Assessments of the treatability of forensic patients

Quinsey, Vernon L.

doi:10.1002/bsl.2370060403

Cited by 21 publications

(12 citation statements)

References 40 publications

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“…This is due to the complexity and subtlety involved in measuring mental illness compared with the more easily operationalized indicators of Criminal behavior. T h e California Department of Mental Health has obtained Federal grant funds to examine more closely the relationships between the level of treatments provided, personal gains in social and psychiamc adjusunent, and recidivism, since reliable information about such relationships is scarce (Quinsey, 1988).…”

Section: Discussionmentioning

confidence: 99%

Recidivism of disordered offenders who were conditionally vs. unconditionally released

Wiederanders

1992

Behavioral Sci & The Law

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Postinstitutional arrests and state hospitalizations of 191 patients placed on conditional release (CONREP group) were compared to those of 44 patients released &om the same califorpia state hospital with no aftercare due to expiration of commiment terms (MAXOUT group). The two groups were not randomly determined but were comparable in demographic characteristics and rates of preprogram arrest. The CONREP group had a significantly lower community-period arrest rate than did the MAX-OUT group (p < .001). Survival rate analyses, using time until arrest and time until revocation as dependent variables, suggested that revocations during the first 240 days of community re-entry reduced the potential arrest rate within the CONREP group. Results were discussed in terms of the " * ' lization hypothesis" as well as the crime-preventive possibilities of the conditional release mechanism.As Bloom, Williams, and Sigelow (1 99 1) recently pointed out, the power to revoke forensic mental health clients h m community settings to hospitals is a key public safety feature of conditional release programs. In California, clients of the statewide Conditional Release Program (CONREP), a system of structured aftercare established by the state legislature (CA Assembly Bill 2390, 1985), can be returned to a state hospital if they do not comply with an extensive list of outpatient treament conditions. These include attendance at weekly individual therapy, weekly group therapy, weekly urine drug tests, and taking prescribed medications. In the same legislation establishing CONREP was a requirement that the Department of Mental Health research this program's effectiveness in minimizing client reoffense.Given the assignment to design this research, the author reviewed the literature and found no study in which the criminal recidivism of "revoke-able" forensic mental health clients was compared to that of a randomly assigned control group of "not revoke-able" persons. Rather, the literature contained usefid but primarily descriptive information about recent conditional release programs, their clients, and recidivism I rhank John Monahan for providing helpful reactions to an earlier version of this paper. Address reprint requests to Mark Wiederanders, Ph.D Depamnent of Mental Health,

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Section: Discussionmentioning

confidence: 99%

Recidivism of disordered offenders who were conditionally vs. unconditionally released

Wiederanders

1992

Behavioral Sci & The Law

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“…In contrast, the state of outcome research for services to mentally disordered offenders has changed little since Quinsey (1988) remarked that treatment programmes for this group were noteworthy primarily by their absence, poor implementation, unevaluated status, lack of conceptual sophistication, and incomplete description. This does not reflect an absence of psychological interventions, which are now an integral, if uneven, feature of ''forensic'' services, nor of psychological research in these services (Blackburn, 1993(Blackburn, , 1996.…”

Section: Introductionmentioning

confidence: 86%

“What works” with mentally disordered offenders

Blackburn

2004

Psychology, Crime & Law

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Treatment and rehabilitation of mentally disordered offenders has traditionally been a function of high security hospitals, but is increasingly based in community settings. Evidence for the effectiveness of psychological interventions remains scarce, and for secure hospitals, is limited to demonstrations of shortterm effects using a conventional range of behavioural and cognitive Á/behavioural procedures. Some findings support the use of directive community programmes in meeting the needs of public safety and improved reintegration of the individual. Long-term services are required, and more complex psychological contributions are needed to meet the multiple needs of this client group.

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“…Furthermore, this should be the focus whether the patient is in a locked hospital, open unit, hostel, or their own home. Quinsey (1988) observed that treatment programmes were frequently noteworthy by their absence, poor implementation, unevaluated status, lack of conceptual sophistication and incomplete description.…”

Section: Literature Reviewmentioning

confidence: 99%

Quality of treatment following police detention of mentally disordered offenders

Jones

Mason

2002

Psychiatric Ment Health Nurs

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There is a growing interest in patients' perspectives in relation to the treatment and management of mentally disordered offenders at all levels of service delivery. This paper reports on a group of mentally ill individuals who were admitted to a place of safety following detention by the police. The principal purpose of the study was to determine the quality of care that the patient experienced under section 136 of the Mental Health Act (1983) from police detention to hospital admission. The major focus concerned the anticipated disparity between the non-professional police interactions and those of the mental health professional. The method employed was a grounded theory analysis of audio-taped interviews utilizing a three-level coding of data. The results indicated a general dissatisfaction with the quality of care and treatment from both police and professionals, but with the former being viewed as acceptable whilst the latter was considered unacceptable. The patients made a series of recommendations for detention in places of safety.

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Assessments of the treatability of forensic patients

Cited by 21 publications

References 40 publications

Recidivism of disordered offenders who were conditionally vs. unconditionally released

Recidivism of disordered offenders who were conditionally vs. unconditionally released

“What works” with mentally disordered offenders

Quality of treatment following police detention of mentally disordered offenders

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