In Norway the prosecuting authorities can request a forensic psychiatric screening report in order to determine whether a full forensic psychiatric report is required. This study explores three research questions. Are such screening reports considered relevant by the prosecution authorities? To what extent are their recommendations followed? What is the concordance of the conclusions of the screening reports and the full reports? This study analysed the screening reports issued on 419 defendants by Oslo Police District's Office for Forensic Psychiatry in 2002 -2005, and the 91 (22%) full reports issued on these defendants. All reports were evaluated using a structured rating form. Of the 118 screening reports that recommended a full report, 50% were followed up by the prosecution authorities. In contrast, non-recommendation of a full report was almost always followed, while 16% of open recommendations resulted in a full report. Instigation of a full report was significantly associated with major crimes, and with positive recommendation compared to open recommendation. The concordance between screening and full reports was 46% regarding psychosis, 78% regarding unconsciousness, and 94% regarding mental retardation. Based on these findings, the value of the system of screening reports seems to lie primarily in negative recommendations. Low concordance between screening and full reports, and the limited follow-up of expert recommendations for full reports, indicate that the system has questionable validity.

arbeidsprofil i en psykiatrisk poliklinikk i Oslo. Fra Dikemark sykehus 6. avd., Mllergt. 43. Nord Psykiatr Tidsskr 1985; 39:359-364. Oslo. ISSN 0029-1455. The function of the psychiatrist in the out-patient clinicThe authors are working at the out-patient clinic in M6llergt. 43 in Oslo, subordinated to Dikemark hospital as an independent ward. The clinic is organized in three multiprofessional teams, each lead by the chief psychiatrist and the two consultants.The field of the psychiatrists in the out-patient clinic concerns psychotherapy, supervision, administration, professional development and research. The purpose of our investigation was therefore to describe the working conditions and the role of the psychiatrist.The registration took place over a period of 6 months or 1 year either in 1983 or 1984. To describe treatment activities, the patients have been grouped according to age, diagnosis and number of treatment sessions. We think these registrations are compatible. as the number of admissions has been rather constant in the actual period.Each doctor has also made a registration of all activities not directly related to the patients. These activities were divided into two categories, supervision and administrative functions. All the results are displayed in 3 tables describing the various activities.The chief psychiatrist spends about 25 % of available working time in therapies, while the consultants and the residents use about 40 % of their working time in direct contact with the patients. A considerable amount of time is also used for various supervisory activities both within and outside the ward.The doctors usually give 5 to 10 weekly psychotherapies, giving top priority to young and middle-aged patients mostly suffering from neurotic and borderline conditions. Also psychotherapies of young schizophrenics, and group therapies with married couples and families are done.Differences in the working profiles are explained as partly caused by the different compositions and working styles of the teams. Administrative work is partly distributed between the psychiatrists. To make more time available for clinical work it would be an advantage to increase the number of doctors in the out-patient clinic.Legislation gives top priority to the care of patients with emergency conditions or violent behaviour. This reduces the capacity for psychotherapy, education and research.The out-patient clinic is considered a suitable place for psychiatric training and education of residents. This should be taken advantage of in the training of psychiatrists. 0 Psychotherapy, supervision, administration, research. , Dikemark sykehus, 6. avd. Mdlergt. 43, N-0179 Oslo 1. Ahepterr: 19.5.85 de fB stillinger som eksisterer i poliklinikkene, er tjenesten her blitt et ccnBLye~ i utdannelsen. Nye henvendelser (ccinntak*) ti1 polikli-Nord J Psychiatry Downloaded from informahealthcare.com by Osaka University on 11/20/14 Overlege Carl Severin AlbretsenFor personal use only.

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