Search results for ‘Subject term:"mentally disordered offenders"’ Sort:
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An evaluation of the impact of a social inclusion programme on occupational functioning for forensic service users
- Author:
- FITZGERALD Martin
- Journal article citation:
- British Journal of Occupational Therapy, 74(10), October 2011, pp.465-472.
- Publisher:
- Sage
Forensic occupational therapy has been described as a new specialism in forensic care and, the author suggests, has the potential to fulfil the social inclusion expectations of UK government policy regarding the rehabilitation process. However there is little information as yet to direct work with forensic service users with serious mental illness. This study was designed to provide evidence for, and to guide, the practice of forensic occupational therapists working in a rehabilitation setting. It compared Model of Human Occupation Screening Tool (MOHOST) scores of forensic service users who received treatment as usual and participated in a social inclusion programme (n = 24) with the scores of those who received treatment as usual (n = 19) only. The programme involved graded community engagement and one-one goal planning and was delivered at four long-stay, low-secure rehabilitation units in the north west of England. There was no difference in MOHOST scores between the two groups before intervention but a significant difference in scores was found in the intervention group post-intervention. This difference is believed to represent change in occupational functioning and evidence of successful treatment outcomes. The author concludes that forensic service users could benefit from occupational therapy programmes that include activities to promote social inclusion.
Bridging the gap: service developments in forensic psychiatric rehabilitation at district level
- Authors:
- DABBS Helen J., ISHERWOOD Jim
- Journal article citation:
- Journal of Forensic Psychiatry, 11(1), April 2000, pp.198-205.
- Publisher:
- Routledge
This article describes the attempts by York NHS trust to create a psychiatric service for its mentally disordered offender patients who do not require confinement in a medium-security setting.
Sailing uncharted seas without a compass: a review of interventions in forensic mental health
- Authors:
- BARNAO Mary, WARD Tony
- Journal article citation:
- Aggression and Violent Behavior, 22, 2015, pp.77-86.
- Publisher:
- Elsevier
Mentally disordered offenders (MDOs) represent a complex and diverse population who are often regarded as difficult to treat. Accordingly, the practitioners who are tasked with their reintegration face many challenges which are compounded by a paucity of published research on interventions with MDOs and a lack of comprehensive rehabilitation models to orient their practice. This article provides an overview of published literature on interventions used in inpatient forensic mental health services over the past 15 years. The literature is categorized according to its broad theoretical orientation and three approaches are identified: (1) Treatments targeting mental illness and other psychological issues; (2) Interventions based on the principles of the Risk–Need–Responsivity (RNR) model that aim to reduce recidivism; and (3) Strength-based models. The literature review highlights a practice of blending divergent models in an attempt to cater to the wide-ranging needs of forensic patients. It is asserted that this practice, which is problematic for a number of reasons, is underpinned by an absence of overarching rehabilitation frameworks to integrate the multiple elements of forensic practice. It is proposed that the Good Lives Model of offender rehabilitation, when adapted for use in a forensic context, may provide a promising way forward. (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)
Inspection of services for mentally disordered offenders in East Sussex County Council: 7 - 26 November 1996
- Authors:
- DAVIES Trish, et al
- Publisher:
- Great Britain. Department of Health. Social Services Inspectorate. London East I
- Publication year:
- 1996
- Pagination:
- 54p.
- Place of publication:
- London
“Swimming against the tide”: conditional discharge from medium secure care
- Authors:
- McDONNAUGH Tanya, UNDERWOOD Alan, WILLIAMS Amanda
- Journal article citation:
- Journal of Forensic Practice, 22(2), 2020, pp.57-69.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to explore the experiences of mentally disordered offenders (MDOs) conditionally discharged from secure hospitals on a restrictive Section of the Mental Health Act (Section 37/41).Design/methodology/approach: Data were derived from seven semi-structured interviews from three forensic community teams.Findings: Thematic analysis identified seven predominant themes: (1) the uncertainty of the discharge timeframe; (2) fear of jeopardising discharge; (3) progress; (4) engagement with community life; (5) barriers to social engagement; (6) evolving identity and (7) someone to turn to. Findings are discussed in relation to the recovery model and the good lives model. Practical implications: The findings highlight the importance of fostering trust between MDOs and their care teams to encourage help-seeking. They also suggest that resources should be sequenced appropriately throughout the discharge process, to match the “window of engagement” and maximize impact and effectiveness. Originality/value:This research gained rarely obtained first-hand perspectives from MDOs, with the findings contributing to a more effective evaluation of the discharge pathway. (Publisher abstract)
Dilemmas in applying strengths-based approaches in working with offenders with mental illness: a critical multidisciplinary review
- Authors:
- VANDEVELDE S., et al
- Journal article citation:
- Aggression and Violent Behavior, 32, 2017, pp.71-79.
- Publisher:
- Elsevier
The recent focus on extending risk assessment and treatment in forensic mental health with protective factors relates to the increasing interest in strengths-based approaches in various professional disciplines: law (e.g. human rights), criminology (e.g. desistance), mental health care (e.g. recovery), forensic psychology (e.g. the Good Lives Model), special needs education (e.g. Quality of Life) and family studies (e.g. family recovery). In this article, we will discuss the available knowledge with regard to strengths-based approaches for offenders with mental illness, in relation to these different disciplines. Several dilemmas are observed across these disciplines: (1) “Living apart together”: the integration of different disciplines; (2) “Beyond Babylonian confusion and towards more theoretical research”: conceptualization of strengths-based practices in different fields; (3) “No agency without autonomy”: the individual in context; and (4) “Risks, strengths and capabilities”: the search for an integrated paradigm. In our view, these different disciplines share a shift in how humankind is viewed, respecting agency in the interaction with people who have offended. Yet, differences apply to the objectives that the disciplines strive for, which warrants not to eclectically consider strengths-based working in each of the disciplines as ‘being small variations of the same theme’. (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)
Rehabilitation frameworks in forensic mental health
- Authors:
- ROBERTSON Peter, BARNAO Mary, WARD Tony
- Journal article citation:
- Aggression and Violent Behavior, 16(6), November 2011, pp.472-484.
- Publisher:
- Elsevier
This review examines the current rehabilitation approaches to forensic mental health care and the theoretical frameworks that underpin them. The key features of rehabilitation theory are outlined, and it is considered how these features might be used to inform a critical analysis of models of forensic rehabilitation. A literature search was carried out for publications between October 1999 and October 2010 on rehabilitation approaches used in forensic mental health, and the retrieved publications were categorised according to their apparent theoretical orientation. On this basis, 3 broad approaches to forensic mental health assessment and treatment were identified: Risk-Needs-Responsivity models; therapeutic models targeting individual psychopathologies; and strength-based models. The strengths and weaknesses of each approach are considered with reference to the degree to which they conform to the key features of rehabilitation theory. Following a review of each model, the article concludes that strength-based approaches have theoretical and practical advantages over the other 2 rehabilitation frameworks. An outline of the Good Lives Model is provided as an example of a strength-based rehabilitation model suitable for use in forensic mental health settings.
Offending behaviour programmes: an opportunity for change?
- Authors:
- SMAELE Chiara, WALLACE Tracey, KEIL Jo
- Journal article citation:
- Mental Health Today, March 2009, pp.22-27.
- Publisher:
- Pavilion
- Place of publication:
- Hove
Summarises the findings of research which explored whether offending behaviour programmes could be relevant in addressing some of the problems faced by offenders with mental health problems. The research involved a review of the previous literature and an analysis of the views of 58 professionals and 15 service users. It was felt that offenders with severe mental health problems should be given equal access to offending behaviour programmes where appropriate, and support should also be provided to help offenders with mental health problems attend these programmes.