Search results for ‘Subject term:"mentally disordered offenders"’ Sort:
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Criminal justice diversion and liaison services: a path to success?
- Author:
- DYER Wendy
- Journal article citation:
- Social Policy and Society, 12(1), 2013, pp.31-45.
- Publisher:
- Cambridge University Press
Diversion services for adult mentally disordered offenders are back in the limelight twenty years after their original development. This article argues there are a number of important lessons to be learnt. Services of this kind ‘process’ different people in different ways with different outcomes. Current developments therefore need to provide an holistic, patient-centred approach across the whole offender pathway, which meets the needs of different groups of people. What works for some might not work for others, but patterns can be mapped and good and bad pathways identified and used to inform good practice and service improvement. (Publisher abstract)
Lived experiences of recalled mentally disordered offenders with dual diagnosis: a qualitative phenomenological study
- Authors:
- O'SULLIVAN Michelle, BOULTER Sara, BLACK Georgia
- Journal article citation:
- Journal of Forensic Psychiatry and Psychology (The), 24(3), 2013, pp.403-420.
- Publisher:
- Taylor and Francis
The lived experience of mentally disordered offenders with dual diagnosis was the focus of this study. Interviews with five recalled service users from a medium secure unit in England were subjected to an interpretative phenomenological analysis. Five themes were identified relating to identity, control, autonomy and recovery. Clinical implications include increasing service users’ awareness of available post-diagnosis identities, which meet the needs of individuals’ lived contexts and promotion of recovery-oriented care in forensic settings. (Publisher abstract)
The Good Lives Model tool kit for mentally disordered offenders
- Author:
- BARNAO Mary
- Journal article citation:
- Journal of Forensic Practice, 15(3), 2013, pp.157-170.
- Publisher:
- Emerald
Purpose: The Good Lives Model (GLM) is a new approach to offender rehabilitation that provides an integrative framework for assisting individuals to achieve their goals while reducing their risk for reoffending. Recently it has been proposed that an augmented form of the GLM could provide a comprehensive conceptual, ethical and practice framework for rehabilitation within the specialty of forensic mental health. However, there is a paucity of published literature to guide practitioners on how to integrate the GLM into their practice with mentally disordered offenders. The aim of this article is to present a set of resources (the GLM tool kit) tailored for use with offenders with mental disorder. Design/methodology/approach : Each of the five resources that comprise the tool kit will be described, the theoretical, methodological and practical considerations that influenced their development will be reviewed, and a case example demonstrating their clinical application, presented. Findings: The tool kit can guide forensic mental health practitioners in assessment, case conceptualisation and rehabilitation planning according to the Good Lives Model. It includes some practical resources that practitioners can use to help mentally disordered offenders understand themselves better, including the reasons why they came to offend, and to highlight what they need to change to live better lives. Practical implications – The paper provides clinicians with some structure in applying the Good Lives Model within a forensic mental health team context. Originality/value – Much of the GLM practice literature relates to non-mentally disordered offenders. The paper builds on this literature by presenting a set of tools that have been designed specifically with mentally disordered offenders in mind. (Publisher abstract)
Guidance for commissioners of forensic mental health services
- Author:
- JOINT COMMISSIONING PANEL FOR MENTAL HEALTH
- Publisher:
- Joint Commissioning Panel for Mental Health
- Publication year:
- 2013
- Pagination:
- 24
- Place of publication:
- London
The Joint Commissioning Panel for Mental Health (JCP-MH) is a new collaboration co-chaired by the Royal College of General Practitioners and the Royal College of Psychiatrists, which brings together leading organisations and individuals with an interest in commissioning for mental health and learning disabilities. This guide is about the commissioning of high, medium, and low secure forensic mental health services for working-age adults. Forensic mental health services are provided for individuals with a mental disorder (including neurodevelopmental disorders) who pose, or have posed, risks to others, and where that risk is usually related to their mental disorder. These services will be commissioned by NHS England, with commissioning decisions being based upon a set of service specifications developed by an appointed Clinical Reference Group. The guide has been written by a group of forensic mental health service experts, in consultation with patients and carers. (Edited publisher abstract)
A community service for high-risk mentally disordered sex offenders
- Authors:
- CRAISSATI Jackie, BLUNDELL Rachel
- Journal article citation:
- Journal of Interpersonal Violence, 28(6), 2013, pp.1178-1200.
- Publisher:
- Sage
This article provides a descriptive account of a specialist community assessment and treatment service (the Challenge project) for high-risk mentally disordered sex offenders in southeast London. It draws on various measures of personality dysfunction, including key developmental variables, a self-report personality disorder questionnaire Millon Clinical Multi-axial Inventory-III (MCMI-III) and psychopathy as measured by the Psychopathy Checklist: Screening Version (PCL:SV), to describe the characteristics of the cohort of mentally disordered sex offenders. Follow-up data for those placed in treatment are reported and include consideration of treatment completion and reconviction: the relationship between personality dysfunction and a dynamic measure of risk are also explored. Of the 137 participants, 53% were placed in the community treatment project. Seventy five percent completed treatment, and were followed up for an average of 40 months. Eleven percent were sexually reconvicted, 3% violently reconvicted. Community failure was best predicted by a combination of static risk and personality-related variables. (Edited publisher abstract)
A recovery perspective on community day leaves
- Authors:
- WALKER Alisha, FARNWORTH Louise, LAPINKSI Shelley
- Journal article citation:
- Journal of Forensic Practice, 15(2), 2013, pp.109-118.
- Publisher:
- Emerald
Community day leaves are one aspect of the rehabilitation offered at a secure forensic mental health facility in Australia. This study aimed to investigate staff and patients' understanding of community day leaves and how recovery principles were embedded. Ten escorted community day leaves were observed and 21 semi-structured interviews with staff and patients were conducted. Using an ethnographic research approach, thematic analysis guided by a comparative method was used to reveal the similarities and differences between staff and patient perspectives of escorted leaves and how principles of recovery were practiced. Although staff and patients expressed their understanding differently, they had a similar overall understanding of the function of community day leaves, that being, to successfully reintegrate and practice daily living skills. Recovery principles practiced included developing a sense of connectedness to others, power over their own lives, the roles they value, and therefore, hope for themselves. However, how these were facilitated by staff and practiced by patients, varied. It concludes that community day leaves can have the potential therapeutic benefits of enhancing or hindering recovery due to the staff member's facilitation. This study revealed how important it is for staff members to utilise recovery principles to enhance rehabilitation goals and therapeutic benefits. (Edited publisher abstract)
A critical review of the approved mental health professional role and occupational therapy
- Authors:
- KNOTT Gill, BANNIGAN Katrina
- Journal article citation:
- British Journal of Occupational Therapy, 76(3), 2013, pp.118-126.
- Publisher:
- Sage
Introduction: A major amendment to the Mental Health Act 2007 was to broaden the professional groups eligible to undertake specific roles under the Act. One such role was the approved mental health professional (AMHP), whose responsibility is to conduct assessments of people deemed mentally disordered to determine whether they meet the criteria for detention, known as 'sectioning'. Traditionally, this role was undertaken by social workers. Although occupational therapists are now eligible to undertake the role, uptake has been low. Method: A critical literature review was conducted to explore the AMHP role and occupational therapy in order to develop an understanding of the fit between the two. A wide-ranging search identified 282 articles, 30 of which were relevant to the review question. Findings: Coding identified four overarching interrelated themes: values, social (work) perspective, independence of the AMHP role and impact on therapeutic relationship. Coherence exists between social work values and occupational therapy values so it is more likely that structural issues, rather than incongruent values, are impeding occupational therapists' uptake of the AMHP role. Conclusion: A register of occupational therapists employed as AMHPs, and further research exploring reasons for low uptake, is recommended. (Publisher abstract)
Childhood sexual abuse, adult psychiatric morbidity, and criminal outcomes in women assessed by medium secure forensic service
- Authors:
- DOLAN Mairead, WHITWORTH Helen
- Journal article citation:
- Journal of Child Sexual Abuse, 22(2), 2013, pp.191-208.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
There is extensive literature linking childhood sexual abuse (CSA) with adult psychopathology, interpersonal dysfunction, and criminality. The purpose of this study was to look at the associations between contact CSA and psychosocial function in women referred to a medium secure forensic service. The study was conducted at Edenfield Adult Forensic Service Manchester, UK. The case files of all 225 women (aged 18 and older) assessed by the service between 1991 and 1999 were examined, and childhood sexual abuse and non–childhood sexual abuse cases were compared. Over half the sample had a history of childhood sexual abuse, and 5.6% of this group were victims of a subsequent sexual assault in adulthood. The perpetrators were all male. The majority of intrafamilial cases resulted in victims being raised in environments outside the family home. CSA was associated with later relationship, educational, and occupational difficulties. Significant associations were also seen with personality disorder, self-harm, and substance misuse. The findings suggest that treating services need to recognise the potential importance of CSA in their models of care.