

Couple Found Slain PDF Author: Mikita Brottman
Publisher: Henry Holt and Company
ISBN: 1250757452
Category : True Crime
Languages : en
Pages : 225

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Book Description
“Mikita Brottman is one of today’s finest practitioners of nonfiction.” —The New York Times Book Review Critically acclaimed author and psychoanalyst Mikita Brottman offers literary true crime writing at its best, taking us into the life of a murderer after his conviction—when most stories end but the defendant's life goes on. On February 21, 1992, 22-year-old Brian Bechtold walked into a police station in Port St. Joe, Florida and confessed that he’d shot and killed his parents in their family home in Silver Spring, Maryland. He said he’d been possessed by the devil. He was eventually diagnosed with schizophrenia and ruled “not criminally responsible” for the murders on grounds of insanity. But after the trial, where do the "criminally insane" go? Brottman reveals Brian's inner life leading up to the murder, as well as his complicated afterlife in a maximum security psychiatric hospital, where he is neither imprisoned nor free. During his 27 years at the hospital, Brian has tried to escape and been shot by police, and has witnessed three patient-on-patient murders. He’s experienced the drugging of patients beyond recognition, a sadistic system of rewards and punishments, and the short-lived reign of a crazed psychiatrist-turned-stalker. In the tradition of One Flew Over The Cuckoo’s Nest, Couple Found Slain is an insider’s account of life in the underworld of forensic psych wards in America and the forgotten lives of those held there, often indefinitely.

Committed

Committed PDF Author: Dinah Miller
Publisher: Johns Hopkins University Press
ISBN: 1421425416
Category : Medical
Languages : en
Pages : 323

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Book Description
A compelling look at involuntary psychiatric care and psychiatry’s role in preventing violence. Battle lines have been drawn over involuntary treatment. On one side are those who oppose involuntary psychiatric treatments under any condition. Activists who take up this cause often don’t acknowledge that psychiatric symptoms can render people dangerous to themselves or others, regardless of their civil rights. On the other side are groups pushing for increased use of involuntary treatment. These proponents are quick to point out that people with psychiatric illnesses often don’t recognize that they are ill, which (from their perspective) makes the discussion of civil rights moot. They may gloss over the sometimes dangerous side effects of psychiatric medications, and they often don’t admit that patients, even after their symptoms have abated, are sometimes unhappy that treatment was inflicted upon them. In Committed, psychiatrists Dinah Miller and Annette Hanson offer a thought-provoking and engaging account of the controversy surrounding involuntary psychiatric care in the United States. They bring the issue to life with first-hand accounts from patients, clinicians, advocates, and opponents. Looking at practices such as seclusion and restraint, involuntary medication, and involuntary electroconvulsive therapy—all within the context of civil rights—Miller and Hanson illuminate the personal consequences of these controversial practices through voices of people who have been helped by the treatment they had as well as those who have been traumatized by it. The authors explore the question of whether involuntary treatment has a role in preventing violence, suicide, and mass murder. They delve into the controversial use of court-ordered outpatient treatment at its best and at its worst. Finally, they examine innovative solutions—mental health court, crisis intervention training, and pretrial diversion—that are intended to expand access to care while diverting people who have serious mental illness out of the cycle of repeated hospitalization and incarceration. They also assess what psychiatry knows about the prediction of violence and the limitations of laws designed to protect the public.

The Tidal Model

The Tidal Model PDF Author: Philip J. Barker
Publisher: Psychology Press
ISBN: 9781583918005
Category : Medical
Languages : en
Pages : 312

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Book Description
Based on extensive research, The Tidal Model charts the development of this model of care, outlining its theoretical basis and including clinical examples to show the benefits of encouraging the client's greater involvement in their treatment.

Geriatric Forensic Psychiatry

Geriatric Forensic Psychiatry PDF Author: Jacob Holzer
Publisher: Oxford University Press
ISBN: 0199374651
Category : Medical
Languages : en
Pages : 409

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Book Description
This textbook, one of the first, provides a comprehensive review of the relationship between psychiatry and legal medicine in the older population. Sections reviewing evaluation, civil and criminal topics, and numerous other areas such as risk management, will help physicians, attorneys, and other professionals in their work with the elderly.

Handbook of Forensic Psychiatric Practice in Capital Cases

Handbook of Forensic Psychiatric Practice in Capital Cases PDF Author: Nigel Eastman
Publisher:
ISBN: 9780957678576
Category :
Languages : en
Pages :

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Book Description


Camberwell Assessment of Need: Forensic Version

Camberwell Assessment of Need: Forensic Version PDF Author: Stuart Thomas
Publisher: RCPsych Publications
ISBN: 1009028448
Category : Medical
Languages : en
Pages : 125

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Book Description
The Camberwell Assessment of Need Forensic Version (CANFOR) is a tool for assessing the needs of people with mental health problems who are in contact with forensic services. It is based on the CAN, a widely used needs assessment for people with severe mental health problems. Individual needs are assessed in 25 areas of life, spanning health, social, clinical and functional domains. Comprehensive versions are available for research (CANFOR-R) and clinical use (CANFOR-C), as well as a short summary version (CANFOR-S) suitable for both research and clinical use. CANFOR was rigorously developed by a multidisciplinary team at the Institute of Psychiatry, London, and is suitable for use in all forensic mental health and prison settings. This second edition provides an update of the CANFOR tools and their application in clinical and research settings. The assessment forms are freely available to download from the CAN website (researchintorecovery.com/can) and cambridge.org.

Occupational Therapy Evidence in Practice for Mental Health

Occupational Therapy Evidence in Practice for Mental Health PDF Author: Cathy Long
Publisher: John Wiley & Sons
ISBN: 1118990463
Category : Medical
Languages : en
Pages : 258

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Book Description
Occupational Therapy Evidence in Practice for Mental Health is an accessible and informative guide to the application of theory and the evidence-base to contemporary clinical practice. Fully updated throughout, chapters cover a range of mental health issues, approaches and settings, including service user and carer involvement, group work, services for older people, interventions, forensic mental health, and managing depression. Key Features Written by an expert author team, drawing on a wide range of evidence, service contexts, national policy and legislation. Focus on person-centred practice in mental health services. Each chapter also contains a variety of learning features, including task boxes, reflective questions and further readings, to aid understanding and demonstrate the use of evidence to inform clinical decision-making. The second edition of this easy-to-read and practical textbook is an ideal resource for occupational therapy students, clinical practitioners, and anyone looking for a concise, accessible guide to evidence-based practice and how it informs occupational therapy in mental health.

Ethical Issues in Prison Psychiatry

Ethical Issues in Prison Psychiatry PDF Author: Norbert Konrad
Publisher: Springer Science & Business Media
ISBN: 9400700865
Category : Medical
Languages : en
Pages : 435

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Book Description
Recent surveys demonstrate a high and possibly increasing prevalence of mental disorders in prisoners. They have an increased risk of suffering from a mental disorder that transcends countries and diagnoses. Ethical dilemmas in prison psychiatry arise from resource allocation and include issues of patient choice and autonomy in an inherently coercive environment. Ethical conflicts may arise from the dual role of forensic psychiatrists giving raise to tensions between patient care/protection of the public.This book describes models and ethical issues of psychiatric healthcare in prison in several countries. Relevant issues are: the professional medical role of a psychiatrist and/or psychotherapist working in prison, the involvement of psychiatrists in disciplinary or coercive measures; consent to treatment, the use of coercion in forcing a prisoner to undergo treatment, hunger strike, confidentiality. The book ends with consensus guidelines concerning good practice in Prison Psychiatry.