Cultural considerations in forensic psychiatry: The issue of forced medication

Campinha-Bacote, Josepha

doi:10.1016/j.ijlp.2016.09.002

Cited by 5 publications

(5 citation statements)

References 28 publications

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“…In the forensic-psychiatric context, erroneous assessments of a patient's mental health can have far-reaching consequences with regard to diagnostics, therapy and risk evaluation [33,66]. Previous authors have emphasized the importance of acquiring cultural competence for health professionals, with some suggesting that mental health experts in forensic-psychiatric clinics could work with interpreters or cultural mediators to better avoid misunderstandings and errors [66][67][68].…”

Section: Implications-diagnostics Therapy and Risk Assessmentmentioning

confidence: 99%

Exploring Similarities and Differences of Non-European Migrants among Forensic Patients with Schizophrenia

Huber

Lau

Sonnweber

et al. 2020

IJERPH

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Migrants diagnosed with schizophrenia are overrepresented in forensic-psychiatric clinics. A comprehensive characterization of this offender subgroup remains to be conducted. The present exploratory study aims at closing this research gap. In a sample of 370 inpatients with schizophrenia spectrum disorders who were detained in a Swiss forensic-psychiatric clinic, 653 different variables were analyzed to identify possible differences between native Europeans and non-European migrants. The exploratory data analysis was conducted by means of supervised machine learning. In order to minimize the multiple testing problem, the detected group differences were cross-validated by applying six different machine learning algorithms on the data set. Subsequently, the variables identified as most influential were used for machine learning algorithm building and evaluation. The combination of two childhood-related factors and three therapy-related factors allowed to differentiate native Europeans and non-European migrants with an accuracy of 74.5% and a predictive power of AUC = 0.75 (area under the curve). The AUC could not be enhanced by any of the investigated criminal history factors or psychiatric history factors. Overall, it was found that the migrant subgroup was quite similar to the rest of offender patients with schizophrenia, which may help to reduce the stigmatization of migrants in forensic-psychiatric clinics. Some of the predictor variables identified may serve as starting points for studies aimed at developing crime prevention approaches in the community setting and risk management strategies tailored to subgroups of offenders with schizophrenia.

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Section: Implications-diagnostics Therapy and Risk Assessmentmentioning

confidence: 99%

Exploring Similarities and Differences of Non-European Migrants among Forensic Patients with Schizophrenia

Huber

Lau

Sonnweber

et al. 2020

IJERPH

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“…This practice is avoided unless absolutely necessary, and several reports discuss the use of forced medication. 9 , 10 , 21 - 24 In this case, the patient's guardian was contacted to discuss risks versus benefits of paliperidone LAI, including improvement of psychosis, increased medication adherence in the future, the black box warning of increased mortality in dementia-related psychosis, arrhythmias, extrapyramidal symptoms, metabolic syndrome, tardive dyskinesia, sedation, and alternatives to this treatment compared to no treatment. After this discussion, the guardian consented to the patient receiving paliperidone LAI.…”

Section: Discussionmentioning

confidence: 99%

“…Even though it is common practice in many countries, an area with ongoing debate is the issue of forced or coercive treatment with psychotropics. 8 , 9 “Forced medication” 8(p3) has been defined as using manual restraint or strong psychological pressure to administer medication against the patient's will. This is another topic with a gap in the literature, especially regarding long-acting injectable (LAI) antipsychotics.…”

Section: Introductionmentioning

confidence: 99%

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A case report of guardian-consent forced paliperidone palmitate for behavioral disturbance due to traumatic brain injury

Douglass

Smyth²

2018

Mental Health Clinician

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Psychosis after traumatic brain injury (TBI) occurs in up to 10% of cases. Although guideline consensus is lacking regarding drugs of choice for this condition, current literature points to the use of atypical antipsychotics. This case describes a 58-year-old male with major neurocognitive disorder due to TBI with behavioral disturbance that was successfully treated with paliperidone palmitate. In addition to the off-label use of paliperidone, this case also explores the use of forced medication as the initial injection was given per guardian consent. After completion of a literature review, this appears to be the first case report describing the use of a long-acting antipsychotic for the treatment of TBI-related psychosis. This case suggests that paliperidone palmitate may be efficacious for psychosis following TBI; however, further study is warranted.

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“…Cook et al (2011) argue that the secular is in itself biased against the religious. This, in turn, may lead to miscommunication and misunderstandings, disempowering individual resources (Nissen, Gildberg, & Hvidt, 2019), and may also obstruct de-escalation strategies and instead lead to conflict and the use of coercive measures (Campinha-Bacote, 2016;Kuivalainen et al, 2017). In relation to forensic psychiatry and ethnic minority patients the situation is even more complex, especially in the meeting between Islam and various culturally/religiously based understandings of mental health and forensic psychiatry that meet in a globalized world (Hassan, Tamizuddin, & Asmer, 2017;Geferakos, Lykouras, & Douzenis, 2014).…”

Section: Introductionmentioning

confidence: 99%

Approaching the religious patient in forensic psychiatry, with special focus on ethnic minority patients

Nissen

Gildberg

Hvidt

2019

Mental Health, Religion & Culture

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Ethnic minority patients are overrepresented in Danish forensic psychiatry and knowledge is needed on how these patients are approached in relation to religious and cultural issues. The aim of this study was to investigate how psychiatrists in Danish forensic psychiatry approach religious ethnic minority patients. Based on interviews with psychiatrists working in Danish forensic psychiatry, the study revealed positive approach towards religious ethnic minority patients. However, unless religion features as part of the illness, the tendency is to not incorporate the patients' religiosity in treatment, which may hinder patient empowerment and positive religious coping. The study finds that the hospital chaplain is regarded by the psychiatrists as an important part of the ward, offering the patients a 'therapy-free room', and expressed the desire for a more formal cooperation with religious specialists to be developed.Finally, the study finds that religious practices such as Ramadan, common prayer, and Islamic edicts on food and unlawful touch are areas where more knowledge is needed, and where a lack of consensus may cause anxiety and potential stress and conflict situations.

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Cultural considerations in forensic psychiatry: The issue of forced medication

Cited by 5 publications

References 28 publications

Exploring Similarities and Differences of Non-European Migrants among Forensic Patients with Schizophrenia

Exploring Similarities and Differences of Non-European Migrants among Forensic Patients with Schizophrenia

A case report of guardian-consent forced paliperidone palmitate for behavioral disturbance due to traumatic brain injury

Approaching the religious patient in forensic psychiatry, with special focus on ethnic minority patients

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